कास

Reference:
C.Chi.18, S.U.52, A.H.Ni.3, M.Ni.11

Nirukti:
The word कास is derived from the root Kas.
Kas Gati S`haatanayoh |
It means enhanced velocity of Vaayu (Vega). It also means destruction of the Dhaatu (S`haatana).
Kasanaat Kaasa Iti Uchyate | C.Chi.18/8
The disease in which velocity of Vaayu increases and there is destruction of the Dhaatu is कास.
Kasanaad Iti Yathokta Gatimatvaat Tathaa Urah Prabhriti S`haatanaat cha Kaasa Iti Anvartha Samdnyayaa Uchyate | Kas Gati S`haatanayoh, Iti Asya Dhaatoh Ayam Prayogah | C.Chi.18/6-8 Chakrapaan`i
Sambhinna Kaamsya Svana Tulya Ghoshah Kaasah | S.U.52/5
कास is a disease in which there is sound like broken vessel of bronze.
Kasati Iti S`hirah Kan`t`haat Oordhvam Gachchhati Vaayuh Iti Kaasah; Kas Gatau Iti Asmaat | M.Ni.11/2 Madhukos`ha

Svaroopa:
Kaasa, S`hvaasa and हिक्का are the diseases which associate each other. As involving factors Dhaatu, Srotas etc. in the pathogenesis of Kaasa, S`hvaasa and हिक्का are same they are described sequentially. कास is disease which is manifested with the forceful coughing (it indicates speed i.e. Gati of Vaayu) and the depletion of the Dhaatu and Ura. कास manifests with a specific sound and pain. Vaayu moves out through the mouth due to the Aavaran`a by Kapha etc. with speed making a sound like broken vessel of bronze.

Prognosis of the disease is RaajaYakshmaa (Kshaya); if any type of कास remains untreated.

Types:

1. Vaataja
2. Pittaja
3. Kaphaja
4. Kshatja
5. Kshayaja (DhaatuKshayaja)

Sampraapti:

1. Due to the causative factors, Apaana Vaayu gets obstructed.
2. Obstructed Vaayu, instead of downward direction, moves upwards.
3. Praan`a Vaayu gets associated with Udaana.
4. This Vaayu gets choked up in the throat and chest. It also moves in channels of head. There is breaking and jerky pain at the time of paroxysm with twisting pain in mandible, neck, eyes, back, chest and sides of chest.
5. This Vaayu makes the sound with or without Kaasa. This vitiated Praan`a Vaayu gets expelled out Udaana through mouth suddenly.
6. It comes out suddenly with the Dosha through the mouth making sound like a broken vessel of bronze. It is Kaasa.

Clinical presentation of कास types:

        Vaataja Kaasa:
There is dry cough. Patient gets relief after releasing the Kapha. But the Kapha releases very difficultly. It subsides after having food of Snigdha, Amla, Lavan`a and Ushn`a attributes. The paroxysm of the cough increases after the digestion of the food. The speed of the कास is very high (Mahaa / Prasakta Vega)

        Pittaja Kaasa:
In Pittaja Kaasa there is continuous coughing. There is spitting of Kapha which is associated with Pitta.

        Kaphaja Kaasa:
There is obstruction in the passage of Vaayu by aggravated Kapha. There is spitting of thick, sweet, unctuous Kapha.

        Kshataja Kaasa:
Due to excessive exercises, battles, etc. person, in whom dryness is increased; the aggravated Vaayu harbours in the wound formed in the chest. In this condition patient coughs first and them there is spitting of blood. There is pricking pain in the chest. There is gurgling sound like pigeon. Actually, this symptomatic picture is seen also in Saahasaja Raajayakshmaa.
Gradually strength, digestion capacity, complexion gets decreased. This lead to the UrahKshata, KshataKsheen`a, and राजयक्ष्मा which are manifested with Kaasa.
Difference between UrahKshata and Kshataja Kaasa:
In UrahKshata patient spits Kapha with Rakta but in Kshataja Kaasa there is dry coughing first and then patient spits Rakta.

        Kshayaja Kaasa:
Emaciation due to राजयक्ष्मा, old age and depletion of Dhaatu lead to Kaasa. All the three Dosha get aggravated. Agni (digestive capacity) is hampered and unable to digest food. There is spitting of putrid, greenish, bloody, suppurated Kapha. It manifests with symptoms of ज्वर.

Kshayaja Kaasa which may lead to death in emaciated patients. All the symptoms of Kshaya are manifested in this कास. If not treated, it leads to S`hvaasa, Kshaya, Chhardi, Svarasaada. Therefore, it is necessary to treat कास immediately.

Comparative study of कास subtypes

	कास	Vaataja	Pittaja	Kaphaja	Kshataja	Kshayaja	Jaraa Kaasa
रोगमार्ग	Madhyama
Svabhaava	Daarun`a
Avayava	UrasKan`t`haS`hira				Uras
Dosha	Vaayu Adhah Pratihata Vaayu Udaanabhaava Aapanna.Praan`a UdaanaanugaPraan`a Pradusht`a	Kapha S`hushkaVaata Prakopa Oordhva Gati	Kapha Pittasamsrisht`a	Kapha PrakopaVaayu Rodha	Vaata Prakopa Vaata PittanugaKapha Sarakta	Tridosha Prakopa Kapha Rakta, Harita, PooyopamaVaatapradhaana Dosha
Dosha Gun`a				SaandraGhanaMadhuraSnigdhaS`hveta
Dhaatu						Dhaatu KshayaS`hukra KshayaMaamsa Ksheen`a
Mala					Mootra Sarakta
Srotas	Sroto Pooran`a
Agni						Agni Vyaapanna
Ojas		Oja Kshaya
Saadhya	Balavaana Rugn`aPaadagun`aanvita	Saadhya.	Saadhy	Saadhya	Nava (Kadaachit Saadhya) Paadagun`aanvita	Nava(Kadaachit Saadhya)Paadagun`aanvita
Yaapya					Yaapya	Yaapyain Balavaana Rugn`a	Yaapya
Upas`haya		SnigdhaAmlaLavan`aUshn`aBhojanaPaana

Last updated on February 10th, 2021 at 10:15 am