AYURVEDIC MANAGEMENT OF PROTEIN-ENERGY MALNUTRITION: A HOLISTIC PERSPECTIVE

Protein-Energy Malnutrition (PEM) remains a critical global health challenge, particularly in developing nations, where it significantly contributes to childhood morbidity and mortality. Despite various nutritional programs and interventions, the prevalence of undernutrition persists due to multifactorial causes such as poverty, poor dietary habits, recurrent infections, and limited access to healthcare. Conventional treatment often focuses on symptomatic nutritional supplementation, without addressing the root causes or the individual's constitutional imbalances. Ayurveda, the ancient system of Indian medicine, offers a comprehensive and individualized approach to the prevention and management of PEM. It emphasizes the restoration of Agni (digestive fire), the nourishment of Dhatus (body tissues), and the enhancement of Ojas (vital essence) through balanced diet (Ahara), lifestyle modifications (Vihara), and herbal-medical interventions (Aushadha). The Ayurvedic concept of Karshya closely aligns with the clinical features of PEM, providing a traditional framework to understand this condition in holistic terms. This study aims to critically analyze the Ayurvedic understanding of PEM, its etiopathogenesis, and therapeutic principles. It also explores specific Ayurvedic formulations and dietary regimens traditionally used for promoting growth, improving digestion, and strengthening immunity in malnourished children. Case-based observations and textual references have been examined to support the practical efficacy of Ayurvedic interventions. The findings suggest that integrative application of Ayurvedic principles can complement modern nutritional strategies by addressing not only the physical deficits but also the functional and systemic imbalances. The paper advocates for the inclusion of Ayurveda as a sustainable, culturally aligned model for managing childhood malnutrition, with potential implications for public health policy and global nutrition programs.