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ISSN: 2583-3677
Abstract

Pranpratyagamana (Neonatal Resuscitation), an Emergency Management of Neonates according to Ayurveda

Abstract

Introduction: Neonatal emergencies remain a major cause of early mortality, particularly in low-resource settings. Ayurveda describes immediate life-restoring measures under the concept of Pranpratyagaman, literally meaning “restoration of life force”. Classical text of Kaumarbritya mention specific procedure to revive a non-crying or unconscious neonate soon after birth. [1] This study aims to explore and present the Ayurveda principles and practices of Pranpratyagaman as an emergency management approach. Methods: A classical literary review was conducted using primary Ayurveda sources including Charak Samhita, Sushrut Samhita, Ashtang Hridaya and Kashyap Samhita. Relevant verses describing immediate neonatal revival measures were collected, translated, and analyzed. [1-3] The procedure were interpreted in the context of modern neonatal resuscitation principles. [4-5,16] Results: Ayurveda texts recommend sequential steps for neonatal revival, including clearing airway obstruction, gentle stimulation, warming, sprinkling of warm or medicated liquid, tactile stimulation, and administration of mild herbal preparations to stimulate respiration and consciousness. Procedures such as Utsadana (gentle rubbing), Pramarjana (wiping), and nasal or oral stimulation are described as methods to activate Prana Vayu. [1-3] These steps correspond conceptually to airway management, thermal care, and tactile stimulation in contemporary neonatal resuscitation . [4-5,16] Discussion: Pranpratyagaman, reflects an organized, stepwise approach aimed at restoring vital functions immediately after birth. The emphasis on airway clearance, warmth, and stimulation demonstrates remarkable similarity to modern neonatal resuscitation protocols.

KEYWORDS:  Pranpratyagaman, neonatal resuscitation, Ayurveda, Kaumarabhritya, birth asphyxia.