EFFECTIVENESS OF MEDHYA AUSHADHI AND SIRODHARA OR TAKRADHARA IN ADHD PATIENTS-A REVIEW

Attention-deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder marked by inattention, hyperactivity, and impulsivity that impairs educational, occupational, and social functioning. Conventional pharmacotherapies such as stimulants and non-stimulants can cause side effects, poor adherence, and incomplete symptom control. Ayurveda offers holistic alternatives through Medhya Aushadhi (cognitive-enhancing herbs) and Sirodhara or Ṭakradhara (Panchkarma procedures indicated for disorders of the mind and nervous system). Classical texts describe Medhya Rasayana agents—Brahmi (Bacopa monnieri), Sankhapuṣpi (Convolvulus pluricaulis), Yaṣṭimadhu (Glycyrrhiza glabra), Maṇḍukaparṇi (Centella asiatica) and Guḍuchi (Tinospora cordifolia)—as enhancers of Dhi, Dhṛti, and Smṛti (intellect, retention, and memory). Modern research corroborates their antioxidant, adaptogenic, and neuroprotective effects. Clinical studies and case reports suggest improvements in attention span, reaction time, hyperactivity, and sleep when Medhya Rasayana are used alone or alongside Sirodhara/Ṭakradhara. The procedures may promote autonomic balance, parasympathetic activation, and stress reduction—beneficial mechanisms for ADHD symptom modulation. Although preliminary findings are promising, evidence remains limited by small sample sizes, heterogeneous protocols, and lack of standardized outcome measures. Future randomized controlled trials integrating validated ADHD scales, neurocognitive assessments, and safety monitoring are warranted. Overall, Medhya Aushadhi and Sirodhara/Ṭakradhara appear to be safe, effective, and holistic adjuncts in ADHD management, aligning Ayurvedic wisdom with modern neurophysiology. Keywords: ADHD ; Attention Deficit Hyperactivity Disorder, Medhya Rasayana, Medhya Aushadhi, Sirodhara, Ṭakradhara ,Cognitive Enhancement, Panchakarma, Integrative Therapy