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Comparative Study of Haritaki Varieties in Kaphaja Kasa

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Journal name: Ayushdhara
Original article title: A Comparative Clinical Study of Two Varieties of Haritaki, Terminalia Chebula Retz. and Terminalia Pallida Brandis in Kaphaja Kasa
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Author(s):

Kuppachi Anusha
PG Scholar, Dept. of Dravyaguna, S.V. Ayurvedic Medical College, Tirupati, A.P. India.
Bulusu Sitaram
Professor, Dept. of Dravyaguna, S.V. Ayurvedic Medical College, Tirupati, A.P. India.
S.Pavan Kumar
Assistant Professor, Dept. of Dravyaguna, S.V. Ayurvedic Medical College, Tirupati, A.P. India.
K.Suvarna
PG Scholar, Dept. of Dravyaguna, S.V. Ayurvedic Medical College, Tirupati, A.P. India.


Ayushdhara:

(A peer-reviewed, bi-monthly open-access journal)

Full text available for: A Comparative Clinical Study of Two Varieties of Haritaki, Terminalia Chebula Retz. and Terminalia Pallida Brandis in Kaphaja Kasa

Year: 2021 | Doi: 10.47070/ayushdhara.v8i6.824

Copyright (license): CC BY-NC-SA 4.0


Download the PDF file of the original publication


Summary of article contents:

Introduction

The clinical study investigates the comparative efficacy of two varieties of Haritaki, namely Terminalia chebula Retz. and Terminalia pallida Brandis, in treating Kaphaja Kasa, a condition characterized by cough and respiratory discomfort due to Kapha dosha imbalance. The research highlights the contemporary relevance of traditional Ayurvedic medicines and examines their effectiveness in managing respiratory issues. Conducted on 30 patients aged between 16 to 60 years, the randomized trial divided the participants into two groups, each receiving a different variety of Haritaki in powdered tablet form, alongside recommended warm water for optimal absorption.

The Effectiveness of Haritaki in Respiratory Conditions

One notable finding of the study is the superior effectiveness of Terminalia pallida Brandis in alleviating symptoms of Kaphaja Kasa. Patients in this group showed a remarkable 91.3% relief in cough severity compared to 72.72% in those treated with Terminalia chebula Retz. Furthermore, the Group-B patients reported greater improvements in related symptoms such as sputum expectoration (88.23% relief) and hoarseness of voice (94.11% relief). These differences in treatment outcomes suggest that while both varieties possess beneficial properties, Terminalia pallida may be more efficacious for specific symptoms associated with Kaphaja Kasa.

Comparative Analysis of Subjective and Objective Parameters

The study evaluated subjective parameters, including cough frequency, sputum expectoration, and rhinitis, alongside objective measures such as total count (TC), eosinophil levels, and erythrocyte sedimentation rate (ESR). Statistically significant improvements were observed in both groups for these clinical assessments. However, Group-B demonstrated more pronounced reductions in eosinophil count and ESR, indicating a more effective modulation of the inflammatory response. These findings emphasize the importance of regional herbal medicines like Terminalia pallida, which can provide significant health benefits and contribute to traditional healing practices.

Conclusion

In summary, the clinical trial underscores the therapeutic potential of Haritaki varieties in managing Kaphaja Kasa. The comparative analysis demonstrates that Terminalia pallida Brandis is particularly effective, offering profound relief for respiratory symptoms and improving overall patient health. This study not only supports the continued use of Ayurvedic treatments in modern healthcare settings but also encourages further exploration into the biochemical properties of various indigenous herbs. Ultimately, the findings could pave the way for integrating traditional medicine with current medical practices, enhancing patient care strategies for respiratory illnesses.

FAQ section (important questions/answers):

What was the objective of the clinical study?

The study aimed to compare the effectiveness of two types of Haritaki, Terminalia chebula and Terminalia pallida, in relieving Kaphaja Kasa, a respiratory condition, and to find a commonly available drug for cough relief.

How were the patients selected for the study?

Thirty patients aged 16 to 60 years with Kaphaja Kasa signs and symptoms were selected from the outpatient department, ensuring they met specific inclusion and exclusion criteria.

What were the main findings of the study?

The results indicated that Terminalia pallida was more effective in relieving symptoms of Kaphaja Kasa compared to Terminalia chebula, with patients showing significant improvement in cough, sputum expectoration, and hoarseness of voice.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Comparative Study of Haritaki Varieties in Kaphaja Kasa�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Kasa (Kasha):
Kasa is a disease affecting Pranavaha srotas. It may develop as an independent disease or as a Lakshana associated with another disease. In the context of Ayurveda, it is related to symptoms such as cough, either productive or dry.

2) Haritaki:
Haritaki is one of the three fruits of Triphala and is used extensively in Ayurveda. It possesses Kashayarasa (astringent taste) and Rasayana (rejuvenative) properties, making it effective in treating Kaphaja Kasa.

3) Kaphaja:
Kaphaja is a classification in Ayurveda denoting diseases or symptoms caused by an imbalance in Kapha Dosha. In the study, Kaphaja Kasa refers to cough associated with excess Kapha.

4) Terminalia chebula:
Terminalia chebula, also known as Haritaki, is a fruit used in Ayurveda. The study involved comparing its efficacy with Terminalia pallida in treating Kaphaja Kasa.

5) Medicine:
Medicine in this context refers to Ayurvedic treatments such as Churnam tablets made from Terminalia chebula and Terminalia pallida, used for treating Kaphaja Kasa.

6) Drug:
Drug refers to substances used for medical treatment. In this study, Haritaki, from the fruits Terminalia chebula and Terminalia pallida, is used to treat Kaphaja Kasa.

7) Jvara:
Jvara refers to fever in Ayurveda. It is listed as one of the symptoms that could manifest if Kasa is left untreated.

8) Svarabheda (Svara-bheda):
Svarabheda is a synonym for Svarabheda, indicating hoarseness of voice, a significant symptom relief noted in the study with Terminalia pallida.

9) Pinasa:
Pinasa refers to rhinitis or nasal discharge, another symptom assessed in this study of Kaphaja Kasa patients.

10) Kapha:
Kapha is one of the three doshas in Ayurveda. It represents the body's structure and stability and is one of the imbalances in Kaphaja Kasa.

11) Disease:
The term 'disease' in this context refers to conditions like Kasa, which affect the respiratory system and may lead to symptoms like cough and fever.

12) Inference:
Inference in the study highlights that the use of Terminalia pallida was more effective in treating Kaphaja Kasa compared to Terminalia chebula.

13) Rasayana (Rasa-ayana):
Rasayana refers to rejuvenative treatments in Ayurveda. Haritaki is considered a potent Rasayana drug, beneficial for treating Kaphaja Kasa.

14) Fever:
Fever, or Jvara, is a symptom of Kasa when left untreated. In the subjective parameters, it was measured to assess treatment effectiveness.

15) Dravyaguna (Dravya-guna):
Dravyaguna is a branch of Ayurveda focusing on the properties and actions of medicinal substances. The study falls under this department at S.V. Ayurvedic Medical College.

16) Tirupati (Thirupati, Tiruppati):
Tirupati is a location in Andhra Pradesh, India, where S.V. Ayurvedic Medical College is based, and where this study was conducted.

17) Powder:
Powder refers to the form in which the fruits of Terminalia chebula and Terminalia pallida were processed before being made into tablets for treatment.

18) Anupana:
Anupana is a carrier substance taken with medicines in Ayurveda. In this study, warm water was advised as Anupana for the Churnam tablets.

19) Ushna (Usna):
Ushna refers to warmth. Haritaki is described to have Ushna Virya (hot potency), which is beneficial in treating conditions caused by Kapha.

20) Tridoshahara (Tridosahara, Tridosha-hara):
Tridoshahara means balancing all three doshas (Vata, Pitta, and Kapha). Haritaki is described as Tridoshahara, making it useful for a wide range of conditions.

21) Shrinivasa (Shri-nivasa, Srinivasa):
Srinivasa refers to the location of the Ayurveda pharmacy where the tablets of Terminalia chebula and Terminalia pallida were prepared.

22) Ayurveda (Ayus-veda):
Ayurveda is the traditional Indian system of medicine under which this comparative study of Terminalia chebula and Terminalia pallida was conducted.

23) Madhura:
Madhura refers to the sweet post-digestive effect (Vipaka) of Haritaki, contributing to its Rasayana and Tridoshahara properties.

24) Ruksha (Ruksa):
Ruksha is one of the Gunas (qualities) of Haritaki, meaning it possesses dryness, which helps manage excessive Kapha in conditions like Kaphaja Kasa.

25) Kshaya (Ksaya):
Kshaya refers to emaciation that occurs if Kasa is left untreated. Preventing Kshaya is a goal of timely Ayurveda treatments.

26) Vamana:
Vamana is a therapeutic emesis procedure in Ayurveda, recommended as the first line of treatment for Kaphaja Kasa by Acharya Susruta.

27) Vipaka:
Vipaka is the post-digestive taste. Haritaki has Madhura Vipaka, contributing to its beneficial effects in balancing doshas.

28) Lavana:
Lavana means salty. Haritaki is unique as it is said to possess all Rasa except Lavana, making it versatile in treating various conditions.

29) Laghu:
Laghu means lightness. Haritaki's Laghu Guna helps mitigate the heaviness associated with Kapha-derived disorders like Kaphaja Kasa.

30) Svara (Shvara):
Svara refers to voice. Conditions affecting the Svara, such as Svarabheda, were assessed in this study to evaluate the treatment's effectiveness.

31) Virya:
Virya is the potency of a substance. Haritaki has Ushna Virya, meaning it generates heat, which is beneficial in treating Kapha disorders.

32) Bheda:
Bheda in this context refers to the disruption or breaking down of symptoms like Svarabheda (hoarseness of voice), treated in the study with Haritaki.

33) Kaya:
Kaya means body. Therapeutic procedures like Vamana aim to expel Dushita Kapha from the Kaya (body), providing relief in conditions like Kaphaja Kasa.

34) Guna:
Guna refers to qualities. Haritaki's Guna such as Laghu and Ruksha make it effective against Kapha-related disorders like Kaphaja Kasa.

35) Pharmacological:
Pharmacological refers to the study of drug properties and effects. The study assesses the pharmacological actions of Haritaki varieties.

36) Cikitsasthana (Cikitsa-sthana):
Cikitsasthana is a section of classical Ayurvedic texts like Carakasamhita, where therapies and treatments are discussed, including those for Kasa.

37) Caraka-samhita:
Carakasamhita is a foundational text of Ayurveda, which discusses therapeutics including the use of Haritaki for Kasa.

38) Tuberculosis:
Tuberculosis is a serious disease mentioned in the exclusion criteria for the study, as its treatment differs from Kaphaja Kasa.

39) Katudravya (Katu-dravya):
Katu-dravya refers to substances with a pungent taste. Avaleha made of Katu-dravya is recommended post-Samsodhana to treat residue Kapha.

40) Udanavata (Udana-vata):
Udana-vata is one of the subtypes of Vata involved in respiratory functions, often implicated in disorders like Kaphaja Kasa.

41) Samshodhana (Samsodhana):
Samsodhana refers to cleansing procedures in Ayurveda, advised for the management of Kaphaja Kasa to remove Dushita Kapha.

42) Kaphadosha (Kaphadosa, Kapha-dosha):
Kapha-dosa is another term for Kapha imbalance, central to the development of Kaphaja Kasa which the study aims to relieve.

43) Perception:
Perception in this context refers to the sensory experience, such as loss of taste perception noted in Kaphaja Kasa patients.

44) Discussion:
Discussion in the study concluded that Terminalia pallida was more effective than Terminalia chebula in treating Kaphaja Kasa.

45) Pranavata (Prana-vata):
Pranavata is another subtype of Vata involved in respiratory functions. Its obstruction may lead to respiratory disorders like Kaphaja Kasa.

46) Shvasahara (Svasahara, Shvasa-hara):
Svasahara refers to anti-asthmatic drugs. Haritaki is classified as such due to its effectiveness in treating Kaphaja Kasa.

47) Samshamana (Samsamana):
Samsamana refers to pacifying treatments in Ayurveda used alongside Samsodhana to manage Kaphaja Kasa.

48) Dhumapana (Dhuma-pana):
Dhumapana is a therapeutic smoking procedure in Ayurveda, recommended for expelling Kapha and relieving Kaphaja Kasa.

49) Substance:
Substance generally refers to the medicinal ingredients like Haritaki, which contain active constituents used in Ayurveda for treating diseases.

50) Nighantu (Nighamtu):
Nighantu are Ayurvedic lexicons documenting medicinal plants like Haritaki, highlighting their therapeutic significance.

51) Triphala (Tri-phala):
Triphala is a traditional Ayurvedic formulation composed of three fruits, including Haritaki, used for its Rasayana properties.

52) Lakshana (Laksana):
Lakshana refers to symptoms or signs of a disease, such as those of Kaphaja Kasa documented in the study.

53) Kasahara (Kasa-hara):
Kasahara means 'cough-relieving'. Haritaki is categorized as Kasahara in Ayurvedic texts for its effectiveness in treating cough conditions.

54) Tirumala (Thirumala):
Tirumala refers to the hills near Tirupati, Andra Pradesh, from where fruits of Terminalia chebula and Terminalia pallida were sourced for the study.

55) Upadrava:
Upadrava refers to complications of diseases. Kasa can lead to other conditions like Jvara (fever) if left untreated.

56) Hrillasa (Hrllasa):
Hrillasa refers to nausea, a symptom that can arise from Kasa when it is not treated promptly.

57) Samhita:
Samhita refers to classical Ayurvedic texts that provide descriptions and treatments of diseases like Kaphaja Kasa (cough).

58) Avaleha:
Avaleha is a herbal jam formulation. It is used in Ayurveda post-Samsodhana to eliminate remaining Kapha in Kaphaja Kasa.

59) Dusita (Dushita):
Dushita means vitiated. Vamana is used to expel Dushita Kapha, the vitiated dosha contributing to Kaphaja Kasa.

60) Suvarna:
Suvarna may refer to a co-author named K. Suvarna, listed as contributing to the study on Haritaki for Kaphaja Kasa.

61) Dravya:
Dravya refers to medicinal substances. The study focuses on two Dravyas, Terminalia chebula and Terminalia pallida, for treating Kaphaja Kasa.

62) Abhaya:
Abhaya is another name for Haritaki, indicating its significance in Ayurvedic classical texts, especially in Rasayana treatments.

63) Andhra (Amdhra):
Andhra refers to Andhra Pradesh, the Indian state where Tirupati is located and where the study on Kaphaja Kasa was conducted.

64) Nidana:
Nidana refers to the causative factors of a disease. Nidana Parivarjana means avoiding causative factors, an essential step in treating Kaphaja Kasa.

65) Srotas (Shrotas):
Srotas refers to channels in the body. Pranavaha Srotas are respiratory channels affected in diseases like Kaphaja Kasa.

66) Family:
Family refers to the botanical family of the studied plants; both Terminalia chebula and Terminalia pallida belong to Combretaceae.

67) Nausea:
Nausea, or Hrillasa, is a potential symptom of neglected Kasa, leading to further complications if not addressed.

68) Dosha (Dosa):
Dosa refers to the fundamental bio-elements in Ayurveda. The focus is on Kapha Dosha in the study of Kaphaja Kasa.

69) Udana:
Udana is a subtype of Vata dosha associated with respiratory functions. It may be disrupted in Kaphaja Kasa.

70) India:
India is the country where the study was conducted, specifically in Tirupati, Andhra Pradesh, highlighting the use of traditional Ayurvedic practices.

71) Kumar:
Kumar refers to Pavan Kumar, an Assistant Professor involved in the study assessing Terminalia species' efficacy against Kaphaja Kasa.

72) Balya:
Balya refers to strength-promoting substances in Ayurveda. Haritaki's Balya properties support its use in managing Kaphaja Kasa.

73) Pavan:
Pavan refers to S. Pavan Kumar, a co-author of the study and an Assistant Professor at S.V. Ayurvedic Medical College.

74) Ayus (Ayush):
Ayush refers to the traditional systems of medicine in India, including Ayurveda, under which this comparative study falls.

75) Shiras (Siras, Siro, Shirash):
Siras refers to head channels in Ayurveda. Sirovirechana (nasal cleansing) is recommended for Kapha-related conditions like Kaphaja Kasa.

[Note: The above list is limited to 75. Total glossary definitions available: 79]

Other Science Concepts:

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Discover the significance of concepts within the article: �Comparative Study of Haritaki Varieties in Kaphaja Kasa�. Further sources in the context of Science might help you critically compare this page with similair documents:

Dosha, Vamana, Upadrava, Samshodhana, Shirovirechana, Samshamana, Terminalia chebula, Terminalia pallida, Debility, Kaphaja Kasa, Hoarseness of voice, Follow-up, Statistical evaluation, Nidana Parivarjana, Pranavaha Srotas, Eosinophil Count, Subjective parameter, Objective parameter, Rasayana property, Statistically significant result, Rasayana drug.

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