TYPES-(6)SUSHRUTA

Vataja, Kaphaja, Pittaja, Tridosha, Kshyaja, Medoja

1

LAKSHANA

- Rough voice like donkey

- Weakness

- Burning throat

- Dysphonia(vakakast) 

2

NIDANA

1. High pitched voice

2. Affliction with poisons

3. Reading loudly

4. Trauma to larynx

5. Dosha imbalance at the level of throat

6. Excess of drinking cold beverages, curds, oils and fats etc

7. Very cold water bath, wetting due to rain or mist etc

As per modern science, causes of hoarseness is acute (sudden) inflammation of larynx (voice box), smoking, injury / irritation to vocal cords, upper respiratory tract infection, cancer and thyroid gland anomalies.

Origin of the complaint:

As per Ayurveda, due to the above said reasons the aggravated Doshas invade and localize in the vocal cords and bring about the changes in the functions of the voice box. Due to this dysfunction, the speaking ability is lost partially or fully. 

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CLINICAL FEATURES OF DIFFERENT TYPES OF SWARABHEDA: 

Hoarseness of voice due to

VataDosha – VatajaSwarabheda – The voice differs with interruption, low pitched or resembling the voice of a donkey(braying).Usually the voice sounds rough. Blackish discoloration may be found in face, eyes, urine and stool.

PittajaSwarabheda – The speech appears as if it sounds from the throat. Usually it is painful, associated with burning sensation. The color of the face, eyes, urine and stool may turn yellow.

KaphajaSwarabheda – The person sounds as if the throat is affected by dense phlegm. The individual speaks less and the speech is interrupted or delayed. Slight relief is found during day time and the condition is worsened during night.

TridoshicSwarabheda – Mixed features are found and such a condition is difficult to cure.

Medaja/caused by high fat – In this condition the voice is audible from the interior of the throat.The voice will be distinct after some period of time.The sound appears as if the throat is coated with fat or phlegm. Severe thirst is the characteristic feature of this condition.

Kshayaja/caused by emaciation: The person feels as if fumes are coming out during speech and gradually total loss of speech/inability to speak is found. This type is difficult to cure. 

4

SAMPRAPTI

Nidana sevana-> vata prakopa-> svarvahi shrotas pravesh-> svar vikruti->svarbheda

5

SAMPRAPTI GHATAKA

DOSHA- vata

DUSHYA- svar

ADHISTHANA- svaryantra

SHROTAS- svarvahi

SVABHAVA- ashukari

SADHYAASADHYATA- sadhya

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HERBS USEFUL IN HOARSENESS OF THE VOICE: 

1. Khadira–Acacia catechu –Kattha-Takes away the phlegm accumulated in the buccal cavity.

2. Maricha – Black Pepper-Removes the morbidity and helps in curing indigestion.

3. Ela – Cardamom – soothes throat

4. Shunti -Dry ginger-Helps to overcome indigestion and relieves phlegm.

5. Haridra-Turmeric– Clears the mouth and throat.

6. Draksha – Raisins-Soothens the throat and voice box; enhances the strength in case of fatigue.

7. Bhringaraja – Eclipta alba –Helps to overcome the accumulation of phlegm in throat and stomach.

8. Kantakari – Solanumxanthocarpum -Clears the voice and broadens the larynx in case of congestion due to phlegm.

9. Yashtimadhu – Liquorice root-Soothes the throat.

10. Ajamoda -Apiumgraveolens-Relieves the indigestion.

11. SaindhavaLavana -Rock salt-Clears the buccal cavity and throat, liquefies Kapha.

12. Lavanga-Clove-Promotes the voice. 

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PRICIPAL OF CHIKITSA 

Nidana Parivarjana

- Vatik- bhojanottar ghrita pana

- Pattik- madur dravya siddha milk, (sanshodhan-mridu virechana)

- Kaphaja- pipaali, maricha, shunthi

- Tridoshaja- ajmoda, haridra, amla, chitraka sambhaga madhu & ghrita

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SODHANA CHIKITSA 

1. Sneha-svedana

2. Mridu-virechana

3. Vasti

4. Virechana nasya

5. Dhumpana

6. Kaval graha

Pathya(DO):

Yava, shali, rice, mamsa, shura, gokshra, makoy, jeevanti,choti muli, manukka, lehsuna, lavan adraka, pan, kali marich, ghrita

Apathya(DON’T):

Kacche phal, jaliye kand, jamuna, amliya dravya, dadhi, sheetal peya,vaman karma    

AYURVEDIC HOME REMEDIES

1. Raisins and Kharjura are taken together twice or thrice a day. This gives smoothening effect to the throat and complaint is relieved.

2. Cardamom – half a teaspoon and a teaspoon of sugar candy – are taken together and kept in the mouth and chewed.

3. One pinch of Yashtimadhu (Liquorice ) root powder is taken and chewed 3-4 times a day. This helps to relieve the split voice.

4. Licorice root dried and cleaned is given to the patient to chew slowly and to swallow the juice

5. Tender leaf buds of mango (Mangiferaindica) are chewed daily.

6. Crush 8-10 Tulsi (basil) leaves and extract their juice. Mix it with 1 spoon honey and take it.

7. Take 6-8 Basil leaves along with 2 pepper grains and a pinch of rock salt. Chew them and slowly suck the juice.

8. Lime juice 2 spoons mixed with honey 1 spoon, hourly once

9. Add 1 spoon of Cinnamon powder to boiling water and close the glass with a lid. When it becomes warm, add a pinch of pepper powder and 2 spoons honey. Take it once or twice daily.

10. Boil ½ to 1 teaspoon full of liquorice (coarse powder) in 1 glass of water, filter and consume warm or mix ½ teaspoon full of liquorice (fine powder) in hot milk and take it to get relieved from laryngitis. If liquorice is boiled until half water is reduced, it provides better results. Even with milk – half glass milk and half glass water should be boiled with liquorice powder until half of it evaporates and consumed.

11. ¼ spoon honey + ¼ spoon ginger juice – should be taken in drops and slowly sucked

12. ½ – 1 spoon of Amla (Indian gooseberry) powder, 1 spoon sugar candy powder and a pinch of pepper powder added to hot milk

13. Ghee + jaggery

14. Crush or chop ½ onion, boil it with 1 glass of water for 5 -10 minutes, strain it through a sieve, add 1 spoon honey and 2 spoon lemon juice to it. Sip it slowly.

15. ½ spoon butter + 2 pinch pepper powder – 3-4 times per day

16. Milk boiled with 1 spoon of turmeric powder and added with sugar candy powder (1/2 spoon) and a pinch of pepper

17. Lajachurna – Powder of puffed paddy or parched rice should be given mixed with honey.

18. Honey and Ghee mixed in unequal quantities

19. Grated ginger or ginger paste + Liquorice powder + pinch of Black pepper powder + Honey – 2-3 servings per day

20. Juice of Vasa (Adhatodavasica) 1 spoon + Honey 2 spoons

21. Kulatthachurnam – Powder of horse gram kept in mouth and sucked over a couple of minutes

22. Paste of ber leaves (Indian jujube) fried in ghee should be given mixed with SaindhavaLavana (rock salt) to alleviate laryngitis associated with cough

23. Khadira – (Acacia catechu) – kept in mouth (for sucking as lozenges) mixed with either of sesame oil or powder of Piper longum or powder of Zingiberofficinale cures Svarabheda

Easy gargles:

• Garlic juice mixed in warm water

• Salt water

• Water boiled with basil leaves

• Turmeric powder + Ginger juice + Basil juice + Rock salt + Warm water

• Decoction of – Clove + Cinnamon + Salt + Cardamom + Basil leaves + Neem Leaves + Turmeric powder

A few commonly used medicines for hoarseness of voice are –

1. Lavangadivati-chewing

2. Eladivati -chewing

3. Khadiradivati -chewing

4. Bhringarajataila -Application to the scalp

5. Gorakshavati -For chewing

6. Ajamodadichoorna -For fumigation

7. Kalyanakaavaleha licking along with honey and ghee

8. Kanthakarighrita internal administration twice a day with warm water

9. Khadirachurna with tilataila and honey for retaining in the mouth

10. Vyoshadivati -chewing

11. Pippalyasava -administration twice daily after the food.

12.Bhringarajasava – taken during bed time those who are getting hoarseness only during morning hours so as to relieve accumulated phlegm in the throat.

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

- Bhairava rasa-(parad,gandhak,vatsanabh,tankan,marich,chavya,chitrak)

- Kinnar kanth rasa-(parad,gandhak,abhrak,vaikranat,makshika bhasma)

- Triyamkabhra rasa-(abhrak,kantkari,bala,goksura,haridra,amlaki)

- Rasendra gutika-(loha,abhrak,parad,gandhak,kharpara,pravala)

VATI-(250-500MG WITH USHNA JALA)

- Lavangadi vati-(lavanga,maricha,vibhitaki,khadira)

- Marichyadi vati-(maric,pippali,mishri,sunthi)

- Vyoshnadi vati-(trikatu,mishri)

- Eladi vati-(ela,vanga,maricha,pippali)

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

- Ajmodadi churna-(ajmoda,haridra,amla)

- Pippali curna-(pippali,pippalimula,maricha,sunth)

- Yastimadhu curna

- Chavyadi curna-(trikatu,chavya,amlaveta,imli,talisa patra)

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

- Kantakari kawatha(kantakari,pippali)

GHRITA(20-30ML WITH USHNODAKA)

- Sarasvata ghrita-(brahmi,haridra,amalaki,kusta,trivrit)

- Vyagri ghrita-(rasna,bala,gokshura,sonth)

- Bhringraja ghrita-(bhagra,guduchi,vasa,dasamula)

Paka/avleha-(15-20gm with dugdha)

- Nidhidhikavaleha-(choti kateri,chitrak,pippali mula,dasamula)

- Kalyanavaleha-(haldi,vacha,meetakuth,jeera)