Efficacy of Medhya Rasayana and Behavioural Interventions in the Management of Shayyamutra (Enuresis) in Children: A Double Blind, Randomised, Controlled Clinical Trial

Abstract

Children in this modern age are suffering from many psychosomatic problems, out of those is enuresis, incidences are increasing nowadays, not only affecting the physical, emotional and social development of the child, it affects scholastic performance and ultimately becomes the cause of behavioural and other psychosomatic disorders. Ancient scholars Brihadtrayi and Laghutrayi have not mentioned Shayyamutra except Sharangadhar, who mentioned the word Shayyamutra under 22 Balarogas only. In Vangasena and Bhaishajya Ratnawali treatment is mentioned but no etiopathogenesis. Samprapti can be understood as Sadhaka Pitta, Apana Vayu and Tarpaka Kapha involvement affecting Manovaha Srotas causing Enuresis. Based on this, Double Blind randomised study was done, both groups having 30 patients each, one group was given Medhya Rasayana Syrup with Behavioural Intervention and other group
was given Placebo Sugar Syrup with Behavioural Interventions at OPD, Department of Kaumarabhritya, All India Institue of Ayurveda, New Delhi, for one month. The study has proved that Medhya Rasayana Syrup along with Behavioural Interventions is more effective in Shayyamutra than Behavioural Interventions alone.