Role of Ayurvedic drugs in KASA (COUGH)

Role of Ayurvedic drugs in KASA (COUGH)
Dr. Rajtilak Tiwari M.D. ( Kayachikitsa)
{Assistant Professor in Kayachikitsa dept. in Shivshakti lal sharma Ayurvedic College Ratlam (M.P.)}

1. Role of Ayurvedic drugs in KASA (COUGH) Dr. Rajtilak Tiwari M.D. ( Kayachikitsa ) { Assistant Professor in Kayachikitsa dept. in Shivshakti lal sharma Ayurvedic College Ratlam (M.P .)}

2. Brief Introduction of the disease: Kasa has been described as an independent disorder as well as a symptom of many diseases like Tamaka Swasa (Bronchial Asthma), Rajayakshma etc. Kasa (Cough) is the disease or symptom of respiratory tract occurring due to obstruction of Vata Dosha and its reverse movement.

3. When occurring as an independent disease, it has mainly 5 different presentations as described in classical texts. The characteristic sound and pain of cough produced will be different according to causes of Dosha vitiation & nature of obstruction to the forceful movement of the Vata Dosha .

4. Case definition:- Prana Vayu obstructed in the respiratory tract due to various reasons, attains upward direction and comes out with force making specific sound is called as Kasa .

5. Differential Diagnosis: Tamaka Swasa • Rajayakshma • Kshataksheena • Kapha Pittaja Jwara • Vata Kaphaja Jwara • COPD • Bronchitis • Bronchiectasis

6. Clinical Diagnosis: Kasa Pravriti (coughing), Aruchi (anorexia), Jwaranubhuti (feverish), Kaphasthivana (expectoration) and other specific Doshaja symptoms as mentioned above.

7. Examination: • Throat congestion - In almost all types and more specifically in Pittaja and Vataja Kasa . • Muco -purulent (greenish) sputum with foul smell – Kshayaja Kasa . • Raised body temperature, raised pulse or feverish feeling - Pittaja , Kshataja , Kshayaja Kasa . • Emaciated and debilitated general condition along with fever, muco -purulent sputum, - Kshayaja Kasa . • On auscultation of chest, o Congestion, crepitation due to mucus/fluid trapped air – Kaphaja Kasa o Wheezing in Vataja or Pittaja Kasa.

8. Various Presentation of Kasa Common clinical features: KASA (COUGH) Kasa Pravriti - Shushka or Sakapha . (coughing – either dry or productive) Kasa depending upon its presentation is of five types-

9. Types of Kasa with their characteristics Features Vataja Pittaja Kaphaja Kshathaja Kshayaja Character of Sputum Scanty, dry and difficult expectoration Yellow Excess, slimy and thick expectoration Dry expectoration stained with blood. Foul smelling, greenish haemoptysis with pus.

10. Continue.. Pain Pain in Hrut-parshva-urah-shira Burning sensation in chest. Painless coughing Excessive pain in throat, pricking pain in chest ___ Voice Hoarseness of voice Change in voice - Change in voice with rhonchi -

11. Associated features Dryness of chest, throat, mouth Bitterness of mouth, Burning sensation in throat, chest etc sweetness and stickiness in mouth, Sinusitis, Feeling of fullness of chest & heaviness of body - pain in flanks, Sinusitis, feeling hollowness in chest

12. Continue.. Systemic features Anorexia, Giddiness, Weakness, Unconsciousness Fever, Thirst, Anorexia, Pandu Giddiness, Unconsciousness Diminished appetite, Anorexia Fever, Arthralgia , Dyspnoea , Thirst Fever, sudden desire for hot & cold, glossy & clear skin, consumes excessive food; but weak and emaciated, unformed/ hard stool

13. Investigation: No specific investigation is required to be performed in this level.

14. Line of treatment: In Vataja Kasa - Snehapana - Ghrita with diet of Peya , Mudagyusha or milk • Snigdha Swedana - Apply Sneha on chest area ( Abhyanga ), and then hot fomentation with warm hot water bag or hot Erand Patra1 (for 20 minutes). Parisheka – Snigdha Parisheka , preferably Ushna Jala Siddha with Erand Patra2, Tila Taila.3 • Dhoomapana - Snaihika

15. Kaphaja Kasa - Dhoomapaana - with Vairechanika Dhooma using Maricha4, Pippali5, Ela6, Surasamanjari7 in conditions of Shirahshoola , Nasasrava , Urogaurav . (heaviness in chest due to congestion)

16. Common medicines at level 1 for Kasa Vasa Svarasa Swarasa 20 ml two to three times Honey Bibhitaki Kwatha9 Decoction 20 - 40 ml Twice a day Luke warm water Bibhitaki Choorna10 + PippaliChoorna11 Powder 2 gm + 1 gm Twice a day Luke warm water Yastimadhu Churna12 + Sitopaladi Churna13 powder 1 gm + 2 gm Twice daily Honey

17. Vataja Kasa - The treatment should be started with Snehana with ghee, Peya / Yusha / Kshira prepared with Vataghna drugs, Abhyanga , Parisheka , Snigdha Sveda

18. Medicines for Vataja Kasa drugs Dosage form dose Time of administration Anupana Kantakaari Ghrita14 Ghee 10 ML Empty stomach in early morning and evening Luke warm water Pippalyadi Ghrita15 Ghee 10ML Empty stomach in early morning and evening Luke warm water Rasna Ghrita16 Ghee 10ML Empty stomach in early morning and evening Luke warm water

19. Continue.. Talishadi Choorna powder 3 gm Twice a day Ghee and honey Dashmoola Kwatha decotion 10ml Twice a day Sharkara and Ghrita Agastya Haritaki Avaleha 6-12 gm Twice a day Warm water /milk

20. Medicines for Pittaja Kasa Drugs Dosage form dose Time of administration Anupan Vasa Churna powder 3gm Twice a day Madhu or sharkara Trinapanchmula + Pippali21 + Drakshakashaya22 Siddha Kshira powder 3gm Twice a day Madhu or sarkara

21. Continue… Gojihvadi Kwatha23 Decocation 10 ml Twice a day water Drakshadi Leha24 Avaleha 6-12 gm Twice a day Warm water Kantakaryadi Kwatha25 Decoction 12-24 ml Twice a day water

22. Medicines for Kaphaja Kasa Drugs Dosage form Dose Time of administretion Anupan Trikatu + Vasa Powder Lehana 3gm+ 2 gm Twice a day Madhu Sitopaladi + Bharangi Powder lehana 3gm 1gm Twice a day Madhu Pippali roasted with Tila Taila powder Twice a day sarkara

23. continue Devadaaru + Haritaki + Musta + Pippali + Shunthi Churna Powder Lehana 1 gm each Twice a day Madhu

24. Common medicines at level 1 for Kasa Drugs Dosage form dose Time of administration Anupana Vasa Svarasa8 Swarasa 20ml Two to three times honey Bibhitaki Kwatha 9 Decoction 20 - 40 ml Twice a day Luke warm water Bibhitaki Choorna10 + PippaliChoorna11 Powder 2 gm + 1 gm Twice a day Luke warm water Yastimadhu Churna12 + Sitopaladi Churna13 powder 1gm+2gm Twice a day Luke warm water

25. Continue…. Bibhitaki Choorna10 + PippaliChoorna11 Powder 2 gm + 1 gm Twice a day Luke warm water Yastimadhu Churna12 + Sitopaladi Churna13 powder 1gm+2gm Twice a day Luke warm water