Efficacy of Bibhitakavaleha in Management of Kaphaja Kasa with special reference to Chronic Bronchitis

Abstract

Kasa is the disease of Pranavaha strotas. It may develop as an independent disease, symptom or complication. In Kaphaja Kasa Kasavega is associated with Bahala Ghana Nishtivana. It can be correlated with Chronic Bronchitis due to similarities of signs and symptoms. Chronic Bronchitis is characterized by productive cough associated with sputum for at least 3 consecutive months for more than two successive years. The initial symptoms are repeated attacks of productive cough which shows a steady increase in severity during the winter months and present all the year round with recurrent respiratory infections. Ayurveda described many herbomineral formulations for management of Kasa. One such formulation Bibhitakavaleha is mentioned in Gadanigraha, which consists of Bibhitaki (Terminalia bellerica Roxb.), Gomutra (Cow urine) and Madhu (Honey). Methods: In this case series 30 patients having classical symptoms of Kaphaja Kasa were treated with Bibhitakavaleha 10gm twice a day with lukewarm water for 15 days with the aim to prove the efficacy of it in the management of Kaphaja Kasa. Subjective criteria like Kasavega, Kasa nishtiva, Shwaskricchrata, Peenas, Shirshool and Aruchi with Laboratory parameters like TLC (Total Leukocyte Count), Neutrophils, Absolute Eosinophil Count (AEC) and ESR (Erythrocyte Sedimentation Rate) were assessed before and after treatment. Result: Significant improvement was observed in all parameters after treatment. Bibhitaki possesses Kashaya Rasa, Madhura Vipaka, Ushna Veerya & Laghu, Ruksha Guna which plays a major role in relieving Kasa. Conclusion: Hence it can be concluded that Kaphaja Kasa can be effectively treated with Bibhitakavaleha.