LAKSHANA
1. Manda agni – – Suppression of the power of digestion
2. Aruchi , Chardi,Pinasa, Utklesha, Gaurava – Anorexia, vomiting, chronic rhinitis, Nausea and feeling of heaviness in the body
3. Loma harsha, madhurya, kledasamsadana , bahulammadhuramsnigdhanisthivanghanakapham -Horripilation, Sweetness and stickiness in the mouth and asthenia, spitting of thick phlegm in large quantity which is sweet in taste and unctuous
4. No feeling of pain in the chest while coughing and
5. Vakshasampurna – Feeling of fullness in the chest.
NIDANA
1. Guru, Abhishyandi, Madhura, SnigdhaSevana – In take of heavy, Abhisyandin (ingredients which cause obstruction to the channels of circulation), sweet and unctuous ingredients [in excess] and
2. Svapnavichesta – Excessive sleep and indolence
3. vddhalem’nilaruddhv – The Kapha gets aggravated because of the above mentioned regimens and obstructs the movement of Vayu which gives rise to Kaphaja Kasa.
PURVARUPA
1. Shukapoornagalasyata – Sensation as if the throat and mouth filled with bristles (a feeling of congestion in the throat)
2. Kantekandu – Itching sensation in throat and
3. Bhojyanamavarodha – Obstruction to the movement of food in the gullet.
SAMPRAPTI
1)nidana sevana->
pranavayu shrotas me khavegunya-> sanga(vataprakopa->rasa dusti-> mulabhuta kaphoutpatti)->
kasa-> adra kasa
2) nidana sevana->vataprakopa->rasa dusti-> mulabhuta kaphoutpatti-> kapha stivana
3) nidana sevana-> vata prakopa-> vayumarga dusti-> pranavayu ka udanagata -> pranavaha srtotas me vega purvaka gaman-> visista dhuvani-> suska kasa
SAMPRAPTI GHATAKA
DOSHA-vata-kahpha
DUSHYA-rasa,svara,anna
SHROTAS-rasavaha,pranavaha
ADHISTHAN-ama-pakvasyoth vyadhi,pranavaha, ura & kantha
SVABHAV-ashukari
SADHYA ASADHYATA-navin sadhya,jeera krichsadhya
CAUSES OF VARIATION IN PAIN
Specific varieties in the pain and sound associated with different types of Kasa – cold, cough are caused by the specific nature of the obstruction [by Kaphaetc] to the forcefully moving Vayu.
PRICIPAL OF CHIKITSA
If the patient suffering from Kaphajakasa is strong, then he is given emetic therapy in the beginning. Thereafter, he is given barley and such other Kapha- alleviating is given barley and such other Kapha-alleviating ingredients as pungent, ununctuous and hot in potency, to eat.
The patient should take-
• light food with the soup of Kulattha mixed with the powder of Pippali – Long pepper fruit – Piper longum and alkalies (Yava- Ksara) or
• With the juice of Mulaka or
• With the soup of the meat of animals inhabiting arid zone (Dhanva-cari) or burrows (Bilesaya) prepared by adding pungent drugs, or
• With the oil of mustard and Bilva – Bael – Aegle marmelos.
Anupana – water, sour drinks, warm water, butter milk, or harmless alcoholic drinks.
Puskara-Mula – Inularacemosa, root of Aragvadha – Cassia fistula and Patola – Pointed Gourd – Trichosanthesdioica is kept in water for the whole night.
Next morning, the water is strained out and added with honey. This is taken before, during and after meals. [108-111]
Decoction Etc.,
SODHANA CHIKITSA
(balvana rogi)
1. Vamana
2. dhumpana
3. virechana
4. Dhumapana for Kaphaja Chikitsa:
Recipes for smoking therapy described for the treatment of VatikaKasa (Shlokas – 65- 75) is used for the treatment of Kaphajakasa.
This recipe containing the pulp of Kosataki and Manah- Sila is especially useful for smoking in Kaphaja- Kasa [130]
Management of Associated Complications:
If KaphajaKasa is associated with Tamaka (a type of asthma) caused by Pitta Then in this stage of Kasa, the therapies prescribed for Paittika type of Kasa should be administrated.
If there is association of Kapha in VatajaKasa, then therapies for the alleviation with bitter ingredients.
Thus, ends the description of the treatment of Kaphaja –Kasa.
SAMANYA KASA CHIKITSA
Management of kasa in general
To the patient suffering from KshayajaKasa
Dipana (digestive stimulants)
Brmhana (nourishing therapy) and
Srotas- Sodhana (therapies which cleanse the channels of circulation) is given alternatively.
All the therapies that promote strength (balya) are useful in this condition.
KshayajaKasa is caused by Sannipata (simultaneous aggravation of all 3 Doshas). Therefore, therapies which alleviate all the associated Doshas keeping this in view, treatment are administered.
The physician should know that among VatikaKasa, PaittikaKasa, KaphajaKshataja and KshayajaKasa, the succeeding ones are more serious than the preceding. [187- 189]
Different Categories of Therapies:
For the treatment of Kasa the following categories of therapies are described to be administered:
1. Bhojya (food preparation)
2. Pana (drinks)
3. Sarpis (medicated ghee)
4. Leha (recipes of linctus) along with postprandial drinks
5. Ksheera (milk boiled with medicines)
6. Sarpirguda (preparation containing ghee, jaggery, etc) , which are used either in linctus from or in the form of pills and
7. Dhuma (recipes for smoking).
1.(RASA AUSHADHI-2/3 TIMES WITH MADHU CHATANA)
A. Chandramrit rasa-125mg + Swasakuthar rasa-125mg + Talisadi curna-2.5gm
B. Chandramrit rasa-125mg + Abhrak bhasma-125mg + Rasa sindura-60mg
2.(leha)
Pipaliyadi leha
3.(SOS)
A. Talisadi curna 5gm bid
B. lavangadi vati 4-6 cushnartha
1. Anandbhairav rasa-250 mg + Tankan bhasma -250 mg + Talisadi curna-3 gm ( 2 times with madhu )
2. Chittachandirasava- 20ml ( 2 times with 20ml water )
3. Chitak haritaki leha- 15gm ( 2 times with milk )
4. Marichyadi vati ( 4-6 vati with in a day) (chushnarth)
PRANAYAMA
- Pranayam
DIET AND LIFESTYLE
Pathya(DO):
Shali rice, santhi rice, wheat, java, anup mamsa rasa, purana ghrita, aja milk, bathuya, bringal, parval, choti muli, draksha, ela, go-mutra, lehsuna, warm water, harad, trikatu, madhu.
Divaswapna, swedana,virechana, niyamita bhojana
Apathya(DON’T):
Guru, vistanbhi, vidahi anna sevana, fish, jamikanda, aalu, sarso saag, sheetal jala, sheetal anna,ruksha anna
Basti karma, nasya, raktamokshana, vyayam, daton, vagadharana, dhula,dhuma sevana
The patient should take-
Patha – Oroxylumindicum, Sunthi – Zingiberofficinale, Shati – Hedychiumsicatum, Murva – Marsedeniatenacissima, Gavakshi, Musta – Cyperusrotundus, Pippali – Piper longum in paste from along with warm mixed with Hingu – asafoetida and Saindhava – rock salt
In the above mentioned manner, the patient should take
Nagara – Ginger – Zingiberofficinale, Ativisa – Aconitum hetrophyllum, Musta – Cyperusrotundus, Karkata-Sringi – Rhus succedanea, Haritaki – Terminalia bellerica and Sati – Hedychium spicatum
1 Aksa of the paste of Pippali – Piper longum, fried with oil is added with Sitopala (sugar having large size cerystal).
Intake of this recipe along with the soup of Kulattha – Dolichosbiflorus cures kaphaja Kasa.
Intake of the juice Kasamarda – Cassia occidentalis, stool of horse, Bhrngaraja – Eclipta alba, Vartaka and black variety of Surasa along with honey cures kaphaj Kasa.
LEHAM YOGA
RECIPES OF LINCTUS (LEHA)
Powders of these are mixed with honey and oil and this linctus cures Kaphajakasa associated with aggravated Vayu:
Devadaru – Cedrusdeodara, Shati – Hedychium spicatum, Rasna (Vanda roxburghi / Pluchealanceolata), Karkata-Srngi – Rhus succedanea, Duralabha – Fagoniaarabica
POWDERS OF THESE DRUGS MIXED WITH HONEY CURES KAPHAJAKASA:
Pippali – Long pepper fruit – Piper longum, Nagara – Zingiberofficinale, Musta (Cyperusrotundus), Pathya, Dhatri, Sitopala
These are made into a linctus by adding honey. Intake of this cures KaphajaKasa:
Pathya, Tamalaka, Dhatri, Bhadra- Musta (Cyperusrotundus), Pippali – Long pepper fruit – Piper longum, Deva-Daru – Cedrusdeodara, Abhaya – Terminalia chebula, Musta (Cyperusrotundus), PippaliVisva-Bhesaja, Trivrta – Operculinaturpethum
Intake of the powder of Sauvarcala, Abhaya – Terminalia chebula, Dhatri, Pippali – Long pepper fruit – Piper longum, Kshara, Nagara alone with ghee cures Kasa caused by Vata and Kapha. [118-122]
DASHAMULADI GHRITA
1 Prastha of ghee is cooked by adding 1 Adhaka of the decoction of Dasa-Mula and the paste of one karsha each of
Puskara-Mula – Inularacemosa, Sati – Hedychium spicatum, Bilva – Aegle marmelos, Surasa, Sunthi – Zingiberofficinale, Pippali – Piper longum, Maricha – Black pepper fruit – piper nigrum, Hingu – Asafoetida, Post prandial drink – Peya (Thin gruel)
It cures Kasa caused by Vayu and Kapha, and all types of Asthma caused by Vata and Kapha.
KANTAKARI GRTHA
1 Adhaka of the decoction of Kantakari – Solanumxanthocarpum along with its root, fruit and leaf, and 1 Prastha of ghee are cooked by adding the paste of Bala – Country mallow (root) – Sidacordifolia, Sunthi – Zingiberofficinale, Pippali – Long pepper fruit – Piper longum, Maricha – Black pepper fruit – piper nigrum, Vidanga – Embeliaribes, Sati – Hedychium spicatum, Chitraka – Leadword – Plumbagozeylanica, Sauvarcala, Yava – Barley (Hordeumvulgare)- Ksara, Pippali – Long pepper fruit – Piper longummula, Puskara-Mula – Inularacemosa, Vrscira (white variety of Punarnava) – Boerhaviadiffusa, Brihati – Solanumindicum
Pathya, Yavani – Carumcopticum, Dadima – Pomegranate – Punicagranatum, Rddhi, Draksha – Raisin – Vitisvinifera, Punarnava (red Variety) – Boerhaviadiffusa, Chavya – Piper retrofractum, Duralabha – Fagoniaarabica, Amlavetasa – Garcinia pedunculataRoxb. / Rheum emodi Wall, Srngi, Tamalaki – Phyllanthusniruri, Bhargi, Rasana – Alpiniagalanga, Goksuraka – Tribulusterrestris
Cures:All types of Kasa, Hikka – hiccup and, Shwasa – Asthma.
This is called Kantakari Ghrta and it cures all types of diseases caused by Kapha.
KULATTHADI GHRTA
Ghee cooked with the decoction of Kulattha and [the paste] of Pancha-Kola is useful in KaphajaKasa, hiccup and asthma.
Thus, end the description of KulatthandiGhrta.
RASODHI/BHASMA/PISTI-(120-250MG WITH MADHU/USHNODAKA)
- Anand bhairav rasa-(hingul,vatsanabh,trikatu,tankan,gandhak)
- Rasasindur-(parad,gandhak)
- Kaphakuthar rasa-(parad,gandhak,tamra,loh,trikatu)
- Tankan bhasma
- Shringa bhasma
- Subhra bhasma(fhitkari)
- Abhrak bhasma
- Nagballav rasa-(parad,gandhak,manashila,abhrak,kosthoshadhi)
VATI-(250-500MG WITH USHNA JALA)
- Llavangadi vati-lavanga,maricha,vibhitaki,khadira)
- Marichyadi vati-(maric,pippali,mishri,sunthi)
- Vyoshnadi vati-(trikatu,mishri)
- Bhagottar vatika-(parad,gandhak,pippali,harad,vibhitakai,adusha)
- Eladi vati-(ela,vanga,maricha,pippali)
- Vasadi vati-(vasa,afima,arkamula,karpura)
CURNA-(3-6GM WITH MADHU/USHNODAKA)
- Shrangyadi curna-(karkat shringi,atish,mustak,sonth,marich,triphala)
- Satyadi curna-(sati,pushkar mula,trikatu)
- Sitopaladi curna-(sita,vanshlochana,pippali,trigashiri)
- Talisadicurna-(talisa,maricha,sunthi,pippali,vanshlochana,mishri)
- Marichardhya curna-(maricha,pippali,dadimabija curna,guda)
- Samsarkar curna-(lavanga,jayphala,pippal,marich,sunthi,mishri)
KAVATH/ASAV/ARISHTA-(20-40ML WITH SAMABHAG WATER)
- Katphaladi kwatha-(katphal,bharangi,mustak,harad,sunthi,pippali)
- Pathadi kwatha-(patha,sonth,kacura,mustak,pipper,indrayan mula)
- Dashamula kvatha –(dashmula)
- Kantakari kawatha(kantakari,pippali)
GHRITA(20-30ML WITH USHNODAKA)
- Dashamuladi ghrita-(dashmula,ghrita,pushker mula,karcura,tulasi,trikatu)
- Kantakari ghrita-(kantkari panchang,balamula,trikatu,bidanga,kacura,citrakmula)
Pathadi ghrita-(patha,trikatu,kacur,ghrita)