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<big>'''Abstract </big>'''

<big>'''Abstract </big>'''

 

''Hikka, shwasa'' and ''kasa'' (hiccups, dyspnea and cough) are the three main diseases of ''pranavaha srotas'' (respiratory system). There are clinical and treatment similarities between these three disease conditions that is why these diseases are being described together. ''Kasa'' is categorized in to five kinds as ''vataja, pittaja, kaphaja, kshataja'' and ''kshayaja''. The former three are curable with proper medication while the remaining two are ''yapya'' (palliable). ''Nidana parivarjana'' (avoidance of etiological factors), ''shodhana'' (purificatory therapy), ''shamana'' (palliative drugs), ''vyadhiahara rasayana'' (disease specific treatment) are the principles of treatment for all types of ''kasa''. Administration of ''shodhana'' has been given importance. The reduction in persistent nature of illness with episodic exacerbation and the severity is possible if all modalities of management like ''shodhana, shamana'', and ''vyadhihara rasayana'' are followed as treatment.

''Hikka, shwasa'' and ''kasa'' (hiccups, dyspnea and cough) are the three main diseases of ''pranavaha srotas'' (respiratory system). There are clinical and treatment similarities between these three disease conditions that is why these diseases are being described together. ''Kasa'' is categorized in to five kinds as ''vataja, pittaja, kaphaja, kshataja'' and ''kshayaja''. The former three are curable with proper medication while the remaining two are ''yapya'' (palliable). ''Nidana parivarjana'' (avoidance of etiological factors), ''shodhana'' (purificatory therapy), ''shamana'' (palliative drugs), ''vyadhiahara rasayana'' (disease specific treatment) are the principles of treatment for all types of ''kasa''. Administration of ''shodhana'' has been given importance. The reduction in persistent nature of illness with episodic exacerbation and the severity is possible if all modalities of management like ''shodhana, shamana'', and ''vyadhihara rasayana'' are followed as treatment.

'''Keywords''': ''kasa'', cough, treatment of cough, respiratory diseases, ''kshataja, kshayaja, Snehapana, vamana, virehna, vairechanika nasya'' (nasal catarrhal), ''dhumapana'' (medicated cigarettes).

'''Keywords''': ''kasa'', cough, treatment of cough, respiratory diseases, ''kshataja, kshayaja, Snehapana, vamana, virehna, vairechanika nasya'' (nasal catarrhal), ''dhumapana'' (medicated cigarettes).

 

{{Infobox

{{Infobox

|title = Kasa Chikitsa

|title = Kasa Chikitsa

== Introduction ==

== Introduction ==

 

''Pranavaha srotas'' is a vital system of the body and although this ''srotas'' is more susceptible to abuse from little amount of smoke, allergens, adulterants, petrochemicals and  many pollutants in atmosphere, there are a variety of disorders and diseases that are temporary and harmless, while others can be life threatening. In literature, ''pranavaha srotas'' disorders are elaborated under the heading of ''shwasa, kasa, hikka, rajayakshma'' and ''urakshata'' (''kshata-kshina''). Cough, expectoration, breathlessness, sore throat, chest pain are common clinical features of respiratory diseases. ''Kasa'' is one such disease, which is identified by the hoarse phonetic sound, produced due to the pathological process of ''doshadushti'' (vitiation of ''dosha''), ''vimarga gamana'' (diverted movement) of ''pranavata'' and ''avarana'' (occlusions) of ''vayu'' by the ''kapha''. The main pathology is in chest region with reduced functioning of the respiratory system.  

''Pranavaha srotas'' is a vital system of the body and although this ''srotas'' is more susceptible to abuse from little amount of smoke, allergens, adulterants, petrochemicals and  many pollutants in atmosphere, there are a variety of disorders and diseases that are temporary and harmless, while others can be life threatening. In literature, ''pranavaha srotas'' disorders are elaborated under the heading of ''shwasa, kasa, hikka, rajayakshma'' and ''urakshata'' (''kshata-kshina''). Cough, expectoration, breathlessness, sore throat, chest pain are common clinical features of respiratory diseases. ''Kasa'' is one such disease, which is identified by the hoarse phonetic sound, produced due to the pathological process of ''doshadushti'' (vitiation of ''dosha''), ''vimarga gamana'' (diverted movement) of ''pranavata'' and ''avarana'' (occlusions) of ''vayu'' by the ''kapha''. The main pathology is in chest region with reduced functioning of the respiratory system.  

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

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

 

== Sanskrit Text, Transliteration and English Translation ==

== Sanskrit Text, Transliteration and English Translation ==

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iti ha smAha bhagavAnAtreyaH||2||  

iti ha smAha bhagavAnAtreyaH||2||  

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

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

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*Since ''udanavata'' is not available, the physiological mechanism of ''kasa'' (cough reflex) starts to work causing forceful, frictionful expectoration with sound.

*Since ''udanavata'' is not available, the physiological mechanism of ''kasa'' (cough reflex) starts to work causing forceful, frictionful expectoration with sound.

*In order to prevent damage to delicate mucosa and avoid friction, treatment with good amount of ghee after meal is best.

*In order to prevent damage to delicate mucosa and avoid friction, treatment with good amount of ghee after meal is best.

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

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