Role of Ayurvedic drugs in KASA (COUGH) Dr. Rajtilak Tiwari M.D. ( Kayachikitsa) {Assistant Professor in Kayachikitsa dept. in Shivshakti lal sharma Ayurvedic College Ratlam (M.P.)}

1. Role of Ayurvedic drugs in KASA
(COUGH)
Dr. Rajtilak Tiwari M.D. ( Kayachikitsa)
{Assistant Professor in Kayachikitsa
dept. in Shivshakti lal sharma Ayurvedic
College Ratlam (M.P.)}

2. Brief Introduction of the disease:
• Kasa has been described as an independent disorder
as well as a symptom of many diseases like Tamaka
Swasa (Bronchial Asthma), Rajayakshma etc. Kasa
(Cough) is the disease or symptom of respiratory
tract occurring due to obstruction of Vata Dosha
and its reverse movement.

3. When occurring as an independent disease, it has
mainly 5 different presentations as described in
classical texts.
The characteristic sound and pain of cough produced
will be different according to causes of Dosha vitiation
& nature of obstruction to the forceful movement of
the Vata Dosha.

4. Case definition:-
• Prana Vayu obstructed in the respiratory tract due
to various reasons, attains upward direction and
comes out with force making specific sound is called
as Kasa.

5. Differential Diagnosis:
• Tamaka Swasa
• • Rajayakshma
• • Kshataksheena
• • Kapha Pittaja Jwara
• • Vata Kaphaja Jwara
• • COPD
• • Bronchitis
• • Bronchiectasis

6. Clinical Diagnosis:
• Kasa Pravriti (coughing), Aruchi (anorexia),
Jwaranubhuti (feverish), Kaphasthivana
(expectoration) and other specific Doshaja
symptoms as mentioned above.

7. Examination:
• • Throat congestion - In almost all types and more specifically in
Pittaja and Vataja Kasa.
• • Muco-purulent (greenish) sputum with foul smell – Kshayaja
Kasa.
• • Raised body temperature, raised pulse or feverish feeling - Pittaja,
Kshataja, Kshayaja Kasa.
• • Emaciated and debilitated general condition along with fever,
muco-purulent sputum, - Kshayaja Kasa.
• • On auscultation of chest,
• o Congestion, crepitation due to mucus/fluid trapped air – Kaphaja
Kasa
• o Wheezing in Vataja or Pittaja Kasa.

8. Various Presentation of Kasa
• Common clinical features: KASA (COUGH)
• Kasa Pravriti - Shushka or Sakapha. (coughing –
either dry or productive)
• Kasa depending upon its presentation is of five
types-

9. Types of Kasa with their characteristics
Features Vataja Pittaja Kaphaja Kshathaja Kshayaja
Character
of Sputum
Scanty, dry
and
difficult
expectorat
ion
Yellow Excess,
slimy and
thick
expectorat
ion
Dry
expectorat
ion
stained
with
blood.
Foul
smelling,
greenish
haemopty
sis with
pus.

10. Continue..
Pain Pain in
Hrut-
parshva-
urah-shira
Burning
sensation
in chest.
Painless
coughing
Excessive
pain in
throat,
pricking
pain in
chest
___
Voice Hoarsenes
s of voice
Change in
voice
- Change in
voice with
rhonchi
-

11. Associate
d features
Dryness of
chest,
throat,
mouth
Bitterness
of mouth,
Burning
sensation
in throat,
chest etc
sweetness
and
stickiness
in mouth,
Sinusitis,
Feeling of
fullness of
chest &
heaviness
of body
- pain in
flanks,
Sinusitis,
feeling
hollownes
s in chest

12. Continue..
Systemic
features
Anorexia,
Giddiness,
Weakness,
Unconscious
ness
Fever,
Thirst,
Anorexia,
Pandu
Giddiness,
Unconscious
ness
Diminished
appetite,
Anorexia
Fever,
Arthralgia,
Dyspnoea,
Thirst
Fever,
sudden
desire for
hot & cold,
glossy &
clear skin,
consumes
excessive
food; but
weak and
emaciated,
unformed/
hard stool

13. Investigation:
• No specific investigation is required to be
performed in this level.

14. Line of treatment:
• In Vataja Kasa-
• Snehapana - Ghrita with diet of Peya, Mudagyusha
or milk
• • Snigdha Swedana - Apply Sneha on chest area
(Abhyanga), and then hot fomentation with warm
hot water bag or hot Erand Patra1 (for 20 minutes).
• Parisheka – Snigdha Parisheka, preferably Ushna
Jala Siddha with Erand Patra2, Tila Taila.3
• • Dhoomapana - Snaihika

15. Kaphaja Kasa -
• Dhoomapaana - with Vairechanika Dhooma
using Maricha4, Pippali5, Ela6, Surasamanjari7
in conditions of Shirahshoola, Nasasrava,
Urogaurav. (heaviness in chest due to
congestion)

16. Common medicines at level 1 for Kasa
Vasa Svarasa Swarasa 20 ml two to three
times
Honey
Bibhitaki
Kwatha9
Decoction 20 - 40 ml Twice a day Luke warm water
Bibhitaki
Choorna10 +
PippaliChoorna11
Powder
2 gm + 1 gm
Twice a day Luke warm water
Yastimadhu
Churna12 +
Sitopaladi
Churna13
powder
1 gm + 2 gm
Twice daily Honey

17. Vataja Kasa-
• The treatment should be started with Snehana
with ghee, Peya/Yusha/Kshira prepared with
Vataghna drugs, Abhyanga, Parisheka,
Snigdha Sveda

18. Medicines for Vataja Kasa
drugs Dosage form dose Time of
administration
Anupana
Kantakaari
Ghrita14
Ghee 10 ML
Empty stomach
in early morning
and evening
Luke warm
water
Pippalyadi
Ghrita15
Ghee 10ML Empty stomach
in early morning
and evening
Luke warm
water
Rasna Ghrita16
Ghee 10ML Empty stomach
in early morning
and evening
Luke warm
water

19. Continue..
Talishadi
Choorna
powder 3 gm Twice a day Ghee and honey
Dashmoola
Kwatha
decotion 10ml Twice a day
Sharkara and
Ghrita
Agastya Haritaki Avaleha 6-12 gm
Twice a day Warm water
/milk

20. Medicines for Pittaja Kasa
Drugs Dosage form dose Time of
administration
Anupan
Vasa Churna powder 3gm Twice a day Madhu or
sharkara
Trinapanchmul
a + Pippali21
+
Drakshakashay
a22 Siddha
Kshira
powder 3gm Twice a day Madhu or
sarkara

21. Continue…
Gojihvadi
Kwatha23
Decocation 10 ml Twice a day water
Drakshadi
Leha24
Avaleha 6-12 gm Twice a day
Warm water
Kantakaryadi
Kwatha25
Decoction
12-24 ml Twice a day water

22. Medicines for Kaphaja Kasa
Drugs Dosage form Dose Time of
administretion
Anupan
Trikatu + Vasa Powder Lehana 3gm+ 2 gm Twice a day Madhu
Sitopaladi +
Bharangi
Powder lehana 3gm 1gm Twice a day Madhu
Pippali roasted
with Tila Taila
powder Twice a day sarkara

23. continue
Devadaaru +
Haritaki +
Musta + Pippali
+ Shunthi
Churna
Powder Lehana 1 gm each Twice a day Madhu

24. Common medicines at level 1 for Kasa
Drugs Dosage form dose Time of
administration Anupana
Vasa Svarasa8 Swarasa
20ml Two to three
times
honey
Bibhitaki
Kwatha9
Decoction 20 - 40 ml Twice a day Luke warm water
Bibhitaki
Choorna10 +
PippaliChoorna11
Powder 2 gm + 1 gm Twice a day Luke warm water
Yastimadhu
Churna12 +
powder 1gm+2gm Twice a day Luke warm water

25. Continue….
Bibhitaki
Choorna10
+
PippaliChoo
rna11
Powder 2 gm + 1 gm Twice a day Luke warm
water
Yastimadhu
Churna12 +
Sitopaladi
Churna13
powder 1gm+2gm Twice a day Luke warm
water