1

LAKSHANA

1. In the beginning, the patient coughs without any output of phlegm, but thereafter, he spits out phlegm along with blood.

2. Kanthenarujata – He experiences excessive pain in the throat and feels as if the chest is cracking

3. Suchibhirivatikshnaabhistudyamanenashulina – He feels pricking pain as if pricked by sharp needles

4. Dukhasparshenashulena – He gets excruciating pain and discomfort by touch

5. He feels miserable because of piercing type of pain

6. Parvabheda -He gets afflicted with pain in the joints of fingers and toes,

7. Jwara – fever,

8. Shvasa – dysponea,

9. Trushna – morbid thirst and

10. Svarabheda – hoarseness of voice and

11. Paravataivakujan – While coughing He produces cooing sound like that of a pigeon. 

2

NIDANA

1. Ativyavaya – Excessive indulgence in sex

2. Bharadhva – Carrying excessively heavy load

3. Walking excessively for long distance

4. Yudhaasvagajavigraha – Indulgence in fighting and excessive indulgence in restraining the movement of horses and elephants

5. The above mentioned factors cause injury to the chest (lungs) and bring about ununctuousness in the body.

This, in its turn, causes aggravation of Vayu, which gives rise to KshatajKasa – (bronchitis caused by injury).  

3

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. 

4

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 

5

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

- Prasent with all symptoms is asadhya

- In strong rogi may be yapya

- Old person all kasa are krichsadhya  

6

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. 

7

PRICIPAL OF CHIKITSA 

Kshataja Kasa (phthisis) is a serious ailment.

Keeping this in view, the treatment of the patient is initiated instantaneously with sweet drugs and drugs belonging to Jivaniya group (vide Sutra 4: 9) which are promoters of strength and muscle tissue.

Treatment of Associated Complications

The regimens prescribed for the Paittika Kasa are useful for the patient suffering from Kshataja kasa (Phthsis). Generally milk, Ghee and honey are given to such patients.

If 2 of the Doshas are involved in the pathogenesis of this ailment (samsarga), then special therapies are required.

If this ailment it associated with Vayu and Pitta and the patient has pain all over the body, then massage is given with ghee.

If Vayu is aggravated in excess causing pain, then massage is given with oil prepared by boiling with Vayu- alleviated drugs.

MEDICATED GHEE

The patient suffering from Kasa along with Hrtparshva shola – pain in the cardiac region and sides of the chest associated with

Daha – burning sensation,

Raktasthivana – hemoptysis and aggravation of Vayu should take Jivaniyagrtha [described in the chapter dealing with the treatment of Vata- Rakta-vide Cikitsa 29: 61- 70  

8

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).  

Dhoomapana for Kshataja Kasa –

KshatajaKasa – Smoking Therapy

If the patient suffering from KshatajaKasa is cured of the Kshata (injury or ulceration in the Uras or Lungs), but there is throbbing type of pain in the place of injury because of aggravation of kapha, then he is given smoking therapy with the recipes described below.

Meda, Maha-Meda – Polygonatumcirrhifolium, Madhuka– Licorice – Glycyrrhizaglabra, Bala – Country mallow (root) – Sidacordifolia and Maha-Bala – Country mallow (root) – Sida cord folia is made to a paste and smeared over a cloth of silk.

This is then rolled in order to give it the Shape of a cigar.

After smoking this cigar, the patient should drink Jivaniya-Ghrta. 

A cigar is prepared by smearing (llit. Soaking) a piece of silken cloth with the paste of Manah- sila,Palasa – Butea monosperma, Ajagandha, Tvak- Ksiri and Nagara – Zingiberofficinale

After smoking this cigar, the patient should drink sugar- cane juice or water mixed with jaggery. Manah-Sila is made in to a paste by triturating it with the green still root of vata (vata-Sunga).

To this, ghee is added. After taking the smoke of this recipe, the patient should take the soup of the meat of Tittiri.

Smoking with the silken cloth soaked with the decoction of drugs belonging to Jivaniya group (vide Syutra 4:9) and the sap of the egg of Kulinga, and thereafter, taking the milk immersed with hot iron balls are useful in Ksataja Kasa.  

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  

RECIPES

A. If the patient is weak and habituated to taking meat, then the soup of the meat of Lava etc is useful for him.

B. If the patient of phthisis is suffering from Trushna (thirst), then he is given goat’s milk boiled with the root of Sara, etc, (trna-Panca-Mula).

C. If there is bleeding from different channels or from the mouth, then the patient should use ghee extracted from the cream of milk for inhalation therapy and as drink.

D. If the patient of Phthisis is fatigued and weak, and if he has low power of digestion, then he is given Yavagu (thick gruel) to eat.

E. If there is stiffness and contraction of the body, then the patient of Phthisis is given ghee in large dose.

Therapies for his alleviation of vayu which do not aggravated Pitta and Rakta is given to such patients.   

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

- Chandramrit rasa-(parad,dandhak,lohbhasma,tankan,triphala,trikatu,chavya)

- Shringrabh rasa-(parad,gandhak,tankan,karpoora,swarna,abhrak,chaturjata)

- Basant tilak rasa-(svarn,abhrak,loha,vanga,parad,mukta ,pravala bhasma)

- Laxmi vilash rasa-(parad,hartal,manashila,vanga,kharpar,tamra,loha,kasa bhasma)

- Kaphaketu rasa-(tankan,vatsanabh,pippali,sankh bhasma)

- Sutsekhar rasa-(parad,gandhak,tankan,svarn,vish,tamra,loh,abhrak)

VATI-(250-500MG WITH USHNA JALA)

- Vati-(lavangadi 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)

- Sarkara yoga-(mishri,sunthi,netrabala,kachur curna)

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

- Kankasava-(dhattur,dashmula)

- Vasarista-(vasa panchang,trikatu,dhataki)

GHRITA(20-30ML WITH USHNODAKA)

- Jeevaniya ghrita-(jevak,rishbhak,meda,dasamula,amlaki,ikshurasa,aja mamsa)