Nonspecific mesenteric lymphadenopathy in children and its management through Ayurveda: Two case reports

Nonspecific mesenteric lymphadenopathy is one among the leading causes of cumbersome abdominal colic in children. The severity of the pain is variable and may cause emergency hospitalization in most of the cases. In Ayurveda, these complaints simulate with characteristics of Gulma (~abdominal mass or lump) where vitiated Vata dosha is responsible for clinical picture. Two cases of similar presentation of abdominal pain due to mesenteric lymphadenopathy are presented here. Ayurveda drugs such as Lavana bhaskara churna, Trikatu, Kanchanara guggulu, and Kumaryasava B have a textual indication for Gulma and administered along with Jahar mohra pishti, Panchamrita parpati, and Vidanga lauha. These were well tolerated by both the children. Treatment continued for 180 days. The pain was assessed with Wong-Baker Face scale (WBF scale) and Face, Leg, Activity, Cry, and Consolability scale (FLACC scale) according to the age group. After treatment, WBF scale showed a 2/10 score which was 8/10 before treatment and the FLACC scale showed a 0/10 score after treatment which was 10/10 before treatment. Relief in clinical symptoms was found, and the ultrasonography reports had shown improvement in the underlying pathology.