“Study The Efficacy of Chatuhsama Yoga in Ama Atisara in Children”

Background: Atisara (diarrhea) is a common gastrointestinal disorder in children, characterized primarily by frequent passing of watery stools, often accompanied by loss of appetite, abdominal pain, thirst, weakness, and sometimes mucus or blood depending on the type. Ayurvedic texts attribute Atisara to impaired Mandagni (digestive fire) causing Ama (toxins) formation. Chatuḥsama Yoga, a classical Ayurvedic formulation, is traditionally used to treat Ama Atisara. This study aimed to evaluate its efficacy in pediatric patients aged 6 months to 5 years. Methodology: A single-arm, open-label clinical trial was conducted at BVDUCOA outpatient department of Kaumarbhritya. Twenty-two children meeting inclusion criteria were enrolled after ethical approval and informed consent. Chatuḥsama Yoga was administered in age-appropriate doses for 5 days. Subjective and objective parameters, including stool characteristics, appetite, and frequency of diarrhea, were assessed at baseline, day 3, and day 5. Results: Significant improvements (p<0.05) were observed in stool consistency, odor, mucus, frequency of diarrhea, and appetite by day 5. Notably, 95-100% improvement was seen in key subjective symptoms such as stool Swaroop (appearance), Amavasta (Ama state), and Trushna (thirst). Weight loss was also significantly reduced. No adverse effects or worsening of urine output, pain, or fever were reported. Discussion: The Deepana, Pachana, and Grahi properties of Chatuḥsama Yoga likely enhanced digestive fire and reduced Ama, thus restoring bowel function and reducing diarrhea symptoms. Its ingredients work together to absorb excess moisture and restore Dosha balance, in harmony with traditional Ayurvedic principles. Conclusion: Chatuḥsama Yoga is a safe and effective treatment for pediatric Ama Atisara, significantly improving clinical symptoms and overall health within 5 days of administration.