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.
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Chalakudy Days
01 COUGH
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
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
Patolamooladi Kashayam is very effective as it achieves good sodana too
04 CHEST CONGESTION AND DYSPNOEA
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
- 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
- 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
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
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
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
Kaphadhika sannipatha
Rx. Makaradwajam
Balajeerakadhi kashayam
Varanadhi / guggulu thikthakam kashayam
Swasa kuthara rasa + ginger juice 1-0-1
06 HEMO 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
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
Age: 66YRS.
c/o:
Severe coughing (productive)
Dyspnoea
Joint pain
Gas trouble.
Rx.
- Guggulu thiktakam ks + swasanandam gulika
- Vyoshadi vataka + tamboola lehya –muhur muhu
- Dasamoolarishtam +vasarishtam + kanakasavam (250 ml *3) 2 ounce with 2 dhanwantharam gulika.
- Water boiled with shundi
- 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
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
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
- 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