Comparative Study on Efficacy of BrahmiGhrita as an Adjuvant with CBT(Cognitive Behavioral Therapy) in Management of Autism in Children-A Protocol
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Abstract
Background: Any abnormal and or impaired development that is developed before the age of 3 years identified by abnormally developed social skills, communication problems and a restricted of behaviour is defined as autism.In Ayurveda, the condition Autism may be understood on the lines of Unmad in a lesser degree and can be categorized as a minor psychological ailment of the child. Unmad is a clinical condition characterized by indecisiveness (DheeVibram) and unstable mind (Satwapariplawa), looking elsewhere usually by avoiding eye contact (Paryakuladrishti), lack of courage (Adheerata) incoherent and indistinct talk. (Abaddha Avaya) and lack of insight or imagination due to inability to process sensory information (HridayamchaShoonyam), when these symptoms exist in a minor form it could be considered as autistic behaviour.
Objectives: To study the efficacy of BrahmiGhrita& CBT in patients of Autism by DSM-IV &V criteria & Amino acid levels plasma & urine in comparison to CBT alone on the same parameters
Methodology: Patient of autism irrespective of sex, religion, from age group of 3 to 12 years shall be included in the study. Children with IQ >70 will be included in study. The treated group shall be administered the Ayurvedic treatment as follows: For group A- RajanyadiChurna 4.5-18 grams {depend upon age of patient} early in the morning daily for initial 7 days only, thereafter internal administration 9.6 —24 grams {depend upon age of patient} of BrahmiGhrita is given daily with a cup of hot milk or water or as per the choice of patient, early in the morning daily for period of 3 months {in Opd of hospital} along with CBT every 2 weeks for 3 months. For group B – CBT every 2 weeks for 3 months.
Results: will be observed according to criteria of DSM-IV/V.
Conclusion:BrahmiGhrita as an Adjuvant with CBT will be more effective than CBT alone in Management of Autism in Children.