Critical Analysis of Charakokta Mahakashaya in the Management of Respiratory Allergic Disorders (RAD)

Abstract

As the life becoming more and more mechanical, with rapid raise in industrialization, there will be subsequent increase in Respiratory allergic disorders in childhood clinical practice. Grievance of this problem   can be understood by statistical view which shows 5-20% of the pediatric populations are sufferers of Respiratory Allergic Disorders (RAD) as per the latest reports. Acharya charaka mentions a variety of causative factors or  Hetus  for the same , like  house dust, industrial  dust, pollens , mites etc ( Rajasa )  or chemical  gases , fumes, toxic  output of industry  (Dhooma  ,  dry food, junk food or  stored  food  (Rukshaanna) and   abnormal   and  irregular food habits (Vishamashan ) . Further depending on severity and specificity of the Hetu and symptoms, same can be classified as Vataja or Vata-Kaphaja variety of Kasa. Kasa  which  is also  a symptoms in many  disorders  and  also a individual disease as per  Ayurveda  interaction between the  environment, diet, immune state of the child , and genetic tendency of certain allergic  disorders and familial  tendency of  atopic  disorders will  play  major role in the manifestation. Moreover respiratory allergies   are greatly attributed to hyper responsiveness of respiratory mucosa triggering histamine release and mast cell activation.  Same can be understood as aberration of body immune system or Ojus due influence of deranged Vata, Kapha and Pitta in Ayurvedic standard.  However Ayurveda stronglyproposes number of drugs which are beneficial in Kasa which acts similar to anti-histaminic or mast cell stabilizing agents.   Hence the present paper is focused on Charakokta Mahakashaya to determine the role of Shwashara Mahakashaya, Kasahara Mahakashaya,and Vishaghna Mahakashaya for the effective management of Respiratory Allergic  Disorders,  with special focus to critical analysis of pharmacological actions based on various experimental and clinical studies of  Shwashhar, Kasahar, and Vishaghna mahakashaya .

Keywords: Dhooma; Kasahar; Rajasa; Rukshaanna ,Shwashar; Vishaghna mahakashaya;; Respiratory allergic disorder