1

LAKSHANA

1. Hritparshvaurushirashula – Excruciating pain in cardiac region, in the sides of the chest and in the chest, headache

2. Swarabheda – Excessive hoarseness of voice

3. Shushkaurakanthavaktra – Dryness in the chest, throat and mouth

4. Hrushtalomnah – Horripilation and fainting

5. Nirghoshadainyastanana – Resonant sound during coughing, feeling of prostration, hollow sound during coughing

6. Daurbalya, ksobhamoha – Weakness, agitation and unconsciousness

7. Suskakasa – dry cough

8. Kaphamsushka – The phlegm that comes out with pain is semi-solid(dry)

9. Snigdhaamlalavanabhukta – The coughing gets alleviated by food and drinks that are unctuous, sour, saline and warm.

10. Urdhvavatajirneanna – The upward moving Vayu (which is the cause of this ailment) gets all the more aggravated after the digestion of food. 

2

NIDANA

1. Rukshasheetakashayaannasevana – Intake of Ununctuous, cold and astringent food

2. Pramitashana – Intake of food in less quantity or much less in quantity (Pramita) or not taking food at all (Anasana)

3. Streevegadharana – Excessive indulgence in sex

4. Vegadharana – Suppression of natural urges and

5. Aayasa – Excessive physical strain 

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

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 

In the event of dryness of body of the patient suffering from VatikaKasa, a wise physician should first of all treat with

Snehana – oleation therapy,

Anuvasanabasti – Medicated enema

Peya (thin gruel),

Yusa (vegetable soup),

Ksheera – milk and Rasa (meat soup) prepared by boiling with Vayu- alleviating drugs.

The patient is given unctuous diet, Dhuma – smoking, Leha – linctus (medicated recipes), Abhyanga – massage, Pariseka (sprinkling of warm water) and unctuous fomentation appropriately.

Vatajakasa with constipation and flatulence is treated with medicated enema.

If the patient has dryness in the upper part of his body, and the ailment is associated with aggravated Pitta, then he is given medicated ghee after the intake of food (urdhva- Dhakitha).

If the patient has dryness of the upper part of the body, and the ailment is associated with aggravated Kapha, then he is given unctuous purgative. 

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).  

PRANAYAMA

- Pranayam And Savashana

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  

1. SANEHANA-

ABHYANTAR SNEHPANA- DASHMULA TAILA

2. SVEDANA- NADI SVEDA

3. (VIBANDH PRASENT)

ANUVASANA BASTI- DASHAMULA TAILA/TRIPHALA GHRITA

4. DHOOMAPANA – SMOKING THERAPY

If there is headache, running nose and arrhythmia of the heart in a patient suffering from Kasa and Pratishyaya(Rhinitis), then the physician should administer Dhuma(smoking therapy).

A wise physician should keep the ingredients of the recipe which cause elimination of Doshas from the head (virechana) inside 2 earthen plates with their brims sealed with mud-smeared cloth (sharavasamputa)a tube, 10 or 8 Angulas in length, is inserted in slightly curved from.

The patient suffering from Kasa should smoke the fume emanating from this tube through his mouth. After the smoke pervades the entire chest (lungs), it is smoked out through the mouth. Because of the sharpness of the ingredients used in this recipe, the phlegm located in the chest gets detached and forcibly thrown out as a result of which Kasa – cold; cough caused by Vayu and Kapha gets alleviated. [65-68]

A. MANAHSILADI- DHUMA

After taking the smoke of Manahsila, Ala (Haritala) Madhuka – Madhucalongifolia, Mamsi, Musta – Nut grass (root) – Cyperusrotundus and Ingudi – Balanitesaegyptiaca, the patient should take luke- warm milk added with Jaggery.

This cures Kasas caused by the 3 Doshas individually and also jointly (Sannipatika) even if such ailments were not amenable of hundreds of other recipes administered earlier. [69-70]

nifera cures [vatika type] Kasa.   

B. PRAPAUNDARIKADI DHUMA VARTI:

The paste of Prapaundraika,Madhuka – Madhucalongifolia, Sarngesta (Gunja) – Abrusprecatorius, Manashila, Maricha – Piper nigrum, Pippali – Long pepper fruit – Piper longum, Draksa – raisins – Vitisvinfera

Ela – Cardamom and the inflorescence of Surasa is smeared over a silken cloth, and a varti (cigar) is prepared.

This cigar is smeared with ghee and used for smoking.

The patient should, thereafter, take milk or water mixed with jaggery.

This cures different types of Kasa mentioned in the verse no.70 above. Manashiladi Dhumavarti

According to the procedure laid down in the earlier recipe, smoking therapy is administered with Manah- Sila, Ela – Cardamom, Maricha – Piper nigrum, Kshara – Yavakshar, Anjana, Kutannata, Vamsa-lochana (Vamsa- Rocana), Sevya, Ala, Ksauma, Aalaktaka and Rohisa (Gandha-Trna).

After taking this therapy, the patient should use the post- prandial drink as suggested

Similarly the recipes for smoking therapy can the prepared of ManahSila, Ala, Pippali – Long pepper fruit – Piper longum and Nagara. [73-74]

C. INGUDITVAGADI DHUMA

The smoking therapy with the recipe containing the

Bark of Ingudi – Balanitesaegyptiaca, Brhati – Solanumindicum, Kantakari – Yellow berried nightshade (whole plant) – Solanumxanthcarpum, Tala-Muli, Manah-Sila, Seeds of Karpasa – Gossypiumherbaceum and

Asvagandha – Withaniasom 

Intake of shali type of rice , barley, wheat and swastika type of rice along with the soup of the meat of animals who are domesticated (gramya) or those who live in marshy lands(Anupa) or aquatic animals, or along with the soup (yusa) of Masa and Atma-Gupta is useful [ for the patient suffering from VatikaKasa].

Peya (thin gruel) cooked along with Yavani – Carumcopticum, Pippali – Piper longum, Bilva – Bael – Aegle marmelos (pulp), Nagara—Zingiberofficinale, Chitraka – Plumbagozeyylanica, Rasna – Alpiniagalanga, Prthak- Parni, Palasa – butea monosperma, Sati – Hedychium spicatum and Puskara-Mula – Inularacemosa is added with ghee, sour juice and salt.

Intake of this thin gruel cures VatikaKasa, HrudShoola – pain in the lumber region, cardiac region, Parshvashoola – Sides of the chest, and Koshta (gastro- intestinal tract), Shwasa – Asthma and Hikka – hiccup.

Intake of the Peya prepared [by boiling rice etc] with the decoction of Dasha-Mula and added with the powder of Pancha-Kola and Jaggery is useful in VatikaKasa.

Intake of the Peya prepared with [rice etc and] equal quantity of sesame seed, and boiled by adding milk [is useful in VatikaKasa].

Similarly, intake of the peya prepared with [rice etc and] equal quantity of sesame seed, and added with rock –salt (saindhava) [is useful in VatajaKasa].

Peya prepared by cooking [rice etc] with the meat of fish, chicken or pig, and by adding ghee and Saindhava is taken [by a person suffering from VatikaKasa].

Vastuka, leaves of Vayasi (Kakamachi) – Solanumnigrum, Mulaka – Raphanussativus, Sunisannaka, Unctuous material, Viz oil etc food preparations made of milk, sugar- cane juice and jaggery, curd, Aranala (a type of Vinegar), sour fruit, Prasanna (a type of Alcoholic drink), and ingredients which are sweet, sour and saline in taste are useful in Vatika type of Kasa.  

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)

- Kasantar rasa-(parad,gandhak,vatsanabh,shalparni,dhaniya,marich)

- Panchamrit rasa-(parad,gandhak,tamra,bhasma,vatsanabh,abrak,maricha)

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

- Praval bhasma(praval)

- Abhrak bhasma-(abhrak)

- Laghu manali bhasma-(parad,gandhak,swarna,abhrak,loh bhasma)

VATI-(250-500MG WITH USHNA JALA)

- 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)

- 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)

- Kankasava-(dhattur,dashmula)

- Dashamula kvatha –(dashmula)

- Panchmuli kwatha-(brihat panchmoola)

- Kantakari kawatha(kantakari,pippali)

GHRITA(20-30ML WITH USHNODAKA)

- Kantakari ghrita-(kantakari,guduchi,goghrita)

- Pippaliyadi ghrita-(panchkol,dhaniya,patha,vach,rashna,mulethi,yavkshar)