Kwashiorkor and Marasmus - Can Ayurveda Help in Nutritional Recovery?

Question

My younger cousin, who is just five years old, has been struggling with severe malnutrition for some time now. A few months ago, she was diagnosed with kwashiorkor and marasmus due to a lack of proper nutrition. She has always been a picky eater, but in the past year, her condition worsened because of poor dietary intake and frequent illnesses. The doctors told us that kwashiorkor and marasmus mainly occur due to a severe deficiency of protein and essential nutrients, leading to symptoms like swelling, muscle loss, and extreme weakness.

When we first noticed changes in her body, we thought she was just losing weight because of not eating properly. But then her legs started swelling, her skin became dry and cracked, and her hair turned dull and brittle. At times, she also seemed mentally slow, taking longer to respond and being unusually irritable. Her belly appeared bloated even though the rest of her body was extremely thin. The doctors confirmed that these are common signs of kwashiorkor and marasmus, and they recommended nutritional therapy, supplements, and a balanced diet.

While we are following the medical advice, I want to explore if Ayurveda offers any natural ways to support her recovery. I have read that Ayurveda focuses on nourishing the body with easily digestible foods and herbal formulations that improve digestion and absorption. Could Ayurvedic herbs help in cases of kwashiorkor and marasmus, especially in improving nutrient absorption?

Additionally, are there specific Ayurvedic tonics or Rasayana therapies that can promote weight gain and muscle restoration in children suffering from kwashiorkor and marasmus? Since she has a weak digestive system, we need something that won’t be too heavy for her stomach.

We are also concerned about long-term effects—can Ayurveda help prevent future nutritional deficiencies and strengthen her immune system? Are there lifestyle and dietary recommendations that can ensure she doesn’t relapse into kwashiorkor and marasmus again?

Looking forward to Ayurvedic insights on how to manage and recover from kwashiorkor and marasmus naturally.

Dr Sujal Patil · Accepted Answer

In Ayurveda, kwashiorkor and marasmus are linked to severe Agni (digestive fire) weakness, leading to poor absorption of nutrients and depletion of Ojas (vital energy). These conditions are associated with an imbalance in Vata and Pitta doshas, causing extreme weight loss, muscle wasting, and weakened immunity. Ayurvedic management focuses on nourishing, easily digestible foods and Rasayana (rejuvenating) therapies to restore strength and immunity.

To improve nutrient absorption, light yet nourishing foods should be given. Start with moong dal khichdi (lentil-rice porridge), fresh homemade butter, ghee, and warm milk to provide essential proteins and fats. Almond paste, dates, and soaked raisins help in natural weight gain. Ayurvedic herbal formulations like Shatavari, Ashwagandha, and Bala mixed with honey or milk can support growth and digestion. Drakshasava and Chyawanprash are excellent for building immunity and strength in children suffering from kwashiorkor and marasmus.

Since digestion is weak, heavy foods should be avoided. Instead, give herbal teas with ginger, fennel, or ajwain to enhance Agni and improve nutrient absorption. Abhyanga (gentle oil massage) with warm sesame or Bala oil can help strengthen muscles, nourish tissues, and improve circulation. Practicing simple yoga stretches or playful activities can also aid in recovery by improving metabolism and energy levels.

For long-term prevention, it’s essential to provide a balanced diet rich in protein, healthy fats, and micronutrients. Foods like ragi (finger millet), makhana (fox nuts), and cow’s ghee should be included regularly. Keeping stress levels low, maintaining a proper sleep routine, and ensuring gut health with buttermilk or Triphala-infused water can prevent future relapses. If managed well with Ayurvedic nutrition and Rasayana therapy, children can recover from kwashiorkor and marasmus effectively and regain their strength.

Dr. Harsha Joy · Answer

In Ayurveda, the focus would be on strengthening digestion (Agni) and nourishing the body with easily digestible, nutrient-rich foods and herbs. For a child suffering from kwashiorkor and marasmus, Ayurvedic remedies like Ashwagandha, Shatavari, and Guduchi can help promote nutrient absorption, strengthen immunity, and support overall growth. Tonics like Chyawanprash, which is rich in antioxidants, vitamins, and minerals, can help boost vitality and promote weight gain. To support muscle restoration and prevent future nutritional deficiencies, a diet of warm, cooked, and easy-to-digest foods like khichdi, rice porridge, and soups with ghee can help nurture the body. Ayurvedic Rasayana therapies can also be used to rejuvenate and balance the body's tissues, enhancing both physical and mental strength. Regular intake of fresh fruits, vegetables, and mild herbal teas like ginger or fennel can improve digestion and prevent bloating. Along with herbal treatments, maintaining a regular feeding schedule, ensuring good hydration, and focusing on gentle, restorative lifestyle habits are key to her long-term recovery and health.

Kwashiorkor and Marasmus - Can Ayurveda Help in Nutritional Recovery? - #16506

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