Kasa Chikitsa: Difference between revisions
| (5 intermediate revisions by the same user not shown) | |||
| Line 1: | Line 1: | ||
{{CiteButton}} | |||
{{#seo: | {{#seo: | ||
|title=Kasa Chikitsa | |title=Kasa Chikitsa | ||
| Line 8: | Line 9: | ||
|type=article | |type=article | ||
}} | }} | ||
<big>'''[[Chikitsa Sthana]] Chapter 18. Management of Kasa (Cough of various origins) </big>''' | <big>'''[[Chikitsa Sthana]] Chapter 18. Management of Kasa (Cough of various origins) </big>''' | ||
{{Infobox | {{Infobox | ||
| Line 22: | Line 22: | ||
|data5 = [[Sutra Sthana]], [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]] | |data5 = [[Sutra Sthana]], [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]] | ||
|label6 = Translator and commentator | |label6 = Translator and commentator | ||
|data6 = Nesari T.,Mallya S.,Deole Y. S. | |data6 = Nesari T., Mallya S., [[Yogesh Deole|Deole Y. S.]] | ||
|label7 = Reviewer | |label7 = Reviewer | ||
|data7 = Prasad B.S., Mali P. | |data7 = Prasad B.S., Mali P. | ||
|label8 = Editors | |label8 = Editors | ||
|data8 = Singh G., Goyal M., Deole Y.S., Basisht G. | |data8 = Singh G., Goyal M., [[Yogesh Deole|Deole Y.S.]], [[Gopal Basisht|Basisht G.]] | ||
|label9 = Year of publication | |label9 = Year of publication | ||
|data9 = 2020 | |data9 = 2020 | ||
| Line 35: | Line 35: | ||
}} | }} | ||
<big>'''Abstract </big>''' | <big>'''Abstract </big>''' | ||
< | <p style="text-align:justify;">''Hikka, shwasa'' and ''kasa'' (hiccups, dyspnea and cough) are the three main diseases of ''pranavaha srotas'' (respiratory system). There are similarities in clinical presentation and management of these three. Therefore, these are described in sequence. ''Kasa'' is categorized in to five types based on its dominance of dosha and etiology. The vata dominant, pitta dominant and kapha dominant kasa are curable with proper medication. The other two types originating due to kshata (injury) and depletion of body constituents (kshaya) are palliable (yapya). Avoiding etiological factors (Nidana parivarjana), purification therapy ([[shodhana]]), pacification therapy ([[shamana]]), disease specific treatment (vyadhiahara [[rasayana]]) are principles of management for all types of ''kasa''. Administration of [[shodhana]] therapy is important. The reduction in persistent nature of illness with episodic exacerbation and the severity is possible if all modalities are followed in sequence. | ||
''Hikka, shwasa'' and ''kasa'' (hiccups, dyspnea and cough) are the three main diseases of ''pranavaha srotas'' (respiratory system). There are similarities in clinical presentation and management of these three. Therefore, these are described in sequence. ''Kasa'' is categorized in to five types based on its dominance of dosha and etiology. The vata dominant, pitta dominant and kapha dominant kasa are curable with proper medication. The other two types originating due to kshata (injury) and depletion of body constituents (kshaya) are palliable (yapya). Avoiding etiological factors (Nidana parivarjana), purification therapy ([[shodhana]]), pacification therapy ([[shamana]]), disease specific treatment (vyadhiahara [[rasayana]]) are principles of management for all types of ''kasa''. Administration of [[shodhana]] therapy is important. The reduction in persistent nature of illness with episodic exacerbation and the severity is possible if all modalities are followed in sequence. | <br/><br/> | ||
'''Keywords''': ''kasa'', cough, treatment of cough, respiratory diseases, kshataja, kshayaja, snehapana, [[vamana]], [[virechana]], vairechanika [[nasya]] (nasal catarrhal), [[dhumapana]] (medicated cigarettes). | '''Keywords''': ''kasa'', cough, treatment of cough, respiratory diseases, kshataja, kshayaja, snehapana, [[vamana]], [[virechana]], vairechanika [[nasya]] (nasal catarrhal), [[dhumapana]] (medicated cigarettes). | ||
</ | </p> | ||
== Introduction == | == Introduction == | ||
| Line 503: | Line 501: | ||
</div></div> | </div></div> | ||
As | As dryness (rukshata) will be more prominent in [[vata]]ja type of ''kasa'', it should be treated with unctuous therapies (snehika upacharas). Ghrita pana,[[basti]], peya, yusha, ksheera, mamsa rasa etc. should be prepared with [[vata]]ghna dravya and is to be administered properly. | ||
[[Abhyanga]], [[parisheka]] (sprinkling or pouring), snigdha sweda etc. should be followed appropriately. | |||
If it is associated with constipation and flatulence should be treated with [[basti]]. If the person has dryness in the upper part of the body, and is associated with aggravated [[pitta]], then he should be given medicated [[ghrita]] after intake of food. | |||
If the person has dryness of the upper part of the body associated with [[kapha]] aggravation, then he should be treated with snigdha [[virechana]].[32-34] | |||
==== Kantakari ghrita ==== | ==== Kantakari ghrita ==== | ||
| Line 853: | Line 853: | ||
Two palas of each among ''dashamoola, swayamgupta, shankahpushpi, shati, bala, hasti pippali, apamarga, pippalimoola, chitraka, bharangi, pushkaramoola'' should be added with one ''adhaka'' of water, these drugs should be cooked till the grains of ''yava'' becomes soft. And then decoction should be strained out. These hundred fruits of ''abhaya'' should be added with above mentioned decoction, one ''tula'' of ''guda'', one ''kudava'' of ''ghrita, taila'' and powder of ''pippali''. This is to be cooked and after attaining coldness one ''kudava'' of ''makshika'' is to be added. | Two palas of each among ''dashamoola, swayamgupta, shankahpushpi, shati, bala, hasti pippali, apamarga, pippalimoola, chitraka, bharangi, pushkaramoola'' should be added with one ''adhaka'' of water, these drugs should be cooked till the grains of ''yava'' becomes soft. And then decoction should be strained out. These hundred fruits of ''abhaya'' should be added with above mentioned decoction, one ''tula'' of ''guda'', one ''kudava'' of ''ghrita, taila'' and powder of ''pippali''. This is to be cooked and after attaining coldness one ''kudava'' of ''makshika'' is to be added. | ||
Intake of two fruits of ''haritaki'' along with ''leha'' daily is considered as | Intake of two fruits of ''haritaki'' along with ''leha'' daily is considered as [[rasayana]]. It removes ''vali, palita''; increases [[varna]], [[ayu]] and [[bala]]. Beneficial in ''panchakasa, kshaya, shwaasa, hikka, vishamajwara, arshas, grahani, hridroga, aruchi, pinasa''. This excellent formulation is propounded by Agastya and is auspicious. | ||
Thus, ends the description of ''Agastya-haritaki''.[57-62] | Thus, ends the description of ''Agastya-haritaki''.[57-62] | ||
| Line 1,733: | Line 1,733: | ||
</div></div> | </div></div> | ||
'' | ''Kshataja kasa'' is a serious ailment. Keeping this in view the treatment of the patient should be initiated instantaneously with ''madhura'' and ''jivaniya dravyas'', which are promoters of ''bala'' and ''mamsa''. | ||
The paste of one ''karsha'' of each of ''pippali, madhuka,'' one ''karsha'' of ''sitopala'', one ''prastha'' of each of cows milk, goats milk and ''ikshurasa'', one ''prastha'' of the powder of ''yava, godhuma, draksha'' and one ''prastha'' of each of the juice of ''amalaka'' and ''tilataila'' should be cooked over mridu [[agni]]. Intake of this ''leha'' along with ''ghrita'' and ''madhu'' cures ''kshataja kasa, shwasa, hridroga'' and ''kshata''. It is also useful for old persons and those who have less semen.[134-137] | The paste of one ''karsha'' of each of ''pippali, madhuka,'' one ''karsha'' of ''sitopala'', one ''prastha'' of each of cows milk, goats milk and ''ikshurasa'', one ''prastha'' of the powder of ''yava, godhuma, draksha'' and one ''prastha'' of each of the juice of ''amalaka'' and ''tilataila'' should be cooked over mridu [[agni]]. Intake of this ''leha'' along with ''ghrita'' and ''madhu'' cures ''kshataja kasa, shwasa, hridroga'' and ''kshata''. It is also useful for old persons and those who have less semen.[134-137] | ||
| Line 1,844: | Line 1,844: | ||
</div></div> | </div></div> | ||
The medicaments prescribed for the [[pitta]]ja kasa are also useful for '' | The medicaments prescribed for the [[pitta]]ja kasa are also useful for ''kshataja kasa''. Generally milk, ghee and honey should be given to such patients. If two [[dosha]] are involved in the pathogenesis of this ailment then special therapies are required. | ||
If this ailment is associated with [[vata]] and [[pitta]] and the person has pain all over the body then ''abhyanga'' should be given with ghee. If there is excessive [[vata]] aggravation, causing pain, then ''abhyanga'' should be given with ''taila'' prepared out of [[vata]]hara dravya. | If this ailment is associated with [[vata]] and [[pitta]] and the person has pain all over the body then ''abhyanga'' should be given with ghee. If there is excessive [[vata]] aggravation, causing pain, then ''abhyanga'' should be given with ''taila'' prepared out of [[vata]]hara dravya. | ||
The person suffering from ''kasa'' along with pain in ''hridaya'' and ''parshwa'' associated with burning sensation, hemoptysis and aggravation of [[ | The person suffering from ''kasa'' along with pain in ''hridaya'' and ''parshwa'' associated with burning sensation, hemoptysis, and aggravation of [[agni]] should take jivaniya siddha ghrita. | ||
If the person weak and habituated to take mamsa then the ''mamsarasa'' prepared out of lava is beneficial for him. | If the person weak and habituated to take mamsa then the ''mamsarasa'' prepared out of lava is beneficial for him. | ||
| Line 1,858: | Line 1,858: | ||
If the patient of ''kshata'' is fatigued and weak, and if he has low power of digestion, then he should be given ''yavagu'' to eat. | If the patient of ''kshata'' is fatigued and weak, and if he has low power of digestion, then he should be given ''yavagu'' to eat. | ||
If there is ''stambha'' and ''ayama'' then the patient should be given ghee in large | If there is ''stambha'' and ''ayama'' then the patient should be given ghee in large quantities. | ||
Thus all therapies which alleviate the [[vata]], simultaneously which do not aggravate [[pitta]] and [[rakta]] should be followed in such persons. | Thus all therapies which alleviate the [[vata]], simultaneously which do not aggravate [[pitta]] and [[rakta]] should be followed in such persons. | ||