Neurodevelopmental disorders constitute not only biomedical challenges but also axiological concerns that affect human potential, social participation, and cultural continuity. In the Indian context, childhood cognition is traditionally regarded as the foundation of ethical and intellectual development, a perspective articulated in Ayurveda through the concept of Medhya Rasayana. This study explores the experiential knowledge of Ayurvedic physicians regarding the therapeutic value of Geniekot Syrup, a medhya formulation used in practice.

Geniekot Syrup, developed by Arya Vaidya Sala, Kottakkal, Kerala, is traditionally prescribed to enhance memory, intelligence, concentration, learning ability, and behavioural regulation in children. A descriptive cross-sectional survey was conducted among 220 Ayurvedic physicians across India to assess their perceived effectiveness, indications, age-specific utility, and patterns of administration. The findings reveal that 91% of respondents consider Geniekot Syrup effective, particularly in improving smrti (memory), buddhi (intellect), learning capacity, and behavioural balance during balya avastha (childhood).

Beyond clinical outcomes, the study highlights broader cultural dimensions of cognitive enhancement in Ayurveda, where therapy is oriented toward nurturing mental equilibrium, ethical disposition (sila), and long-term well-being. By situating clinical experience within an axiological framework, this article argues that Geniekot Syrup exemplifies how medical knowledge integrates values of cognition, care, and flourishing in practice.