E-ISSN:2456-3110

Review Article

Kottam Thagaradi Agada

Journal of Ayurveda and Integrated Medical Sciences

2023 Volume 8 Number 4 April
Publisherwww.maharshicharaka.in

A review on Kottam Thagaradi Agada Lepa in Mandalivisha Sopham

Anjali P.1*, K. Krishnan S.2, Madhusoodhanan A.3, Hima V.4
DOI: http://dx.doi.org/10.21760/jaims.8.4.16

1* P.P Anjali, Post Graduate Scholar, Department of Agada Tantra, MVR Ayurveda Medical College, Kannur, Kerala, India.

2 Shidhi K. Krishnan, Assistant Professor, Department of Agada Tantra, MVR Ayurveda Medical College, Kannur, Kerala, India.

3 Anagha Madhusoodhanan, Post Graduate Scholar, Department of Agada Tantra, MVR Ayurveda Medical College, Kannur, Kerala, India.

4 V.H. Hima, Post Graduate Scholar, Department of Agada Tantra, MVR Ayurveda Medical College, Kannur, Kerala, India.

Ashtanga Hrudaya Uttarasthana explained about the classification of Sarpa as Darvikara, Mandali, and Rajimantha based on their predominant Dosha Vata, Pitta, Kapha respectively. Kottam Thakaradi Agada Yoga for Mandali Vishaja Sopha is explained in Vishavaidya Jyothsnika by Karattu Namboothiri. Here an attempt is made to carry out a review on the action of Kottam Thakaradi Agada Lepa in Mandali Vishaja Sopham.

Keywords: Kottam Tagaradi, Mandali Visha Sopha, Lepa, Visha Vaidya Jyotsnika

Corresponding Author How to Cite this Article To Browse
P.P Anjali, Post Graduate Scholar, Department of Agada Tantra, MVR Ayurveda Medical College, Kannur, Kerala, India.
Email: 		P.P Anjali, Shidhi K. Krishnan, Anagha Madhusoodhanan, V.H. Hima, A review on Kottam Thagaradi Agada Lepa in Mandalivisha Sopham. J Ayu Int Med Sci. 2023;8(4):96-98.
Available From
https://jaims.in/jaims/article/view/2406

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2023-03-01 2023-03-03 2023-03-10 2023-03-17 2023-03-24
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
Nil Nil Yes 17%

© 2023by P.P Anjali, Shidhi K. Krishnan, Anagha Madhusoodhanan, V.H. Himaand Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

Journal of Ayurveda and Integrated Medical Sciences 2023;8(4)96
Anjali P et al: Kottam Thagaradi Agada Lepa in Mandalivisha Sopham

Introduction

The most important envenomations by snakes are from the Elapidae and Viperidae families. Viperidae family causes skin manifestations are local swelling, bruising, blistering and necrosis.[1] The symptoms caused by a viper snake and the Mandali Visha Sarpa Lakshana are similiar. Mandali Visha is more of Pitta predominant. When it bites, produces Paittika Sopha (swelling) and Ushnata in bitten area.

Kottam Takaradi Agada is mentioned in the context of Mandali Visha Chikitsa, which is particularly useful in treating Mandali Vishaja Sopham as a Lepa[2] (external application). There are 24 Upakrama given for treating poisonous cases. Lepa is one among them,and it is used for treating local action of poison[3].Poison should be removed from the bite site by applying Lepa locally at that site. Vishaghna Lepa is used as anti poisonous Lepa which are described by various Samhitas. Applied on the skin in the thickness of ¾ inch.[4]

Review of Literature

Name of Yoga: Kottam Thagaradi Agada

This Agada mentioned in Visha Vaidya Jyothsnika, Visha Vaidya Sara Sangraham, Prayogasamuchayam and Kriya Koumudhi in Mandali Visha context. Here an attempt is made to carry out a review on Kottam Tagaradi Yoga by Karattu Namboothiri in Visha Vaidya Jyotsnika.[5]

Ingredients of Kottam Thagaradi Agada and Botanical name[6]

Drug Ayurvedic Name Botanical Name Family
Kottam Kushta Saussurea lappa Asteraceae
Thagaram Tagaram Valeriana walllichi Valerianaceae
Ramacham Useera Vetiveria zizanoids Graminae
Chandanam Chandanam Santalam album Santalaceae
Madukam Madukam Glycyrrhiza glabra Fabaceae
Sariba Sariba Hemidesmus indicus Asclepidaceae

Method of preparation Kottam Tagaradi Yoga[5]

Ingredients of the Kottam Thagaradi Yoga were taken in equal quantities and made Churnam (powdered). This Churna (powder) should be mixed with lukewarm water and applied as Lepa over the affected area.


Kottam Thagaradi Agada ingredients and properties[6]

Drug Rasa Guna Veerya Vipaka Dosha Karma Rogagnata
Kushta Katu, Madhura, Tiktha Laghu Ushna Katu Vatakapha hara Kushta, Visarpa, Visha, Kandu, Dadrugna, Kantikrut
Tagaram Katu, Tiktha, Kashaym Laghu, Snigdha Ushna Katu Tridoshahara Apasmara, Soola, Visha, Netra Roga
Ramacham Tiktha, Madhurm Rooksh Laghu Seetha Katu Kaphapitta Hara Pachaka, Visha, Jwara, Sthambhana, Vaanti, Mada, Trushna, Daaha, Vrana, Mutrakruchra, Visarpa, Raktadosha.
Chandanm Tiktha, Madhura Laghu, Rooksa Seetha Katu Pittahara Visha, Asrapitta, Chardi, Trushna, Jwara, Vranahara, Vrushya, Netrya
Madhukam Madhura Guru, Snigdha Seetha Madhura Pittavata hara Visha, Vrana, Sopha, Chardi, Trushna, Glani, Kshaya, Sukrala, Kesya, Swarya
Sariba Madhura, Tiktha Guru, Snigdha Seetha Madhura Tridosha hara Visha, Agnimandya, Aruchi, Swasa, Kaasa, Aama, Asrapradara, Jwara, Atisara, Sukrakara

Signs and syptoms of Mandali Damsa[2]

According to Visha Vaidya Jyotsnika -

Sopham, Ushnata and Peeta Varna over the affected area.

Discussion

Swelling occurs as a result of elevated capillary hydrostatic pressure, reduced plasma oncotic pressure, increased capillary permeability, and lymphatic system obstruction. To alleviate inflammation, anti-inflammatory medications obstruct cyclooxygenase (COX), an enzyme that produces prostaglandins - compounds responsible for causing inflammation.[7]

In Ayurveda, Vata getting vitiated, brings the vitiated Pitta Rakta and Kapha, into the external channels and getting obstructed by them, produces Sopham (swelling). Nidana of Vishaja Sopham determines the Dosha.[8] Predominant Dosha of Mandali Vishaja Sopha is Pitta Dosha and cause Vishaja Sopham.[9] Ingredients of Kottamtagardi Yoga are Kushta, Tagara, Usheera, Yashtimadhu, Chandana, Sariva.[2] The analysis of the drugs, Rasa Panchaka reveals that Madhura Rasa constitutes 100%, Tikta Rasa constitutes 50%, and Katu Rasa constitutes 16.67%.



Journal of Ayurveda and Integrated Medical Sciences 2023;8(4)97
Anjali P et al: Kottam Thagaradi Agada Lepa in Mandalivisha Sopham

The distribution of Veerya is 66.67% Sheeta Veerya and 33.3% Ushna Veerya. The drugs possess Gunas that are proportionally distributed among Laghu, Snigdha, and Guru, each constituting 50%. The Dosha Karma is distributed among 83.33% Pittahara Karma and 33.3% Tridosha Hara.[10] As all the drugs have a Vishahara nature, with predominant Madhura Rasa, Sheeta Veerya, and Pittahara Karma, they can be effectively applied through Lepa to alleviate Mandali Vishaja Sopha.

Conclusion

Kottamtagaradi Lepa is one among the Yoga which is mentioned in Visha Vaidya Jyothsnika for Mandali Vishaja Sopham. The Lakshana of the Vishaja Sopham is Pitha and Rakta predominant. Karma and Guna of Kottamtagaradi Agada Lepa is Pitta Rakta Samaka, Sophagnam and Visha Hara.

Reference

1. https://www.scienceDirectTopics _Viperidae- an overview.

2. Karattu namboothiri, Visha vaidya jyothsnika, Kerala, Regional Offset, Chapter 6,p-43

3. Caraka, Caraka Samhita; Ayurveda Deepika (commentary) Chakrapani Datta, Sharma Ramkaran Dr and Das Bagavan Vaidya (English Translation), Chaukambha Sanskrit Series Office, Reprint 2005, Chikitsa sthana,Chapter 23

4. G.Prabhakar Rao, Sarangadhara Samhita, edition reprint 2016, Choukhambha Publications, New Delhi;2016

5. Karattu namboothiri, Visha vaidya jyothsnika, Kerala, Regional Offset, Chapter 6

6. J.L.N.Sastry Foreword by Prof.K.C Chunekar,Dravyaguna Vijnana, Reprint Edition 2012, Chaukambha Orientalia, Varanasi

7. Andrea D. Thompson, Michael J.shea, Edema, Modified Sept 2022,MSD MANUAL Professional Version.

8. Prof.K.R.Srikantha Murthy. Ashtanga hrudaya of Vagbhata Vol.2, (Nidanasthanam) Reprint Edition: 2012, Chaukhambha Orientalia.Varanasi,

9. Prof.K.R.Srikantha Murthy. Ashtanga hrudaya of Vagbhata Vol.3 (Uttarasthana) Reprint Edition: 2012, Chaukhambha Orientalia. Varanasi.

10. Athulya.C.M, An uncontrolled clinical trial to evaluate the efficacy of kottamtagaradi yoga in the management of Mandali damsa with special reference to Pit viper, 2015-2018,p-145


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