Abstract

A CRITICAL REVIEW OF PHAKKA ROGA W.S.R TO IMPAIRED GROWTH AND DELAYED MILESTONE DEVELOPMENT IN CHILDREN

Shilpy Gupta* and Vijendra Kumar

ABSTRACT

Phakka roga is a special contribution of Kashyapa Samhita. The classical evidence of delayed milestone in gross motor sphere of development has been mentioned in this context. The prenatal, natal, postnatal, socioeconomic and environmental factors affecting growth and development of child are noteworthy. Etiology of the disease, itself is self explanatory and describing its type i.e., ksheeraja, garbhaja and vyadhija phakka. Qualitative and quantitative deficiency of required micro and macro nutrients hampers the overall growth and development. Not even in neonatal period but also in-utero embryonic environment and fetal nourishment status determines the outcome after birth. The milk fed by mother is primary source of nourishment and satiety to a baby in early period of his development. Mother’s milk if deficient in quantity and quality is responsible for impaired and delayed growth of child’s physique and mental faculties. Neonatal insult exposure like chronic diseases i.e., recurrent gastrointestinal and respiratory infection, worm infestation, bleeding disorder, endocrine and metabolic disease decelerates the process of growth and overall well being of a child. Socioeconomic and environmental factors contribute and play a vital role. Socially and economically sound family can bring up a child in a proper way where as stressful social environment and poverty negatively affects the growth and developmental processes.

Keywords: Delayed milestone, Development, Growth, Kashyapa samhita, Phakka roga.