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Kasa Chikitsa (view source)

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''Snehapana, vamana, virehna, vairechanika nasya'' (nasal catarrhal), ''dhumapana'' (medicated cigaretes) are indicated as treatment modalities in different types of ''kasa''.

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=== Sanskrit Text, Transliteration and English Translation ===

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== Sanskrit Text, Transliteration and English Translation ==

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~~Atreya said,~~ we ~~will now describe~~ the chapter ~~on the treatment~~ of ~~''kasa''~~.[1]

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Now we shall expound the chapter "Kasa chikitsa"(Management of cough of various origins). Thus said Lord Atreya.[1-2]

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Atreya, endowed with power of penance, fame and perseverance and super-intellect expounded the infallible therapies for the treatment of ''kasa''. There are five types of ''kasa''. If exacerbated they may cause ''kshaya''. These five types are ''vataja, pittaja, kaphaja, kshataja'' and ''kshayaja''. [3-4]

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==== Premonitory signs ====

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=== Premonitory signs ===

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#Inability to swallow food.[3-4]

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==== Pathophysiology of ''kasa'' ====

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=== Pathophysiology of ''kasa'' ===

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''Vata'' being obstructed in the lower region of the body, moves upwards, afflicts the channels of circulation in the upper part of the body, takes over the function of ''udana vayu'' and gets localized in the throat and chest. Then entering all the cavities in the head, fills them up and causes hunching and convulsive movements of the body, jaws, sides of the neck and eyes. Thereafter this obstructed ''vata'' causes contraction and stiffness of the eyes, back, chest and sides of the chest, gives rise to ''kasa'' which may be dry or with phlegm because of which it is known as ''kasa''.[6-8]

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==== Specific features of ''kasa'' ====

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=== Specific features of ''kasa'' ===

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Specific variations in the pain and sound associated with different types of ''kasa'' are caused by the specific nature of the obstruction (by ''kapha'', etc.) to the force fully moving ''vayu''.[9]

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==== Etiological factors, clinical features of ''vataja kasa'' ====

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=== Etiological factors, clinical features of ''vataja kasa'' ===

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#The upward movements increases ''vata'' after digestion of food.[10-13]

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==== ''Pittaja kasa'' ====

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=== ''Pittaja kasa'' ===

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#Expectoration of sputum mixed with ''pitta''. [14-16]

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==== ''Kaphaja kasa'' ====

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=== ''Kaphaja kasa'' ===

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#Feeling of fullness in the chest [17-19]

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==== ''Kshataja kasa'' ====

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=== ''Kshataja kasa'' ===

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#While coughing, sounds humming like pigeon. [20-23]

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==== ''Kshayaja kasa'' ====

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=== ''Kshayaja kasa'' ===

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Treatment of different types of ''kasa'' has been described here after.[31]

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==== Treatment ====

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=== Treatment ===

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If it is associated with constipation and flatulence should be treated with ''basti''. If the person has dryness of upper part of the body, and is associated with aggravated ''pitta'', then he should be given medicated ''ghrita'' after intake of food. If the person has dryness of the upper part of the body associated with ''pitta'' aggravation then he should be treated with ''snigdha virechana''.[32-34]

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==== ''Kantakari ghrita'' ====

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=== ''Kantakari ghrita'' ===

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Thirty ''pala'' of ''kantakari'' and ''guduchi kashaya'' each is to be boiled with ''ghrita'' to prepare 1 ''Prastha'' of ''ghrita''. This particular ''ghrita'' is beneficial in ''vatika kasa''. It promotes the power of digestion. Thus ends the description of ''kantakari ghrita''.[35]

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==== ''Pippalyadi ghrita'' ====

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=== ''Pippalyadi ghrita'' ===

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Thus ends the description of ''pipplyadi-ghrita''.[36-38]

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==== ''Tryushanadi ghrita'' ====

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=== ''Tryushanadi ghrita'' ===

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Thus ends the description of ''tryushanadi ghrita''. [39-42]

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==== ''Rasna ghritam'' ====

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=== ''Rasna ghritam'' ===

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Powder prepared out of ''vidanga, saindhava lavana, kushtha, vyosha, hingu, manahshila'' taken along with ''madhua'' and ''sarpi'' in the form of ''leha'' eradicates ''kasa, hikka'' and ''shwasa''.[47-52]

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==== ''Chitrakadi leha'' ====

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=== ''Chitrakadi leha'' ===

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Thus ends the description of ''chitrakadi leha''.[53-56]

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==== ''Agastya haritaki'' ====

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=== ''Agastya haritaki'' ===

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Thus, ends the description of ''Agastya-haritaki''.[57-62]

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==== Other formulations ====

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=== Other formulations ===

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Intake of ''khadira saara'' along with ''madira'' or ''takra''; intake of ''pippali'' fried with ''ghrita'' mixed with ''saindhava'' is beneficial in ''vataja kasa''. [63-64]

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==== ''Dhuma'' (medicated smoking) formulations ====

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=== ''Dhuma'' (medicated smoking) formulations ===

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''Dhuma'' therapy using bark of ''ingudi, brihati, kantakari, talamuli, manahshila, karpasasthi'' (Seeds of ''karpasa''), ''ashwagandha'' cures ''kasa''. [69-75]

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==== Diet recipes ====

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=== Diet recipes ===

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''Peya'' prepared out of ''matsya, kukkuta, varaha mamsa'' by adding ''ghrita'' and ''saindhava lavana'' should be taken by a person suffering from ''vataja kasa''. Vegetables like ''vastuka, vayasi, mulaka, sunishannaka'' should be used in ''vataja kasa'' along with adequate quantity of ''sneha, kshera, ikshurasa'' and ''gud''. ''Aranala, amla phala, prasanna'' etc foods and drinks which are ''madhura, amla, lavana'' in nature are useful in ''vataja kasa''.[76-82]

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==== Management of ''pittaja kasa'' ====

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=== Management of ''pittaja kasa'' ===

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Thus ends the description of ''pittaja kasa''. [83-107]

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==== Management of ''kaphaja kasa'' ====

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=== Management of ''kaphaja kasa'' ===

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Intake of the powder prepared out of ''souvarchala, abhaya, dhatri, pipplai, kshara'' and ''nagara'' taken along with ''ghrita'' cures ''kasa'' caused by ''vata'' and ''kapha''. [112-122]

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==== ''Dashamuladi ghritam'' ====

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=== ''Dashamuladi ghritam'' ===

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Thus ends the description of ''dashamooladi ghrita''. [123-124]

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==== ''Kantakari ghritam'' ====

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=== ''Kantakari ghritam'' ===

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Thus ends the description of ''kantakari-ghrita''.

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==== ''Kulatthadi ghritam'' ====

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=== ''Kulatthadi ghritam'' ===

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Thus ends the description of ''kulatthadi- ghrita''. [125-129]

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==== ''Dhuma formulations'' ====

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=== ''Dhuma formulations'' ===

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''Dhuma yogas'' which have been mentioned at the context of ''vatajakasa'' can also be administered in ''pittaja kasa''. Specifically ''manshilla'' kept inside the ''koshataki phala majja'' is useful in the form of ''dhupana'' in ''kaphaja-kasa''. [130]

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==== Principles of treatment in various states of ''dosha'' ====

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=== Principles of treatment in various states of ''dosha'' ===

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Thus ends the description of ''kaphaja kasa''.[131-134]

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==== Management of ''kshataja kasa'' ====

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=== Management of ''kshataja kasa'' ===

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The silk cloth should be soaked with ''jivaniya gana dravyas'' or with egg yolk of ''kulinga''. With this ''varti'' should be prepared and after ''dhumapana'', the person should take the milk soaked with hot iron balls. This is beneficial in ''kshataja kasa''.[138-148]

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==== Management of ''kshayaja kasa'' ====

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=== Management of ''kshayaja kasa'' ===

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After ''anuvasana'' the person should be fed with ''mamsa rasa'' prepared out of ''jangala, prasaha, bileshaya,'' and ''vartakas''. Because of their ''ushnata, pramathi bhava'' these move properly in all ''srotas'' and cause dryness of ''kapha'' and simultaneously they nourish the ''srotas''.[149-157]

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==== ''Dvi-panchamuladi ghritam'' ====

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=== ''Dvi-panchamuladi ghritam'' ===

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Thus ends the description of ''dwi-pancha-mooladi-ghrita''.[158-160]

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==== ''Guduchyadi ghritam'' ====

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=== ''Guduchyadi ghritam'' ===

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All the above mentioned ''ghrita'' will promote agni of the patient suffering from ''kshayajakasa''. These also cleanse the adhered ''doshas'' from the ''srotas'' of ''koshtha'' and ''uras''.[163-167]

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==== ''Haritaki leha'' ====

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=== ''Haritaki leha'' ===

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Thus ends the description of ''haritaki-leha''. [168-169]

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==== ''Padmakadi leha'' ====

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=== ''Padmakadi leha'' ===

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''Bhojya, pana, sarpi, leha, panaka, ksheera, sarpiguda'' and ''dhuma''.[187-190]

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==== Summary ====

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=== Summary ===

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*In contrast to ''hikka'' and ''shwasa, pitta'' is not involved ''kasa'' except ''paittic kasa''.

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~~Work in progress~~

== Vidhi Vimarsha (Applied Inferences ) ==

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Work in Progress

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~~References:~~

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Kasa Chikitsa (view source)

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