Hiccups (also spelled hiccoughs) can be compared to Hikka Roga mentioned in Ayurveda. It is a commonly neglected condition, but may be associated with major underlying disorders and can hinder daily activities.

Hiccup is defined as an involuntary spasm of the diaphragm and respiratory organs, with a sudden closure of the glottis.

1

LAKSHANA

HIKKA IS FIVE TYPES-

1. Maha hikka (Charaka Samhita Chikitsa Sthana 17/22-26)

Vata in association with Kapha suddenly afflicts the throat of the patient who has depleted muscle tissue, strength, vital force (prana) and lustre. It causes hiccup with exceedingly loud as well as resonant sound. This variety of hiccup is characterized by 1, 2 or 3 bouts at time, continuously.

Prana-vayu obstructs the channels of circulation, vital parts (marma) as well as the heart of the patient. It makes the patient unconscious, and brings about stiffness of the body.

It obstructs the channels of food and drinks. He loses memory; his eyes become full of tears, his eye- brows become displaced because of stiffness of the temple; he gets delirium accompanied by choked voice; and he does not get any relief whatsoever. This disease is known as Maha- Hikka. It is exceedingly deep- rooted (Maha- mula); its attack is enormous (maha- vega); is causes the patient to produce exceedingly loud sound (Maha- shabda) and its attacks are very strong (maha- bala). It may cause death of the patient instantaneously.

2. Gambheera Hikka (Charaka Samhita Chikitsa Sthana 17/27-30)

The patient is usually aged, emaciated and dispirited.

He frequently suffers from hiccups, and produces deep, painful and resonant sounds with his afflicted chest.

He yawns, contracts and expands his body.

He raises both the sides of his chest making murmuring sounds, afflicted with stiffness and pain.

Hiccup develops from the umbilical and gastric regions, with pain all over the body.

His body bends and shivers.

His expiration is obstructed.

There is impairment of strength and consciousness.

This type of Gambhira- Hikka may cause death.

3. Vyapeta Hikka (Charaka Samhita Chikitsa Sthana 17/31-33)

Vyapeta type of hiccup is produced during the course of intake of the four

types of foods. It gets exceedingly aggravated after the digestion of food. Its signs and symptoms are –

Pralapa – Delirium, Vamya – Vomiting, Atisara – Diarrhoea, Trushna – Morbid thirst, Jrumbha – Yawning, Vipluta aksha – Tearful eyes, Suskha aksha – dryness of the mouth, Vimanina – contraction of the body and Paryadhmata – Flatulence all around the body

Origin: From the base of the clavicle and the attack does not continue for a long time.

This type of Hikka is called Vyapeta, and it is injurious to life.

4. Kshudra Hikka (Charaka Samhita Chikitsa Sthana 17/34-37)

When Vayu, which is slightly aggravated in the gastro intestinal region, is pushed up by physical exercise and arrives at the throat region, it causes Kshudra- Hikka (minor type of Hiccup).

It is not very painful.

It does not exceedingly afflict the chest, head or vital organs (Marma).

It also does not obstruct the channels of breath, food and drinks.

It aggravates during the course of exertion, and it becomes milder immediately after meals.

It subsides immediately after its onset by implication, it does not continue for a long period. It is located in the cardiac region, Kloman (Lungs / pancreas), throat and palate in a mild form.

This is called Kshudra Hikka – hiccough, and it is curable.

5. Annaja Hikka (Charaka Samhita Chikitsa Sthana 17/38-41)

Vata gets aggravated and moves upward in the gastro intestinal tract because of the following:

Sudden intake of drinks and food in large quantity

Intake of excessively intoxicating alcohol

Excessive anger, speech, long walk, laughter for a long time and

carrying heavy weight.

Being compressed by the drinks and food, this aggravated Vayu located in the gastro intestinal tract quickly moves up to the channels in the chest and being located there, causes hiccup of Annaja type.

The patient gets slow hiccups which is interrupted even when the patient sneezes.

It does not cause and affliction of the vital spots (Marma) and sense organs. This type of hiccup gets alleviated by the intake of drinks and food.

This is called Annaja Hikka.

*Yamaka Hikka (Charaka Samhita Chikitsa Sthana 17/42-44)

If the vitiated Doshas are accumulated in excess,

If there is weakness because of want of food,

If the body is emaciated on account of diseases,

If the patient is old, and

If a person over- indulges in sex,

He is liable to be afflicted by hiccup which can cause death instantaneously. This is called Yamaka Hikka.

It is associated with

Pralapa – delirium,

Arti – pain,

Trushna – morbid thirst and

Moha – unconsciousness 

2

NIDANA

According to Madhava Nidana, Hikka occurs due to the following factors –

Vidahi bhojana – foods which cause burning sensation

Guru bhojana – foods that are heavy for digestion

Vishtambhi bhojana – foods that cause obstruction in body channels

Rooksha bhojana – foods that are dry in nature

Abhishyandi bhojana – foods that cause excessive secretions

Sheeta paana – cold drinks

Sheeta ashana – cold foods

Sheeta sthana – residing in cold places

Raja – dust

Dhooma – smoke

Atapa – heat of sun

Anila – wind

Vyayama – physical exercise

Karmabhaara – those tired due to carrying heavy weights

Adhva – walking long distances beyond one’s capacity

Vegaaghata – suppression of urges

Apatarpana – reducing treatments

According to Charaka Samhita, Chikitsasthana, Hikka occurs due to the following factors –

Rajasa dhooma vatabhyam – Exposure to dust, smoke and wind

Sheeta shtaanambu sevanat – use of cold water

Vyayamad gramyadharma adhva – Exercise, sexual intercourse and long walk beyond one’s capacity

Rooksha anna – Habitual intake of dry foods

Vishama ashana – Intake of food, deficient or excessive in quantity, and before or long after the meal time

Ama pradosha – Vitiation by Ama (product of improper digestion and metabolism)

Anaha – Constipation associated with flatulence

Rooksahata – Dryness

Ati apatarpanat – Fasting in excess

Dourbalya – Weakness

Marmanoghata – injury to vital organs (Marma)

Use of mutually contradictory ingredients

Shuddhi Atiyoga – Excessive administration of elimination therapies;

Hikka occurs as a secondary affliction to

Atisara – diarrhoea,

Jwara – fever,

Chardi – vomiting,

Pratishyaya – coryza,

Kshata – injury

Kshaya – phthisis, depletion of body tissues,

Raktapitta – bleeding from different parts of the body,

Udavarta – upward movement of the abdominal gases,

Visuchika – cholera,

Alasaka – intestinal torpor,

Pandu – anemia and

Visha – poisoning.

Habitual intake of

Nishpava – consumption of flat beans in excess

Masha – excessive consumption of black grams

Pinyaka – residue left out after extracting oil from sesame seeds

Tila taila – excessive intake of sesame oil.

Pishta – taking flours in excess

Shaalooka – Nymphaea alba

Vishtambhi – excess intake of foods tending to cause constipation

Vidaahi – foods which are corrosive in nature

Guru bhojana – foods which are heavy to digest

Jalaja ahara – meat of aquatic animals

Aanupa ahara – flesh of animals living in marshy regions

Dadhi – excess intake of curds

Ama ksheera – consumption of unprocessed milk

Abhishyandi ahara – foods which are sticky in nature which tend to obstruct the channels

Kantha-ura pratighata – Obstruction or block in throat or chest

Kasa vriddhi – aggravation of cough, chronic cough 

3

PURVARUPA

Kanta uru gurutvam – heaviness of the chest and throat

Vadanasya kashaya – appearance of astringent taste in the mouth and Kukshi atopa – gurgling sounds in the abdomen / flatulence

Mukham kashayam – astringent taste in mouth

Arati gauravam kantavakshaso – restlessness, heaviness of throat and chest region

Atopo jatarasya – gurgling sounds in the abdomen / flatulence 

4

SAMPRAPTI

Vata along with Kapha, having obstructed the

1. Pranavaha Srotas – channels carrying vital breath

2. Udakavaha Srotas – channels carrying watery elements and

3. Annavaha Srotas – Anna-Vaha- Srotas causes hiccup. The signs and symptoms of various types of hiccup will be described hereafter.

Nidana sevana -> vata prakopa -> vayu duara ura kapha udarva gamana -> prana, anna, udaka shrotas avarodha by kapha yukta vayu -> hik hik sabda -> hikka

5

SAMPRAPTI GHATAKA

DOSHA- kapha & vayu(prana+udana)

DUSHYA- rasa & prana vayu

ADHISTHANA- amashya &svaryantra

SHROTAS- prana, anna, udaka

SVABHAVA- mridu

AGNIDUSTI- agnimandya

SADHYAASADHYATA- sadhya

6

HIKKA PROGNOSIS

According to Charaka Samhita Chikitsa Sthana 17/42-44,

Hikka is curable if

The patient is not emaciated (no depletion of muscle tissues),

If he has not lost his will power (mental stamina) and

If Dhatus (tissue elements) and Indriyas (senses) are not impaired, Otherwise, it is fatal.

According to Sushruta Samhita Uttara Sthana 50/15,

Gambhira Hikka and Mahati Hikka are incurable (Asadhya).

According to Ashtanga Hridaya Nidana Sthana 4/20-30,

Kshudra and Annaja Hikka are curable (sadhya)

Mahati and Gambhira Hikka are incurable (asadhya)

Yamala Hikka with all its signs and symptoms is incurable (asadhya) 

7

PRICIPAL OF CHIKITSA 

The sages, on the basis of their experience, have prescribed the same line of treatment for both Hikka and Shwasa. This is because of the similarity in causative factors, location of pathology, Doshas involved and similar pathogenesis.

According to Charaka Samhita Chikitsa Sthana 17/70-76),

Snighdairadau swede upacharet – Initially, the physician should treat a patient of hiccup or dyspnoea with unctuous fomentation (snigdha sweda) therapies like –

Nadi sweda

Prastara sweda

Sankara sweda

after applying oil mixed with salt over the body of the patient.

Snigdha sweda dissolves knotted and accumulated (grathita) Kapha.

The sticky Kapha detaches from the respiratory channels (Pranavaha Srotas). Once softness of channels are achieved, Vata moves in its proper direction (Vatanulomana) due to absence of obstruction.

This has been explained with the help of a simile –

As the snow melts over the creepers on account of the hot rays of the sun, the stable Kapha in the body also gets dissolved on account on the heat generated by these fomentation therapies.

After ascertaining that the patient is properly fomented, he should be given

Snigdham odanam – rice mixed with ghee or

Matsya rasa – fish soup

Shookara rasa – pork soup

followed by the cream of curd (Dadhi sara) to eat.

This causes aggravation of Kapha Dosha.

The patient, is then be given emetic therapy, by administering a mixture of long pepper, rock salt and honey.

Care is taken that no Vata – aggravating ingredients are added to the recipe. The patient gets relief after vitiated Kapha is eliminated. When the channels of circulation are made clear (free from impediments) then Vayu moves in the channels at ease without any obstruction.

Dhoomapana in Hiccup

Reference – Charaka Samhita Chikitsa Sthana 17/77-80

The residual doshas which remain after administration of emesis (leena dosha) can be expelled out of the body by Dhoomapana (inhalation of medicated smoke).

For this purpose, a Varti (cigarette or elongated pill) should be prepared with the paste of

Haridra – turmeric,

Patra – Cinnamomum tamala,

Eranda moola – castor root,

Laksha – Laccifer lacca ,

Manashila – Arsenii disulphidum

Devadaru – Cedrus deodara,

Ala – Haritala – Arsenii trisulphidum and

Jatamamsi – Nardostachys jatamansi

This cigarette (elongated pill) is smeared with ghee, and used for smoking. Alternatively, barley mixed with ghee can also be used for the smoking therapy.

Bees wax and Sarja Rasa (Gum resin from Vateria indica) mixed with ghee is covered all around with arsenic (Malla) and kept inside two earthen plates. The fumes which come out of it when heated over fire is used for inhalation.

Inside the above mentioned Sarava- Samputa (two earthen plates), horn, hair and sinew of cattle can be mixed with ghee and placed, surrounded by Malla. The fume which comes out by the application of the heat of fire can be used for smoking.

Padmaka, Guggulu, Aguru (Loha) and Shallaki may similarly be added with ghee, surrounded by Tala and kept inside the Sarava- Samputa. The fume which comes out of it by the application of heat below may be used for smoking therapy.

The dried tender stems of

Shyonaka – Oroxylum indicum,

Castor – Ricinus communis and

Kusha grass – Desmostachya pinnata

are used as a pipe to enable the patient to smoke the fume of the above mentioned recipes placed inside Sharava Samputa.

NASYA IN HIKKA

Sushruta Samhita Uttara Sthana 50/16-18

Avapidaka nasya (nasal drops) made from Yashti mixed with honey or with long pepper mixed with powdered sugar, warm ghee, milk or sugarcane juice induces vomiting in a person who is not very emaciated (na ati ksheene) cures hiccup.

Human breast milk with red sandalwood

Red sandalwood with lukewarm ghee

Saline water nasal drops

8

MANAGEMENT OF COMPLICATIONS IN HICCUP

Reference – Charaka Samhita Chikitsa Sthana 17/81

If hiccup and asthma are associated with

Swara-Kshaya – thin voice or inability to speak,

Atisara – diarrhoea,

Rakta Pitta – bleeding disorders,

Daha – burning sensation,

then the patient is treated with ingredients which are sweet, unctuous, cooling etc.

Alternate Fomentation Therapy for Unsuitable Patients

For patients in whom fomentation therapy is contra-indicated, mild fomentation therapy for a very short period of time is recommended.

Mild fomentation is to be done over the chest and neck by sprinkling lukewarm oil (Sneha) mixed with sugar and thereafter, by applying Upanaha with Utkarika (recipe for fomentation which is warm and which is in paste form).

Utkarika (poultice) prepared with the powders of Vayu- alleviating ingredients like

sesame seeds, linseed, black gram and wheat, mixed with oil, and cooked with sour drugs or milk is useful for this type of fomentation. 

Reference – Charaka Samhita Chikitsa Sthana 17/85-87

If a patient of Hikka suffers from Navajwara (fever of recent origin) or Ama dosha (ailments caused by Ama), then Rooksha sweda (dry fomentation) and Langhana (fasting therapy) is administered.

Such a patient may also be given Vamana (therapeutic emesis) by administering saline water. If Vata is increased due to excess Vamana treatment, then juice (decoction) of Vayu- alleviating herbs or massage with such ingredients which are neither very cold nor very hot is administered.

If the patient suffers from

Udavarta – bloating (upward movement of Vayu) or Adhmana (flatulence), then he is given food mixed with

Matulunga – Citrus medica,

Amla-Vetasa – Garcinia pedunculata,

Hingu – Ferula foetida and

Bida salt.

This type of food helps in the downward movement (Anulomana) of Vayu.

Reference – Charaka Samhita Chikitsa Sthana 17/88-89

Patients suffering from hiccup and asthma are of 4 categories as follows: Balavan – Strong

Durbala – weak

Kapha adhikyata – Kapha is predominant

Vata adhikyata – Vata Dosha is predominant, and who are dry.

If Kapha is predominant and the patient has strength, then he is given wholesome food, Vamana (emesis) and Virechana (purgation) treatments, along with Dhumapana (medicated smoke inhalation) and Avaleha (linctus).

If Vata is aggravated, if the patient is weak, if the patient is either an infant or old, then he or she is administered Vayu- alleviating medicines and nourishing recipes prepared of ghee (fat), vegetable soup and meat soup. 

Lifestyle advice, prevention tips

• Avoid excess spicy foods.

• Avoid extremely cold foods, excess ice creams

• Avoid aerated soda drinks, carbonated beverages.

• Avoid exposure to dust and smoke. Wear a mask during travel

• Avoid or lessen alcohol consumption

• if you are residing in a cold place, use warm cloths.

• Try to control emotional stress with Pranayama and meditation.

• Avoid fasting for more than a day.

• Do not overeat.

• Exercise at least for 20 minutes a day and keep the body fit.   

1. Snehan

2. Swedana

3. Vaman-

4. nasya-(swasa & hikka)

a. onion swarasa / lehsuna svarasa->4 drops

b. mulethi + pippali + sarkara -> curna -> avapidan nasya

c. saindhav 2.5gm + sukoshna jala 10ml -> 6 drops avapidan nasya

d. raktchandan + woman milk -> 4 drops

e. sonth curna 2.5gm + guda 5gm -> 6 drops 

SOUPS AND DRINKS FOR HIKKA 

Reference – Charaka Samhita Chikitsa Sthana 17/94-100 

Nidigdhika – Solanum xanthocarpum, 

Bilva madhyam – the pulp of Aegle marmelos, 

Karkata – Pistacia integerrima 

Duralabha – Fagonia cretica / Alhagi pseudalhagi, 

Trikantaka – Tribulus terrestris, 

Guduchi – Tinospora cordifolia, 

Horse gram – Dolichos biflorus and 

Chitraka – Plumbago zeylanica 

is boiled by adding water, and the liquid is filtered. This liquid (decoction) is sizzled with Pippali – Piper longum and ghee. 

Intake of this soup, by adding the powder of ginger and salt during meals is useful (for curing asthma and hiccup). 

Rasna – Alpinia galanga, 

Bala – Sida cordifolia, 

Salaparni – Desmodium gangeticum, 

Prisniparni – Uraria picta, 

Kantakari – Solanum xanthocarpum, 

Goksura – Tribulus terrestris, 

Green gram 

Chitraka – Plumbago zeylanica 

is boiled by adding water and the decoction is prepared. Soup of this decoction is prepared as mentioned above and given to the patient (suffering from hiccup and asthma) . 

Tender leaves of Matulunga – Citrus medica, 

Neem and 

Kulaka is mixed with 

Mudga – Vigna radiata and boiled by adding water. 

In this decoction, 

salt, 

Kshara, 

Shigru – Moringa oleifera and 

Black pepper 

is cooked according to the prescribed appropriate quantity and the prescribed procedure. Intake of this alkaline soup (Ksara- Yusha) cures hiccup. 

The soup of the leaves of 

Kasamarda – Cassia occidentalis or Shobhanjana or dry- radish cures hiccup and Asthma. 

Similarly, the soup of Vartaka prepared along with curd, ginger, long pepper, black pepper and ghee is useful (in curing hiccup and Asthma). 

DIET AND GRUEL PRESCRIBED IN HIKKA 

The patient suffering from hiccup should take food prepared from 

old rice, old wheat or old barley. 

Yavagu (thick gruel) prepared by boiling with 

Asafoetida, black salt, cumin, Vida salt, Pauskara, 

Chitraka – Plumbago zeylanica and 

Karkata-Srngi – Rhus succedanea is useful for the patient suffering from hiccup. 

Intake of the Yavagu prepared with the decoction of 

Dashamula, 

Shati – Hedychium spicatum, 

Rasna – Alpinia galanga, 

Pippali Mula – Root of long pepper, 

Puskaramula – Inula racemosa, 

Srngi, 

Tamalaki – Phyllanthus niruri, 

Bhargi, 

Guduchi – Tinospora cordifolia and 

Ginger 

is also useful in hiccough. 

Foods and drinks of the patient suffering from hiccup and Asthma is given 

mixed with 

Puskara (Puskara- Mula) – Inula racemosa 

Shati – Hedychium spicatum 

Ginger, long pepper, black pepper, 

Matulanga – Citrus medica and 

Amlavetasa – Garcinia pedunculata along with Ghee, Vida and Hingu. 

DRINKS FOR HIKKA 

• Decoction of Dashamoola 

• Decoction of Devadaru 

• Madira (a type of alcoholic drink) 

• Sura manda (a type of alcoholic drink) prepared using Patha, Madhurasa, Rasna, Sarala and Devadaru added with a pinch of salt 

• Pastes of asafoetida, black salt, Kola, Samanga, long pepper and Bala made by triturating them with the juice of Matulunga, mixed with Aranala (a type of sour drink) 

• Black salt, ginger and Bharngi with double the quantity of sugar 

• Paste of Bharngi or Maricha and Kshara or Pitadru, Chitraka, Asphota and Murva mixed with warm water 

• Drink prepared from Madhuka, long pepper root, jaggery, juice of cow and horse dung, ghee and honey 

Reference – Charaka Samhita Chikitsa Sthana 17/105-116 

Linctus for Hikka 

• Ashwagandha Kshara with honey and ghee 

• Ashes of stalk of peacock feather, the quills of Sallaka, hair of Svavit, jandaka, Casa or Kurara, skin, bones and hooves of horned animals, animals having one hoof or two hooves, all of these separately or together with honey and ghee 

Linctus formulations alleviate Kapha dosha and cleanses the channels, thereby correcting the movement of Prana Vayu. 

Hence, linctus formulations are administered only when there is Kapha dosha involvement in Hikka. 

Choice of Vamana and Virechana in Hikka 

If a patient suffering from Hikka gets afflicted with cough, hoarseness of voice, then Vamana (emesis) is to be administered. 

The ingredients for emetic and purgation therapies should have qualities to alleviate both Vayu and Kapha. 

HERBAL REMEDIES-

• Inhalation of smoke by lighting a wick prepared using ghee, turmeric and cinnamon leaves. Take 1 teaspoon of ghee, add half a teaspoon of turmeric and cinnamon bark. Burn it on a pan and inhale the fumes for 2 – 3 minutes. Do this 3 – 4 times a day, preferably on empty stomach.

• Asafoetida remedy: In case of hiccups associated with abdominal bloating, take 3 pinches of Asafoetida (heeng), add it to a teaspoon of ghee, fry for 10-20 seconds in mild fire. Add this to a cup of buttermilk. Add a pinch of salt to it. This is administered once or twice a day.

• Asafoetida, fried with ghee, as mentioned above is consumed as it is to relieve abdominal distension.

• Mild fomentation over the chest and neck using sesame seeds, black gram, wheat. Take a clean cotton cloth. Take 2 tablespoons of each of sesame seed, black gram, wheat and salt. Tie these things in the form of a pack, with the cotton cloth. Heat this over a pan and gently give fomentation to chest area. Take care not to cause burns. Check the heat of the pack on the back of your palm, before applying on chest. Do this for 3 – 5 minutes, once or twice a day.

• Horse gram / green gram soup prepared by adding long pepper, ginger, salt and ghee can be administered.

• Soup of eggplant prepared along with curd, ginger, long pepper, black pepper and ghee is useful.

• Foods and drinks of patients suffering from hiccups should be prepared by adding long pepper, black pepper, salt, asafoetida, ginger and ghee.

• 1 gram of liquorice is added with 1 gram of long pepper, a teaspoon of honey and 10 drops of ghee. This is mixed and administered along with a cup of water, once or twice a day for 2 – 5 days time.

• A tablespoon of juice of citron fruit with a pinch of asafoetida, black salt and black pepper cures hiccups.

• Nasal drops with saline water. – Take a pinch of salt and add it to 5 teaspoons of water. Dissolve the salt. Put 5 drops of this water to each nostril, preferably on empty stomach.

• Goat’s milk processed with ginger and sugar can cure hiccups.

This disease condition is mentioned under Pranavaha Srotas (respiratory system). According to Ayurveda, Swasa (dyspnoea), Kasa (cough) and Hikka (hiccups) are inter-related. They have identical etiological factors and source of origin.

Shatyadi churna – Administered in patients suffering from asthma and hiccups.

Muktadya churna – Administered by mixing it with equal quantities of honey and ghee.

Dashamooladya grita – Administered in patients suffering from asthma and hiccups.

Tejovatyadi grita – Administered in conditions where hiccups is associated with oedema, chest pain or heart diseases.

Manahsiladi grita – Administered in patients suffering from hiccups and asthma by mixing it with honey.

Trayushana grita – useful in all respiratory conditions.

Hapushadi grita

Vasa grita – useful in hiccups associated with chronic bronchitis or bleeding disorders.

Dhanwantharam gulika – used in the treatment of hiccups associated with Kapha Dosha.

Swasa kasa Chintamani Rasa – used to treat hiccups and other respiratory conditions like bronchitis, asthma, cough, cold etc.

Dhatryarishtam – cures hiccups associated with fever, anorexia.

Mayur Piccha Bhasma – used in the treatment of hiccups, chronic asthma and bronchitis.

Shring Bhasma – used in treatment of hiccups associated with heart burn, abdominal colic etc.

Punarnavarishta – used to treat hiccups associated with hepatomegaly, splenomegaly, oedema or anaemia.

Mrigamadasava – used to treat hiccups caused due to gastric irritation.

Suvarna sutashekara Rasa – used in hiccups associated with gastritis, nausea and vomiting.

Eladi vati – used to treat hiccups associated with hoarseness of voice and emaciation.

Pippali rasayana – widely used in disorders of Pranavaha Srotas.

RASODHI/BHASMA/PISTI-(120-250MG WITH MADHU/USHNODAKA)

- Mayur Piccha Bhasma-(mayur pankh)

- Tamra bhasma-(tamra)

- Hikkantaka rasa-(swarna bhasma, mukta pisti, loha bhasma, tamra bhasma)

- Sutsekhar rasa-(parad,gandhak,tankan,swarna,visa,tamra bhasma,sankh bhasma)

- Leela vilasa rasa-(parad,gandhaka,tamra,loha,abhrak bhasma)

- Swasa kuthar rasa-(parad,gandhak,vatsanabh,tankan,manasheela,trikatu)

VATI-(250-500MG WITH USHNA JALA)

- Arogyavardhani vati (parad,gandhak,loha,abhrak,tamra,shilajatu,kutaki)

- Sankha vati(sankh bhasma,parad, gandhak,visa,chincasara)

CURNA-(3-6GM WITH MADHU/USHNODAKA)

- Pippali curna-(pippali)

- Trikatu curna-(pippali,marich,sunthi)

- Karchar curna-(karchar)

- Muktadi curna-(mukta bhasma,praval,vaidurya bhasma)

KAVATH/ASAV/ARISHTA-(20-40ML WITH SAMABHAG WATER)

- Kankasava-(dhattur,dashmula)

- Dashamula kvatha –(dashmula)

- Pathdhasava-(patha,murva,rastra,devdaru)

- Hingvadi kvatha-(renuka,pippali,hingu)

GHRITA(20-30ML WITH USHNODAKA)

- Manashiladi ghrita-(manashila,laksha,haridra)

- Dashamuladi ghrita-(dashmula,pipper,sunthi,yavakshar)

- Vasa ghrita-(adusha)