Nivata Shayana
The recommendation to avoid exposure to wind is grounded in the pathogenesis of Pratishyaya, where Vata - often aggravated by cold and dryness - acts as a primary causative factor. Wind acts as an external Vata aggravator, potentially leading to derangement in nasal mucosa and triggering symptoms such as sneezing, congestion, and runny nose. Thus, staying in wind-protected environment is preventive and therapeutic measure.
Moordha Guru Ushna Vaasa
This practice not only protects from cold-induced Vata aggravation but also induces vasodilation, enhancing cerebral circulation. Improved blood flow to the head may aid in clearing nasal passages and reducing congestion. This reflects a practical correlation between traditional wisdom and modern physiological understanding.
Teekshna Shirovirechana
Shirovirechana is advocated for expelling Kapha Dosha[20] from the head and neck region. By eliminating accumulated mucus, it supports decongestion and symptom relief. The procedure is aligned with the Ayurvedic concept of Shodhana.
Dhoomapana
This is a significant Vihara practice used to pacify Kapha and Vata Doshas.[21] The herbs used - predominantly of Katu and Tikta Rasa - are endowed with properties like:
Katu Rasa: Vaktram Shodhayati, Agnideepyati, Ghranamaasravyati, Krimihinasti, Marganvivrunoti, Shleshmanshamyati in action.
Tikta Rasa: Vishaghna, Krimighna in action.
The herbs exhibit Laghu and Sookshma Guna, facilitating their absorption through mucosal epithelial linings. Substances like Haridra, Guggulu, and Agaru used in Dhoomapana are pharmacolo-gically validated for their anti-inflammatory, bronchodilatory, and antioxidant properties. Thus, this therapy not only complements traditional doct-rine but also finds support in modern phytomedicine for quick relief in nasal disorders.[22]
Shiroabhyanga
Shiroabhyanga with medicated oils helps nourish Indriyas.[23]
Rasayana Therapies
The mention of Brahmarasayana, Haritaki Rasayana, and Chyavanaprasha highlights Ayurveda’s rejuvenate approach. These formulations Strengthen sense organs (Indriya Balam), Enhance systemic immunity, act as Kapha-Vata Shamakas.
Pippali Rasayana is particularly noted for its anti-inflammatory and mucolytic properties, offering symptomatic relief and long-term preventive benefits.
Discussion
In Pratishyaya the Dosha involved is Vata and Kapha. The Pathya Aharas mentioned in Pratishyaya are Kapha-Vatahara in action and thus helps in clearing Vata-Kapha Doshas and prevents Pratishyaya. The Pathya Aharas mentioned by our Acharyas in Pratishyaya like Yava, Kulatha, Balamuka, Shigru, Haritaki, Vartaka, Karkoti mainly contain chemical constituents like flavonoids, glycosides which have anti-allergic, anti-inflammatory action and have immense potential for curing various diseases like common cold, throat infection, asthma, bronchitis etc., Trikatu (Shunti, Maricha, Pippali) contains chemical constituents like gingerol, piperenes, alkaloids and flavonoids which are antioxidant, antimicrobial, antifungal, immunomodulatory, antiallergic and anti-inflammatory action. Dadima, which primarily contains gallic acid, alleviated nasal allergic symptoms, reduced nasal mucosal thickness, and attenuated goblet cell hyperplasia and eosinophil infiltration in the nasal mucosa.[24] Aja Mamsa which is mentioned as Pathya is neither heavy to digest nor too unctous, does not cause blockage in the channels and is Brumhana. Acharya Charaka and Vagbhatta have explained Aja Mamsa has qualities very similar to the qualities of muscle tissue of human beings. Due to this similarity with human muscle tissue, consumption of Aja Mamsa does not increase Kapha Dosha even though it has Guru and Snigdha properties. Thus, it can be understood that Aja Mamsa is a good choice of meat for regular consumption.[25] Guda mentioned as Pathya is effective in preventing Pratishyaya. Recent research has confirmed the benefits of jaggery in managing chronic cough, as it helps reduce throat irritation due to its soothing effects on the soft tissues of the throat (Ogawa et al., 2013).
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