IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 19, Issue 7 Ser.18 (July. 2020), PP 15-37 www.iosrjournals.org DOI: 10.9790/0853-1907181537 www.iosrjournal.org 15 | Page Vallarai Nei for the Management of Iron Deficiency Anemia (Veluppu Noi) In Children – A Review K.Ajitha Bala* 1 A.M.Amala Hazel 2 M.Meenakshi Sundaram 3 R.Meenakumari 4 1 PG Scholar,Department of Kuzhandhai Maruthuvam, National Institute of Siddha, Chennai-47. 2 Guide&Asso. Professor, Department of Kuzhandhai Maruthuvam, National Institute of Siddha, Chennai-47. 3 HOD&Professor, Department of Kuzhandhai Maruthuvam, National Institute of Siddha, Chennai-47. 4 The Director, National Institute of Siddha, Chennai-47. Abstract: Anemia is a common and predominant blood disorder globally, in which the level of hemoglobin or healthy red blood cells are abnormally lower. The most common type anemia is Iron deficiency anemia (IDA). In Siddha system Veluppu Noi is almost correlated with clinical conditions of anemia as described in modern medicine. Veluppu is described as a diseased condition in which the nature color of the body including nail beds and conjunctiva becomes pallor. Siddha system has better medicines for the treatment and management of Veluppu Noi. One among them is Vallarai Nei the ingredients of this preparation contains as its chemical constituents iron, folic acid, vitamin C, vitamin B 12 , copper, zinc, carbohydrate, protein, tannin, flavonoids. The ingredients of this medicine exhibits anti-oxidant, anti-microbial, immunomodulatory and hepatoproductive. The medicine improved both the haemoglobin level in RBC’s and also strength in the immune system. Key words: Iron deficiency anemia, Veluppu Noi, Vallarai Nei --------------------------------------------------------------------------------------------------------------------------------------- Date of Submission: 17-07-2020 Date of Acceptance: 01-08-2020 --------------------------------------------------------------------------------------------------------------------------------------- I. Introduction: Anemia is a major public health problem in the world. It is characterized by the reduction in red blood cell count, hemoglobin content and packed cell volume. Generally these conditions occur because of decreased production of RBC and excess loss of blood from the body [1] . All these incidents are caused either by inherited disorders or environmental influences such as nutritional deficiency, infection and exposure to drugs or toxins. Iron is essential for the various activities of the human body especially in the hemoglobin synthesis. A low level of iron, leading to anemia, can result from various causes. The causes of iron deficiency anemia are poor absorption of iron, bleeding from the gut (intestine), dietary factors (iron poor or restricted diet), medication (aspirin ibuprofen, naproxen and diclofenac), and lack of certain vitamins (folic acid and vitamin B12), bleeding from the kidney, hook worm infestation, decreased red blood cells [2] . Iron deficiency anemia is characterized by a defect of hemoglobin synthesis, resulting in microcytic hypochromic red blood cells. Hemoglobin measurement is being widely used as a proxy for detection of iron deficiency. As per the report of WHO the prevalence of Anemia in Tamilnadu during 2008 was 54.7%and the world wide prevalence was 25.4%in school aged children. In Siddha system Veluppu Noi is correlated with clinical conditions of anemia as described in modern medicine. As per Siddha concept Veluppu Noi occurs due to excess intake of salt and sour taste, fever, vomiting, diarrhea, worms, liver diseases and intake of inconsumable items such as soil, ash& camphor. It presents with symptoms of generalized weakness, sigh, loss of appetite, nausea, giddiness, fatigue, palpitation and weight loss. The term Veluppu denotes the pallor of the body. Veluppu is described as a disease condition in which the nature color of the body including nail beds and conjunctiva becomes pallor [3] . Siddha system has better medicines for the treatment and management of Veluppu Noi. One among them is Vallarai Nei. INGREDIENTS OF VALLARAI NEI: [4]  Vallarai ( (Centellaasiatica))  Seenthil(Tinosporacordifolia)  Kadukkai(Terminaliachebula)  Thanrikkai(Terminalia bellirica)  Nellikkai(Phyllanthusemblica)  Chukku(Zingiberofficinale)  Milagu(Piper nigrum)  Thippili(Piper longum)