Effect of Medhya Rasayana in Attention?Deficit/Hyperactivity Disorder (ADHD) in Children

Abstract

Attention-Deficit/Hyperactivity Disorder (ADHD) is one of the most prevalent neurodevelopmental disorders of childhood, characterized by persistent patterns of inattention, hyperactivity, and impulsivity that interfere with academic performance, social interactions, and daily functioning. Although conventional pharmacological therapies such as stimulants are effective in symptom control, their long-term use is often associated with adverse effects including appetite suppression, sleep disturbances, and behavioral issues, highlighting the need for safer and holistic treatment alternatives. Ayurveda provides a comprehensive framework for understanding ADHD, correlating it with Manasika Vikara involving predominant vitiation of Vata Dosha along with imbalance of Raja and Tama Guna. Disturbance in Dhee (intellect), Dhriti (retention), Smriti (memory), and Medha (cognitive ability) forms the pathological basis of this condition. Medhya Rasayana, a unique group of Ayurvedic rejuvenative formulations, is specifically indicated for enhancing cognitive functions and maintaining mental health. Classical Medhya drugs such as Brahmi (Bacopa monnieri), Mandukaparni (Centella asiatica), Shankhapushpi (Convolvulus pluricaulis), and Yastimadhu (Glycyrrhiza glabra) possess neuroprotective, antioxidant, anxiolytic, and cognitive-enhancing properties. Experimental and clinical observations suggest that these drugs improve attention span, memory, learning ability, and behavioral regulation in children with ADHD, while also promoting emotional stability and overall well-being. Importantly, Medhya Rasayana is well tolerated and free from significant adverse effects, making it a promising therapeutic option. Thus, Ayurveda, through Medhya Rasayana therapy, offers a holistic, safe, and effective approach for the management of ADHD in children.