An Ayurvedamanagement of Vataj Kasa – A Case Study

The Prana and UdanaVayu are responsible for normal functioning of praanvahasrotas, which can be altered due to causative factors in turn lead to manifestation of Kasa which is characterized by these lakshanasShuska gala, Shuskakasa with shuskaalpakapha, Swarbheda, ParshavShool, Shriashool, Urashool, Dourbalya etc. Paediatric age groups are more prone to respiratory tract infections, immunological concerns, and social factors such as school attendance, incorrect eating, and eating habits due to anatomical and physiological characteristics. Ayurveda has a lot of drugs to cure respiratory disorder, So this case study was conducted and get the positive result in treatment. AIM: To evaluate the efficacy of ayurveda management on vatajakasa. Study Design: Single Case Study Place: Parul Ayurved Hospital, Parul University, Limda, Vadodara, Gujarat. Duration Of Study: 14 days and follow up after 7days. Methodology: Internal medication to reduce the sign and symptoms of vatajkasa. As a result, this article addresses the problem using Ayurvedic treatment methods like Aparajit Avaleha, which delivers a safe and effective solution. Case Study Baloda et al.; JPRI, 33(39B): 150-157, 2021; Article no.JPRI.71856 151


INTRODUCTION
Ayurveda is the Indian science of how to create a long and healthy life [1]. Ayurvedic medical science is one of the world's oldest holistic healing systems [2]. Science of Ayurveda has evolved from the contemplative minds of ancient seers for the intension to heal all the humanity [3]. It deals with the dynamic changes and effects, which occurs in the body and explains methods to manage these changes. Disease can be caused by two factors internal and external, with external contributing to over 80% [4]. Outside factors include mostly infections and infestations, allergens, food and environment. Main internal factors include body immunity, genotypic susceptibility and physiological state of peculiarities at different stages of life [5].
The Prana and UdanaVayu are responsible for normal functioning of praanvahasrotas, which can be altered due to causative factors in turn lead to manifestation of Kasa. Vatajakasa which is characterized by these lakshanasShuska gala, Shuskakasa with shuskaalpakapha, Swarbheda, ParshavShool, Shriashool, Urashool, Dourbalyaetc [6].
Respiratory system is always in contact with the external environment from birth until death, so it is highly vulnerable to infections and in most circumstances is considered the primary victim of hyper-sensitization. In developing and developed countries around the world, Respiratory Tract Infections (RTI) reports for over 50 percent of patients attending paediatric OPD [7].
Cough is the reflex action to clear your airways of mucus and irritants such as dust or smoke. Common causes of cough are upper and lower respiratory tract infection, allergic rhinitis, bronchitis, pneumonia, hay fever, asthma, COPD, Tuberculosis. Dry cough means it is tickly and doesn't produce any phlegm (thick mucus). Dry cough includes shortness of breath, fatigability, sore and dry throat, heartburn, pain in flank region, dryness of mouth and throat, hoarseness of sound. Prevalence rate of cough is 9% in school going children worldwide. In India, mortality rate due to respiratory system disorders is increasing which is also, one of the six major categories of death and on the third position [8].

Aim and Objectives
To evaluate the efficacy of ayurvedi management-on vatajakasa 1.2 Objective

Primary objective
To find efficacy of AprajitaAvaleha in management of vatajakasa

Secondary objective
To find ayurvedic cure in respiratory disorder.

CASE DESCRIPTION
On 24/02/2020, a male patient aged 12 years, OPD reg. no. 20004991, visited OPD of Kaumarbhritya, ParulAyurved hospital, withShushkaKasa(dry cough),Shuska Gala (dry throat), Swarbheda, Parshavshool and frequent waking at night due to coughing. They took medicine from nearest medical centre but did not got relief. So, they presented to OPD of Kaumarbhritya, Parul Ayurved hospital for management of symptoms of ShuskaKasa (dry cough).

HISTORY OF PRESENT ILLNESS
Apparentely patient was healthy before 6 dayshe gradually acquired some bout of dry cough in the night and day with dry throat, Parshavshooland swarbheda. The patient was unconcerned about it and ignored it, but after some time, his mother noticed continuous bouts of dry cough with some roughness in his voice. After that patient's parents took her nearby hospital. There he was diagnosed with dry cough (vatajakasa) and given suitable medicine to him. Patient took 4 days of treatment but he didn't getfull relief. In order to get a suitable solution for above said complaints they visited our hospital ParulAyurved hospital for further management.

OBSERVATION AND RESULTS
Regular oral use of AprajitAvaleha was observed. Which help in reducing the sign and symptoms of vatajakasa(dry cough).

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Karkatshringi [13,14], has properties like relief in thirst, Parshavshool, loss of appetite and also provide relief in breathing difficulties. UshnaVirya help in vatadosha.

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Pippali [15,16,17] has anti-inflammatory, antibacterial, antispasmodic, and Immunostimulator properties. These properties help this Avaleha in relieving the symptoms like swelling, breathing difficulty, spasm of respiratory system and in boosting immunity of body. Krimi Ghana, UsnaVirya, Madhura Vipaka and Vatasamaka property provide relief in Vatajadoshasamana and kill microorganisms responsible for Kasa.

CONCLUSION
VatajaKasais a prominent feature of vitiation of Vata and it is of more concern especially in children about respiratory disorder. Ayurveda remedies may have high potential to control the VatajaKasawithout any complication. In this study encouraging results was obtained in VatajaKasa. There is significant reduction in the symptoms of Kasa with the use of AparajitAvaleha and is found to be safe and effective.

DISCLAIMER
The products used for this research are commonly and predominantly use products in our area of research and country. There is absolutely no conflict of interest between the authors and producers of the products because we do not intend to use these products as an avenue for any litigation but for the advancement of knowledge. Also, the research was not funded by the producing company rather it was funded by personal efforts of the authors.

ETHICAL APPROVAL
As per international standard or university standard written ethical approval has been collected and preserved by the author(s). IEC: -Apporved ( PU/PIA/IECHR/2019/163) CONSENT As per international standard or university standard, patient's written consent has been collected and preserved by the author(s).