Proposed clinical algorithm for hematinic bhasmas selection for Ayurvedic pediatric care

J Ayurveda Integr Med. 2024 Nov 23;15(6):100972. doi: 10.1016/j.jaim.2024.100972. Online ahead of print.

Abstract

Ayurveda has unique and relevant methods in nosology, symptomatology, and drug selection. These methods need a novel and effective way of presentation for convenient comprehension and implementation. 'Clinical algorithms' is one such way, wherein a large amount of data is simplified, conceptual intricacies abstracted, and clinical application made easier. This article uses a modified version of the Horabin and Lewis algorithm to construct a clinical algorithm for Bhasma selection in the management of Pandu (anemia). The textual descriptions regarding the pathology and clinical presentations of Pandu have been compiled, and broadly classified, and the Bhasmas indication in suit each set of disease presentation has been specified. The algorithm is validated and optimized at single centre, while multicentre implementations and post-hoc modifications are warranted.

Keywords: Ayurveda; Bhasmas; Hematinics.