Evaluation of comparative efficacy of Haridradi syrup verus Nagaradi syrup in the management of Vata -Kaphaj Jwar among school-going children A-RCT

To date, minimal studies are available on Vata-Kaphaj Jwar in school-going children. Most of the study works on Daihika Jwar Chikitsa in children but not on Vata- Kaphaj Jwar in school going children. I was unable to find a parallel arm comparative study on internal intervention in both groups. As Vata-Kaphaj Jwar influences on imbalances of Vata-kapha dosha leads to Jwara and other lakshan’s no researcher worked on a comparative of two drugs and their efficacy in recurrent flu during seasonal changes. Most of the studies are single-arm studies with Kashyam which is not feasible to perform in children due to palatable issues. Ancient Ayurvedic formulations will help to improve their immunity to fight against recurrent viral bacterial infection in school-going children. There is a recurrent use of antibiotics in viral and bacterial fever during seasonal changes which leads to resistance towards antibiotics and their side effects in children. (19) There is insufficient prevalence of this condition across various pediatric populations. It is necessary to provide more thorough explanations and research on the particular signs and symptoms of Vata-Kaphaj Jwar in children. Studies that explore the underlying mechanisms can help in better understanding and treatment. There is a significant lack of high-quality clinical trials evaluating the efficacy and safety of Ayurvedic treatments, such as Panchakola Kashaya, for Vata-Kaphaj Jwar in children. Research on the accessibility and cost-effectiveness of Ayurvedic treatment for Vata-Kaphaj Jwar in different socioeconomic contexts is necessary to ensure equitable healthcare. (20)Longitudinal studies that follow children diagnosed with Vata-Kaphaj Jwar over time are lacking. These studies could provide insights into the effectiveness of treatments. Research on preventive strategies in Ayurveda, such as dietary and lifestyle modifications, and their long-term impact on preventing Vata Kaphaj Jwar is also limited. There is a need for research using robust methodologies that can withstand scientific scrutiny. This includes randomized clinical trials, systematic reviews, addressing these research knowledge gaps requires a concerted effort from the medical and research community. By conducting well-designed studies and fostering interdisciplinary collaboration, we can improve our understanding and management of Vata-Kaphaj Jwar in children, ultimately leading to better health outcomes. So, in this study, I am trying to evaluate the efficacy of Haridardi syrup vs Nagaradi syrup in school-going children its management of Vata- Kaphaj Jwar 4.Research Question Is Haridradi syrup non -inferiorly efficacious than Nagaradi syrup i. . India contributes to 18% of the global population, with severe acute respiratory infection (SARI) as one of the prominent causes of mortality in children >5 years(4)