Respiratory System

Disclaimer

These lines/ prescriptions are the FINAL link between the late great clinicians and our generation. The clinical situations described here are my original first hand narration. The choice of medicines are based on the proven experiences my mentors had regularly utilised towards the fag end of their famous bright career. The prescription mentioned is EXACTLY what was written by them in paper. I have found them effective in my practice and also in my friends circles who were verbally communicated the same. How ever, I take no responsibility on the efficacy/ suitability on the same in the similar conditions you face. Readers are requested to exercise their discretion in understanding the condition and also picking up drugs selection.

  • FAROOK DAYS – Dr Sankaran Sir
  • CHALAKUDY DAYS -Vaidyabhooshanam Raghavan Tirumalpad Sir
  • KOLLAM DAYS – Dr Rajagopalan Sir.

Dear readers in coming days we hope to add more of such details with option of search button to make your navigation through these prescriptions very easy.

Chalakudy Days

01 COUGH
Clinical Features

9 months of pregnancy complains of cough

Treatments

  • Dhanwantharam Kuzhambu – for external application
  • Jeerakam – 6 Kazhanju, Goksharam – 4 Kazhanju, Nagaram – 2 Kazhanju in 1 idangazhi water, reduced to 1 Nazhi and 1 tavi – am, pm with one Dhanwantharam Gulika
  • Do not remain stagnant
  • Agastya Rasayanam at bed time could ensure good motion
02 SWASA ASSOCIATED WITH KUSHTA
Student callin over phone

A patient gets swasa seesawing Kushta

Kushta a bahya roga marga disease

Swasa as Abyanthara roga marge disease

It’s easy to deal swasa as it can be expelled easily

Tiktakam Kashayam very effectice as it acts on Kushta and has Kapha Pitta hara

Manibhadram be used as its indication on Swasa Kasa Kushta

03 KASA, SWASA AND KUSHTA
During practising in Thrissur a girl came with kasa, swasa and kushta simultaneously

Patolamooladi Kashayam is very effective as it achieves good sodana too

04 CHEST CONGESTION AND DYSPNOEA
Clinical Features

Man with servere chest congestion and dyspnoea. Doctors told that lungs one filled to phlegm and that one take has to be cut off/ operated. The patient decided to return home and come after 3 days, during that period, he came to sir.

Treatments

  • Kalashaakadi Kashayam was prescribed. He found relief as good motion occurred
05 CHEST CONGESTION
Clinical Features

  • Man with Chest congestion, Agnimadya and Swasa as he cannot take food
  • Allopathy doctors declared that death will certainly happen

Treatments

  • Panchakolam Kashayam; within 1 week he got well totally and lived for 3 years more
  • He was advised to have rice water as food and no solid food during
06 ASTHMA

Male

Clinical Features

  • Asthma

Treatments

  • Indukantham Kashayam + Kanakasavam
  • Agastyarasayanam (200gm) + Karpooradi Choornam (25gm) at bed time
  • Swasanandam gulika
07 SWASA

Female 15yrs

Clinical Features

Tiredness, liability and cough

Treatments

  • Sapippaleekam ———— vikaraa peenasadayaha + Dhanwantharam gulika
  • Mahavilvadi lehyam at bed time
08 EXERTIONAL DYSPNOEA

Lady C/o exertional dyspnoea, fever

  • Panchakolam Kashayam + Amrtharistam   am &pm after food Now Kashayam Sapippaleekam Sayavam sakulatham
  • Punarnavadi Kashayam + Punarnavasavam itself brings down the symptoms of vatarakta to  a significant level
09 ASTHMA

4 yrs old kid not getting relief from asthma

  • Girl whose skin lesion is not improving at Punarnavadi Kashayam + Punarnavasavam is put on Manibhadra gulam 15 gms in the morning early and that will cause good(virchana) is hence she is advised to bunk college for 14 days
  • Jatyadi keram externally

Kollam Days

01 PEENASA
lady 34 yr old came with her husband and brother thyroidectomy done; new c/o eye itching; body itching; blocked nose; breathlessness; constipation; bowel once in 2 days from early as sneezing, blocked nose, chest tightness

  • Agasthya rasayanam + sivanamritha 100mg
  • Vyoshadi vatakam +sivanamritha 100mg

She had c/o fever not responding and recurring

  • Sudarshanasavam+vasarishtam

Thus, using inhalation jeevanthyadi churnam of AH

Panchakola churnam 10 gm bd with honey

Allergic rhinitis steroids do not respond the pcops sivanamritha is the best drug of choice.sir opined in non-responding to steroids)

Santhigiri company has this medicine

02 LUNG FIBROSIS
regarding the lady with lung fibrosis as diagnosis sir opined many people have survived.

Previous prescription was

  • Vasarishtam+ draksharishtam + dhanwantaram gulika
  • Dasamoola rasayana 10 gm bd
  • Jeevanthyadi churnam of AH + panchakola churnam

Now changed to

  • Agra grahyadhi kashayam + hot water
  • Uro vasthi

The only treatment available in allopathy is steroids. It is incurable as per allopathy.sir opines that simplest way of understanding the situation is ‘ the lungs is like a sponge changes in to coconut shell.something spongy gets changed to fibrosis.

So urakshatha is the diagnosis  ‘urasya antha kshatha  vayu ‘  actually this is not the idea of trauma but the meaning is loss of structue. Maha dheenangal is only treated in ayurveda.

Must to have chicken. Chicken soup that is filled with  herbal powder . urovasthi  1 hr durn

Instrument based diagnosis is secondary.sir opined there is nothing  as best as  clinical knowledge.

‘koutaja thriphala in AH ‘

03 KASA
suresh babu – cough , more than 2 yrs ; all test done – normal

Cough starts from 5 pm to 8pm ; sometimes associated  with wheezing.(morning) . car without AC body becomes hot and  causes cough.

More sound ?? more phlegm?? Bowel clear ?? constipated??

Nature of piles ? protruding?

Here piles have seniority than  cough.here nothing related with chest . –apana vaigunyam. Some anti BP drugs cause  cough .

  • Pippalyadhi tailam – suppository  – evening
  • Agra grahyadh kashayam
  • Indhukantham kashayam + dhanwantaram gulika

NB: see kapha arsas

Allergic spectrum , temporary DM. He says stool have mucous in excess.

DD : Amoebiasis – kaphaja grahani

Panduthva this man appears pale. Guda bramsa is troublesome.

04 PLEURISY
pleurisy  wet&dry ( urasthoyam)

25 yrs ago

Rx like vidradhi

  • Varanadhi kashayam
  • Rasa sindhooram 1-0-1
  • Pleurisy comes by CA lung. Frothy air , fluids  gets lodged in the lower part of lung.
05 PNEUMONIA
pneumonia – swasanaka jwaram

Kaphadhika sannipatha

Rx.  Makaradwajam

Balajeerakadhi kashayam

Varanadhi / guggulu thikthakam kashayam

Swasa kuthara rasa + ginger juice 1-0-1

06 HEMO THORAX
haemo thorax

Chest injury

  • KAYYAPPAN  gulika
  • Agragrahyadhi kashayam
  • Makaradwajam
  • Kayyappan gulika + varanadhi kashayam JATHIPHALA  Indravalli Vidanga Jeeraka
  • Ajamoda
  • Hingu
  • Vacha
  • Bhoonimba
  • Medhika
  • Mayaphala
  • Katuki
  • Kayyappan gulika formula

The above should be grinded in jeeraka kwatha & manda for 1 yama

07 COUGH
suresh babu

Cough, haemerroids, not increasing ,not decreasing -2 weaks

Kaphaja arsas line

  • Indhukantham kashayam
  • Agasthya rasayanam
  • Sukumara ghritham
  • Agragrahyadhi kashayam
  • Pippalyadhi tailam Ureter replaced. And connect to intestine.effective medicine for RBC in urine.
  • Sir says it will take2 months easily surely to cure. If RBC  urine  gone to adreno carcinoma , tumour bladder then , surgery will be done.
  • “ gokantakabhiru sritham parninibhisthathaa paya”
08 ASTHMA

45 year old, chronic asthma, breathing difficulty, three days prior to periods, breathlessness relieves only after the stoppage of periods; many doctors treated for 15 years; her pandu and vata is the cause; swasa is relieved after treating pandu

PUNARNAVADI + MANDOORAVATAKAM started

Krichrarthavam- pandithvam- swasam- 2 months

INDRASAANI CHOORNAM + LOHA KANDHA BADARI CHOORNAM( sahasrayogam – pandu hridrogam )

09 RESPIRATORY ALLERGY

Devagayathri ; 3 year old; sore thriate , wheezing; LRTI; respiratory allergy

MATHALA RASAYANAM 1 TSP BD

VASARISHTAM

PIPPALYASAVAM

DRASHARISHTAM + DHANWANTARAM GULIKA

DASAMOOLARISHTAM

10 BREATHLESSNESS

One girl with breathlessness; strained speech;

VASAISHTAM + DRAKSHARISHTAM+KANAKASAVAM

SWASAKUDARA RASAM 1 BD

MATALA RASAYANAM

JEEVANTHYADI CHOORNAM + PANCHAKOLA CHOORNAM ( IF SRODOSODHANA )

This is sure for severe wheezing

Myasthinia gravis / Multiple sclerosis ?

DHANWANTARAM KASHAYAM BD

VARA ASANADI KASHAYAM reduced BP, cholesterol

GUGGULU TIKTHAKAM GRITHAM + VARACHOORNAM ( TRIPHALA –GRAAHI )

Treatment to be done on assessing the body / disease condition

11 BREATHLESSNESS

Riya 16 tears c/o cough; breathlessness

VASARISHTAM + DRAKSHADI BD

DHANWANTARAM GULIKA

ARAGWADADI KASHAYAM AGASTHYA RASAYANAM

DASAMOOLA RASAYANAM

12 ALLERGIC REACTION

# Mala 11 years ; c/o breathlessness; allergic to some food items ; relief by nebulization; itching on eyes and nose; absolute esnophil count 1250cells / mm3; esnophils 11%; Ig E level also increased; Normal Ig E level donot exclude allergic phenomenon

VYOSHADI LEHYAM+ SIVATHARAMRITHA

AGASTYA RASAYANAM + SHIVATARAMRITHAM

VARA PIPPALI CHOORNAM + JEEVANTYADI CHOORNAM ½ TSP WITH HONEY

SWASAKUTARA RASM ½ BD WITH TAMBULA SWARASAM+ HONEY

Recurrent UTI

GULUCHYADI KASHAYAM

CHANDRAPRABHA GULIKA AND GOKSHURA GUGGULU

13 COPD

# COPD-ILP, LUNG FIBROSIS; 1 YEAR medication

Agra grahyadi kashayam

DASAMOOLA RASAYANAM

ARJUNA ………….

RASNADASAMOOLA GRITHAM

14 SNEEZING

Karthik Krishnan- 15 years

Frequent sneezing

Reporting very good relief by agasthya rasayanam+swasamrtham

His eye itching is not present now

Regarding abscess

When pain and swelling- sopham

If pakwa- vranavath

When pain and swelling –nalpamaradi kashayam for drinking

Thailam eladi gana

Udwarthanam- bkashayam

Parisheka – asanadi gana

15 BRONCHIAL ASTHMA

Devanarayanan 3 years

Bronchial asthma

Draksharishtam, dasamoolarishtam+vasarishtam+KASTHOORYADI GULIKA+dhanwantharam gulika

Madala rasayanam

Panchakola choornam

16 ALLERGIC COUGH

Oshin 18 years allergic cough ,sound disturbed

Rx-agasthya rasayanam 1 tsp

Vyoshadi lehyam 2 tsp

Nasal polyp-varanadi kashayam

Achinococcus granulosis-krimi

Not possible to cut stomach, only aspiration other wise it will spred

17 EXERTIONAL DYSPNOEA

Exertional dyspneoa following trauma to chest

Rx- bala jeerakadi kashayam+dhanwantharam gulika

Dasamoola rasayanam

18 URTI

Rafees-12years-(26/6/2011)

1.jeevanthyadi choornam

2.panchakola choornam- ½ tsp bd

3.Maathalarasayanam-1 tsp bd

4.dasamoolarishtam+pippalyasavam+vasarishtam+kumaryasavam- 15ml bd

5.vettumaran

6.dhanwantharam gutika

He was having recurrent URTI, cold, cough, breathlessness since 10 years

TB was suspected, but ruled out

Since three months, now no problem at all after starting the above medicines.

He was suffering since 10 years and met many doctors without any success in treatment. He was on Makaradhwaja gutika bd since 1 month.

Sir opines, after 1 month, start indukantham gritham+sugar(not honey)

-his father says, milk, fried food and banana made at home always made his symptoms worse and that was always done by his mother in an attempt “to feed up” strongly.

“hruthpaandu grahaneeroga gulmasoolaaruchi jwaran

Kaamalaa rakthapittam cha mukharogaamcha naasayeth”

Vatasonitham-aadhyarogam

Urusthambham-aadhyavaatham

19 COUGH

A lady with chronic cough exacerbated by exposure to ash smoke etc.

Vocal cord paralysis

Treatment- rudraksham mixed with honey

20 HYPER VENTILATION

A lady with chronic cough exacerbated by exposure to ash smoke etc.

Vocal cord paralysis

Treatment- rudraksham mixed with honey

21 KASA

Aswathy 28 years, c/o dry cough, and occasional fever, not responding to modern medicine

Treatment-

-Sudarsanasava+ vettumaran gutika

-jeevanthyadi choornam+panchakola choornam bd

22 ASTHMA

George varghese, c/o sneezing, asthma, constipation

Blood results for TC,DC, ESR, FBS- Normal

Treatment-

-Agasthya rasayanam+sivanaramritha

-vyoshadi lehyam

23 COUGH

Case of cough and stomach pain

Treatment-

Vasarishtam+draksharishtam+pipplyasavam+dhanwantharam gutika

Agasthyarasayanam 1tsp +2g thaleesapathradi vataka

24 KASA

>Anand 4 years  mysore come with itching of eyes,pain in hands,constipation

c/o continuous cough

vasarishtam+kanakasavam+dasmoolarishtam+Draksharishtam+kasthuri kalpam 1 tsp tds with Dhanwantharam gulika

Mathala rasayanam 1 tsp tds

>c/o Asthmatic bronchitis  not responding to allopathy,homeopathy and was using inhaler without success

25 BREATHLESSNESS

>Jeepa with father

h/o of breathlessness in 2001.Progressive with increased effort exertion.

>Hareethaki vacha rasna pippali viswa bheshaja shadhi pushkaramoola

Punarnavadi kashayam

Varanadi choornam(varuna+Haridra)+ Gokshura choorna

Gokshura guggulu 1 bd

NB:It was asked to check BP of left arm.but could not get it even after 3 attempts.But on right hand by 2 attempts got and very faint 110 and fainter 80.This is very rare and sir himself has seen very few of such

Farook Days

01 KASA
MRS. SOSHAMANI

Age: 66YRS.

c/o:

Severe coughing (productive)

Dyspnoea

Joint pain

Gas trouble.

Rx.

  1. Guggulu thiktakam ks + swasanandam gulika
  2. Vyoshadi vataka + tamboola lehya –muhur muhu
  3. Dasamoolarishtam +vasarishtam + kanakasavam (250 ml *3) 2 ounce with 2 dhanwantharam gulika.
  4. Water boiled with shundi
  5. Dasamoola hareethaki in bed time.

Advice :

No head sweating

Avoid fried food

02 KASA

Jamine

32yrs

with C/F dry cough which aggrevates during night time

Treatment- dasamula katutrayam+ rasnadi ghrta 1 tsp at 6am 6pm

Vasarishta+ kanakasava+ swasananda 1 ounce 9am 9pm

Taleesadi churna 20gm+ ghrta 1 tsp+ honey ½ tsp muhur muhu

She was taking dasamula rasayana and dhanwantaram gulika etc. but here ghrta plays the major role.

03 SWASA AND KASA

Arun

12yrs

with swasam and kasam since 1 and ½ yrs. He has a history of tonsillitis and dust allergy.

Treatment- 1) tab of indukantham kas  2-0-2

2) vasarishta+ kanakasava+ swasanandam

3) tambula rasayanam    many times

4) rasnadi churna to apply over head

04 DYSPNOEA

Rajendran 27 yrs 

Clinical Features

  • itching on sweating-2yrs
  • dysnoea with cough on night-6 months
  • When itching(skin) & cough(lungs), breathlessness come together it is kaphatm

Treatments

  • Vyakriyadi kashayam + ½ tsp honey +1/2 tsp pippali churnam- dosha viparitham
  •  Vasarishtam + kanakasavam+ svasanandam( 1 in no)- 9am,9pm- vyadhi viparitam
  •  Manibhadram – bedtime 10gm
  • For bathing use

No : non veg,curd,milk,ice water,masham

( its kaphatmaka in koshta & sakha that’s it)

Same type case with thirumulpad sir

05 KASA

Ammukkutty Amma 65 yr s(vata age) 

Clinical Features

  • Kasam,bramasam
  • Productive white-relief on spitting-severe kapha
  • Bramam-either rasakshayam or pandu its net result is kapha kshayam

Treatments

  • Dasamoola katutrayam+swasanantham gulika
  • Vasarishtam+kanakasavam
  • Twageladi choornam or vyoshadi vatakam
  • Rasnadi choornam
  • Since katu kapha avastha
  • Vidaryadi kashayam+ksheerabala  10 drops
  • Madhura since niramavastha-balarishtam+njerinjil(oedema,micturition difficulty)
  • Ksheerabala-abhyangam/head massage
06 TAMAKA SWASA
Ramani 68 yrs

Tamaka swasa since 33 yrs

Shodhana not possible. Hence samana sneha which will not be utklesakara but dhatuparinama.

Thus, 6 am- grhta ;   gruel ;  11:30 am- grhta ;   lunch ;  5:30 pm- ghrta ;  dinner

Rasnadasamula ghrta only. Gruel should be given only when the patient is hungry.

07 KASA
Sreenath 5yrs

Dry cough – karpooradi

Productive cough – twageladi tamboola rasayanam

Treatments

  • pippalyasavum (1 ounce)  + kompanjalyadi gulika(10) 1-1-1
  • Tamboola rasayanam (kaphaharam,chedyam) – muhurmuhur /karpooradi choornam(vataharam, dry cough)
  • Agasthya rasayanam  1 tsp at bed time twakeladi choornam more kaphaharam if used in.
  • Karanja chitrako jaathy karaveerakya payitam
  • KARANJA TAILAM

Tailamebhidrutham hanyad  abhyangadi indralupthakam 

08 KASA

Miss Smrithi 14 yrs

Clinical Features

Barking cough even neighbors can hear

Shodana? urination?

Regular periods .allergy to  smell of  even  pappadam.familial history  of  asthma. father &grandmother

‘vata shleshmatmake tiktarooksha’

But  here is very  dry cough.still do rookshnaas kid is fatty.kid skipped  her breakfast  and lunch

Regularly had takram.if dadi productive  cough

Treatments

  • Indukantham +dhanwantharam  [6am.6pm]
  • .vasa +kanakasavam+swasanadam
  • .agastyarasayanam bd
  • .rasnadi ghritam 2 tsp
  • .twageladi choornam[3 tsp ]+honey [3 tsp] frequently
09 PEENASA

Clinical Features

Chronic sneezing, cured and reappeared 4 months back. Irritation and blackish discoloration of lips like that of a smoker with cracks. Round shaped  discolored elevations seen in both ankles.

Treatments 

  • Guggulutikthakam kashayam + dasamoolaharithaki lehyam – 6am
  • Guggulutikthakam kashayam + shaddharanam gulika – 6pm
  • Aragwadharishtam + kaishoraguggulu – after food
  • Eladi keram – E/A
10 ASTHMA
Treatments

  • Dasamoolakadutrayam + dhanwantaram gulika
  • Vasarishtam + kanakasavam + Dasamoolarishtam + swasanandam gulika
  • Dasamoolarasayanam
  • Ayapatra pippali prayoga
  • Hinguvachadi choornam
  • Annabhedi sindhooram 5gm – 1 drop + honey twice after food
  • Swasanandam gulika -1 with beatle leaf swarasa + honey at bed time
11 KASA

Moideen Koya 45yrs came on 03/04/1999

Clinical Features

Cough, dyspnoea, breathlessness, loss of sleep, bloody sputum since 9 months

Diagnosis

Ca bronchus, right UL 

Treatments

  • Guggulutikthakam kashayam + dhanwantaram gulika- 6am, 6pm
  • Twakeladi choornam – muhurmuhu
  • Vasarishtam + kanakasavam + swasanandam – 10am, 4pm
  • Ksheerapakam with bhallathaka, lashuna, arkamoola, gokshura, punarnava at bed time
12 DYSPNOEA

Joseph 75 yrs

Clinical Features

Difficulty in breathing, as a feeling of drowning in the water, as in a narrow place, stambana of stomach on eating food,this causes constipation, abdominal discomfort, constipation lasts for 2 days(dry), cough, when cough starts then it lasts for 1 month to stop – 2 months

  • Chronic liver disease
  • HTN
  • DM

History of Clinical Features

  • malaria 45 yrs ago. No recurrence. Earlier   
  • night fever with tikthasyata, no interest towards  food
  • When a host of complaints are presented  go by the following

Treatments

  • Gandharvahasthadi kashayam + dasamoola hareethaki lehyam 1 table spoon 6am, 6pm
  • Vaiswanara churnam 2tsp 11am, 4pm
  • Dhanwantaram gulika-3 in no: mixed in special water of 10 gm fenu greek, jeeraka, sunthi, lasuna, kulatha, vyaghri. Reduce ¾ to ½  and have this muhurmuhu

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