Common Childhood Health Issues, Common Disease, HEALTH, PANDAS/PANS

Herbal PANDAS Treatment Protocol by Stephen Harrod Buhner

This herbal PANDAS treatment protocol was outlined in Stephen Harrod Buhner’s “Healing Lyme” book (2nd edition).

According to NIMH, as many as 1 in 200 children in the US may suffer from PANDAS/PANS, which is post-infectious autoimmune encephalitis caused by Streptococcus.

A child may be diagnosed with PANDAS/PANS when OCD, tic disorder, and/or other symptoms appear (or become worse) following a strep infection, such as strep throat or scarlet fever.

PANDAS is a pediatric disorder that typically appears from age 3 to puberty.

The strep bacteria survive in the human body by hiding from the immune system as long as possible by putting molecules on its cell wall so it looks identical to molecules found on the child’s heart, joints, skin, and brain tissues. At first, this molecular mimicry allows the strep bacteria to evade detection by the immune system for a long time.

The molecules on the strep bacteria are eventually recognized as foreign to the body and the child’s immune system starts producing antibodies. However, the immune system reacts not only to the strep bacteria molecule but also attacks the human host molecules that were mimicked. 

Some cross-reactive antibodies target the brain molecules causing OCD, tics, and other symptoms of PANDAS.

herbal pandas treatment protocol

What are the symptoms of PANDAS/PANS?

Some of the symptoms of PANDAS/PANS:

  • Anorexia
  • OCD (Obsessive Compulsive Disorder)
  • Restrictive Eating: selective eating and food refusal
  • Irritability and Aggression
  • Sensory Sensitivities: sensitivity to touch, sounds, and noise
  • Depression
  • Separation Anxiety
  • Severe Anxiety
  • Loss of Cognitive Skills
  • Tics: repetitive movements or sounds
  • Emotional Lability: uncontrollable crying or laughing (not being able to control one’s emotional response)
  • Urinary Problems: daytime wetting accidents or frequent urination
  • Frequent mood changes
  • Joint pains
  • ADHD symptoms: hyperactivity, inattention, fidgety

More about the symptoms:

Herbal PANDAS Treatment Protocol by Stephen Harrod Buhner

Herbal Supplement Suggested Dosage Frequency
tincture(Suggested brand from the source: The Montana Farmacy)
1-10 drops 3x/day
up to 30 drops for older children
Baikal skullcap
baicalensis)*Must be exactly this plant species, not other(Suggested brand from the source: Elk Mountain Herbs)
1-10 drops 3x/day
up to 30 drops for older children
Kudzu tincture

(Suggested brand from the source: The Montana Farmacy)

5-20 drops 3x/day
Cilantro tincture
(for those with
sensitivity)(Suggested brand from the source: Herb Pharm)
1-5 drops 3x/day
Omega 3 oils (Fermented cod liver oil) ½ teaspoon
or follow
on the
1 time/day
or follow instructions on the bottle
Vitamin D3 2000 IU Day
Chinese senega
root tincture FOR
10 drops 3x/day
Remove gluten,
dairy, sugar (GAPs
then add
them back
in slowly

How to get the child to drink the tinctures

You can put the drops in a small medicine cup, then add some juice. If it’s still too bitter, then add the drops to a cup of juice. Grape juice can cover up the bitterness.

Other popular natural PANDAS treatment protocol or methods 

1). PANDAS treatment method from Jacklyn, who saw the improvements in two weeks:

  • Diatomaceous Earth (DE) against parasites: 1 Tablespoon a day.
  • Oregano leaf tincture twice a day: 5-10 drops for younger children, 30-40 drops for older (11 y.o.) children. Start very slowly.
  • Additional Intestinal tract defense for killing parasites after 10 days of Oregano. She continued all three treatments together for another week.


Related posts:


Source: Stephen H.Buhner’s “Healing Lyme” book

PANS, PANDAS and Methylation Parents Support


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  1. Is this more for pandas and strep, or pans(other infections and causes)? Thanks!

    1. organicbiomama says:

      It’s for Pandas and strep.

    2. Susan Biddle says:

      I don’t see any reason this wouldn’t be helpful for PANS as well.

  2. How long do we do this protocol for?

    1. organicbiomama says:

      Hi, Sarah! I’ve never tried the protocol myself, I just saved it here for any case. I would check Stephen Buhner’s “Healing Lyme” (2nd edition) book for more information, or you can contact the author directly with questions ( I hope this helps!

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