ROLE OF LAJADI CHURNA IN KAPHAJA KASA IN CHILDREN

Abstract

INTRODUCTION: In Kaphaja Kasa the predominant dosha is kapha and main feature is cough with expectoration. Cough is the fifth major symptom for which patients seek care and prevalence rate of which is 25% in children worldwide.As per vital statistics of India, year by year 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. In age group 1-4 it is 2nd major cause for death. Cough usually occurs in association with upper respiratory tract infection, acute pharyngitis, and acute bronchitis as well as in chronic sinusitis. More over in neglected cases series of complications are encountered. 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. Children having kapha predominant body and indulging in kaphakara-ahara and vihara dominantly increase the incidence of Kaphaja Kasa.In childhood age, Kasa may hamper the growth and development, should be treated earlier. In rural India improper food habits and polluting cooking sources affect the pediatric health. While in urban India, congested population, air pollution, pampering in food habits of junk food effects pediatric health Kaphaja Kasa is a clinical entity in which there is shwetakaphaPravartana(white cough expectorant), chardi(vomiting), peenasa (nasal congestion), mukhalepa (coating over palate), sampurnavakshamiva(fullness of chest), mandagni, aruchi(anorexia) and gaurava( heaviness). Patho-physiology of Kasa almost exactly correlates the mechanism of cough reflex. METHODOLOGY: Single Arm Trial AIMS AND OBJECTIVES: • To study the efficacy of Lajadichurna in Kaphaja Kasa • To study the eti-pathogenesis of Kaphaja Kasain children w.s.r. to today’s life style HYPOTHESIS: • NULL HYPOTHESIS (H0): There is no significant effect oflajadichurna in Kaphaja Kasa. • ALTERNATE HYPOTHESIS (H1): There is significant effect of lajadichurna in Kaphaja Kasa. RESULTS: Results obtained in this clinical trial showed statistically significant. DISCUSSION: • Aggravated Kapha dosha localize in Pranvaha Srotas i.e in Ura and results in Sampurna Vaksha miva. Katu rasa by its Laghu and Ruksha Guna. It comprises of Agni-Vayu mahabhoota. So it is Agneya in nature destroys Kapha dosha by all attributes and results in Srotovivarana. • Prakupita Kapha dosha causes utklesha and chardi lakshana in Kaphaja Kasa. Lajadi by laghu, ruksha guna, tikta- katu rasa reduces utklesha and chardi lakshana in Kaphaja Kasa. • Kapha in vitiated state increases Mamsa-Medadi dhatu qualitatively which results in Gaurav all over the body in Kaphaja Kasa. Lajadi by its Katu rasa which is Agneya (C.S 26/40) in nature scrapes these dhatu. CONCLUSION  The study revealed a remarkable efficacy of the Lajadi Churna in Kaphaja Kasa with a highly significant cure rate in most of the assessment criteria establishing the multifactored action of the drug.  The drug proved to be a safe formulation in paediatric practice without any adverse reactions. The medication was well tolerated by children with respect to palatability.  Due to the properties of Lajadi like kashaya, Katu Rasa and Katu Vipaka Kaphaghna action, it is effective in Kaphaj Kasa.