Thursday 4 July 2019

Kasa ( Cough )



Coughing is a reflex that clear the throat and airways.

Causes

1 COPD ( chronic obstructive pulmonary diseases)

2 GERD ( Gastoesophageal reflux diseases )

3 Smoking

4 Throat disorders .such as croup in young children.

Chronic Cough

1 One of the most common reasons for seeking medical attention.

2'Defined as a cough persisting for at least 4 weeks.

Types

1 Vata ( Dry Cough )

2 Pitta . Kapha ( Productive cough )

3 Kshataja Kashayajanya

( Chronic bronchitis )

Diagnosis

1 Chest ausultation for wheezing . nasal and oral examination for sings of Postnasal drip
( Eg - cobblestone appearance or erythema of mucous )

2 chest x ray to exclude specific  praenchymal lung diseases .

3 Consider spirometry before and after bronchodilator metha - choline challenges . sinus CT scan and 24 hour Esophageal pH monitoring

4 Bronchoscopy.

Principal of Treatment

Shodhana Chikitsa  ( Panchakarma )

1 Snehana

2 Svedana

3 Vatanulomana.

Shamana Chikitsa

Drugs of choice - Kanthakari

Main Drug's - Vasa . Pippali , Bharangi , Yasthimadhu , Shringa.

Naimittika Rasayana - Vardhamana Rasayana , Dashamula Rasayana.

Recommended Classical Formulation

1 Chandramrita Rasa 125 mg TID with honey after meals.

2 Lakhshmivilasa Rasa 250 mg BD with warm water after meals.

3 Talisadi Churna 3 gm with honey TID after meals.

4 Sitopaladi Churna 3 gm TID with honey after meals.

5 Karpuradi churna 3 gm BD with warm water after meals.

6 Pippalyadi asava 20 ml TID with warm water after meals.

7 Kanakaasava ( Vata + Kapha  cough ) 10 ml BD with warm water after meals.

Diet and lifestyle

Pathya ( indications )

1 Low fat , hot diet

Apathya ( Contraindications )

1Cold , irritating , oily , curd , sour , speech .

Don't use mosquito repellant and pesticides if it causing cough.

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