In most cases with Aama, ADHD shows associated signs of vitiated Kapha. The initial line of treatment should be to remove this Aama or excess & vitiated Kapha that causing obstruction in channels of the body, thus leading to defective circulation. Digestion or Agni will be less or deranged in an irregular way in most of such cases. Toxic metabolic wastes are formed in the GIT as a result of this defective digestion process. Removing this Aama or metabolic waste from the system and preventing its further formation are equally important in the treatment. It is done by internal medicines, procedure-based therapies, diet modifications, lifestyle modifications and other needed therapies like Yoga.
There are decoctions, fermented sweet liquids, herbal powders, tablets and other formulations used as well. But the combination and action are entirely different from those used in cases without Aama. Here medicines target enhancing the digestive fire (Agni) thereby removing Aama or metabolic toxins from the body and by correcting the assimilation process, the build-up of further Aama is prevented. Even medicines like pachanamrutham kashayam for fever with Aama to enhance Agni is beneficial in such cases. Other formulations like Ashtachurnam, rajanyadi churnam, vilwad gulika etc. are also used according to individual needs. In some cases, even detoxification will be needed along with improving digestion.
Procedure based therapies:
The main difference is observed in the application of medicated oils and ghee preparations. On the contrary to ADHD without Aama, here most therapies are drying up (rukshana). Application of herbal paste on head (sirolepa) is found useful in the initial stages. Dhaara is mostly done with medicated buttermilk (takradhara) and not oil or milk. Body massage is done with appropriate herbal powders(udwartana). Also, fumigation of the child’s room and premises with volatile herbs are found beneficial. Frequent therapeutic purgation is done with close monitoring. It is very important to evaluate the child with ADHD in a proper scientific manner to assess the individual condition. Medicines and therapies can be decided only in a customised way. Regular checkups and follow up are needed for long term results under the guidance of an Ayurveda physician. As the disease can be severe even with mild triggers, it takes proper care and the teamwork of the doctor, therapeutics and parents.