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General Medicine
Question #35793
124 days ago
585

Question regarding Chronic productive cough. You need more information. It has been many years. Claritin doesn't help. - #35793

Nora kelleher

Chronic productive cough. You need more information. It has been many years. Claritin doesn't help. I got one week free of cough taking a clove of garlic daily. But it came back after that first initial break.

Age: 64
Chronic illnesses: Hypothyroid. Hypertension
PAID
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Ayurvedic Medicine Form Dose / Timing Action Sitopaladi Churna Powder ½–1 tsp with warm milk or water, 2× daily Reduces cough, thins mucus, relieves congestion Talisadi Churna Powder ½ tsp with honey/warm water, 2× daily Chronic cough, sinus congestion Chyawanprash Jam 1 tsp morning with warm milk Boosts immunity, nourishes lungs Mulethi (Licorice) Powder Powder ½ tsp with warm water or milk, 2× daily Soothes throat, reduces irritation, helps productive cough Vasa (Adhatoda vasica) Capsules or Syrup Capsule/Syrup 1–2 capsules / 5–10 ml syrup 2× daily Expectorant, opens airways, clears phlegm Tulsi Leaves / Juice Fresh leaves or boiled water 2–3 leaves or ½ cup tulsi decoction 2× daily Anti-inflammatory, anti-microbial, immunity support ⚠️ Avoid taking heavy Kapha-increasing foods like cold milk, fried foods, and sweets during treatment. 2️⃣ External / Adjunct Therapies Steam Inhalation: Boil tulsi leaves, add a few drops of eucalyptus oil, inhale 5–10 min, 1–2× daily. Chest Massage: Use Ksheerabala Taila or Mahanarayana Taila, gentle massage on chest and back 2–3× per week. 3️⃣ Lifestyle & Diet Recommendations Drink warm water throughout the day. Avoid cold foods, ice, and excess dairy. Include warming spices: ginger, black pepper, cinnamon in diet. Sleep with head slightly elevated to reduce post-nasal drip.

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Chronic cough is due to kapha Dosha imbalance Take Sithophaladi churna 1/4 th tsp with honey Laxmivilasa rasa Giloy tablet One tablet each twice daily after food with turmeric milk Tulsi juice 10 ml twice daily Do steam inhalation Avoid cold foods heavy oily fried foods If still continues once get chest x ray get done

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HELLO NORA,

STEP 1= CLARIFY THE MEDICAL PICTURE Before starting ayurvedic management, a full diagnosis is essential. A chronic cough for years may have multiple causes

POSSIBLE UNDERLYING CAUSES 1) chronic bronchitis/ COPD (especially if history of smoking or pollution exposure 2) Postnasal drip/ allergic rhinitis/sinusistis 3) Gastroesophagel reflux disease- can cause chronic cough without heartburn 4) Brinchectasis= chronic infection with mucous production 5) Asthma 6) Medication- related= e.g ACE inhibitors for blood pressure 7) Chronic infection e.g. Tb, fungal= important to rule out

YOU SHOULD GET -chest X-ray or CT Scan -spirometry lung function test -sputum culture/AFB test -ENT and pulmonary evaluation

In Ayurveda, chronic productive cough corresponds to “kaphaja kasa”, possibly mixed with vata-kapha imbalance due to chronicity and age

DOSHA INVOLVEMENT -Kapha= excess mucus , heaviness, congestion -Vata= chronicity, dryness between episodes, irregular pattern -Agni (digestive fire)- often low, causing ama (toxic residue)-> leads to recurrent cough

AYURVEDIC MANAGEMENT

1) REMOVE THE CAUSE -avoid cold , damp, or dusty environments -avoid cold water, ice, curd, banana at night , refrigerated foods -stop smoking if applicable -regular meal times- light, warm food preferred

2) DIET -warm water with honey and pinch of dry ginger -light soups with black Pepper and turmeric -garlic as you found helpful= continue but moderate 1 clove crushed in honey daily -Tulsi tea with pippali -mulethi decoction = 2 times daily

AVOID -milk and milk products except small amount of warm boiled milk with turmeric -oily, heavy, fried foods -cold drinks, ice cream, curd , refined sugar

3) LIFESTYLE -keep chest warm; avoid exposure to wind after bath -do mild pranayam= Anulom vilom and Bhramari daily -avoid kapalbhati of productive cough is severe -gentle walking after meals

4) INTERNAL MEDICATIONS

- SHITOMALADI + TALISADI CHURNA= 2 gm each with honey thrice daily =excellent for chronic productive cough

-KANTAKARI AVALEHA= 1 tsp morning after meals =strengthen lungs

-YASHTIMADHU CHURNA= 1/2 tsp with honey in morning =soothes airway

-VASARISHTA= 15ml after meals with equal water =clears kapha, helps expectoration

-TRIKATU CHURNA= 1/4 tsp with honey before meals =improves digestion reduces kapha

5) HOME REMEDIES -Garlic honey mix= continue 1 crushed aloe + 1 tsp honey daily morning -Tulsi + ginger + black pepper decoction= drink warm wine a day -Steam inhalation with few drops of eucalyptus or ajwain seeds

Improvement may take 4-8 weeks with consistent regimen

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Start on Sithophaladi churna 1/4 th tsp with honey two times daily Sanjeevini vati 1-0-1 Laxmivilasa rasa 1-0-1 Drink warm water throughout the day Drink ginger tea / warm soup Tulsi panchanga juice 5 ml -5 ml-5 ml Avoid oil fried refrigerated foods

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Chronic productive cough often indicates an underlying imbalance in the body that requires a considered approach for effective management. In Ayurveda, a chronic cough can be associated with an accumulation of ‘Kapha’ dosha, which causes excessive mucus production. This might be combined with ‘Vata’ dosha disturbance due to the chronic nature. First, it’s critical to ensure there’s no serious underlying condition, such as an infection requiring immediate medical attention.

If cleared medically, in Ayurvedic perspective, the chronicity of your symptoms suggests you may need to pacify Kapha and balance your doshas. Garlic is warming and beneficial for Kapha, but it seems a more comprehensive approach can be useful. Begin incorporating warm spices like ginger, black pepper, and turmeric into your daily meals - these spices aid in breaking down mucous and enhancing digestion. Ginger tea, made by boiling fresh ginger in water for 5-10 minutes can be taken twice daily to support this.

Dietary adjustments are crucial. Avoid cold, heavy, or fried foods that could worsen Kapha accumulation. Opt for warm, cooked, and light meals including green leafy vegetables, whole grains, and legumes. Drinking warm water throughout the day can help soothe and cleanse the system.

Introduce Pranayama practices such as Anulom Vilom (alternate nostril breathing) or Kapalbhati for 10-15 minutes each morning on an empty stomach to support respiratory health and balance Vata-Kapha imbalances. Remember to start pranayama under guidance if you’re new to it.

Regarding lifestyle, maintaining a regular sleep schedule and minimizing stress are important, as Vata disturbances can exacerbate cough symptoms. Gentle exercise, like yoga or walking, especially in the morning hours, can be beneficial.

Monitor your symptoms and continue regular consultation with your healthcare provider to address any changes or need for intervention.

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1.Sitopladi churna 1 tsp twice daily with honey 2.Kasni cough syrup 2 tsp thrice daily

Thanks for your patience, Anjali. Based on Ayurvedic insights and your experience with chronic productive cough, here’s a layered approach to diet and lifestyle modifications that can help pacify Kapha, reduce mucus, and support long-term respiratory health:

🥗 Ayurvedic Diet for Chronic Productive Cough Kapha imbalance often leads to excess mucus, heaviness, and stagnation. Your diet should be: - Warm, light, and drying to counter Kapha’s cold, moist qualities - Digestive fire–boosting to prevent ama (toxins) buildup ✅ Favor These Foods - Spices: Ginger, black pepper, turmeric, cinnamon, cloves, ajwain - Grains: Barley, millet, quinoa, old rice - Vegetables: Cooked leafy greens, carrots, beets, bottle gourd, ash gourd - Fruits: Pomegranate, apples (cooked), pears, figs - Legumes: Mung beans, lentils (well-cooked with spices) - Sweeteners: Small amounts of jaggery or honey (never heated)

🚫Avoid or Minimize - Dairy (especially cold milk, curd, cheese) - Cold, raw, or oily foods - Bananas, watermelon, grapes - Refined sugar and processed snacks - Heavy meats and fried foods

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Hello Nora Start with Sitopaladi churan 1tsp+ Talisadi churan 1tsp mix with honey and take twice daily after food with water Do warm water Gargle with pinch of turmeric powder twice daily Giloy ghanvati 1-0-1 after food with water Have Warm Haldi doodh at bedtime.

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A chronic productive cough that has persisted for years indicates an underlying imbalance that needs attention, especially considering that conventional over-the-counter options like Claritin haven’t alleviated it. In the Siddha-Ayurvedic perspective, such coughs often result from an imbalance in the Kapha dosha, which could lead to mucus accumulation in the respiratory channels.

Since you’ve found temporary relief with garlic, it’s a good sign given its warming and Kapha-pacifying qualities. However, consistency is key. Continue taking a raw garlic clove daily—crush it slightly and swallow with warm water, preferably on an empty stomach in the morning.

Additionally, incorporating a warm spice, such as ginger, can help further. Drink ginger tea by boiling a few slices of fresh ginger in water, and drink this 2-3 times per day. This will support agni and potentially clear the respiratory tract. Turmeric, with its anti-inflammatory qualities, could also be beneficial. Add a pinch of turmeric to warm milk with a bit of black pepper (enhances absorption) and consume at night.

It is crucial to avoid heavy, oily, and dairy-rich diets, as they can increase Kapha. Instead, favor light, warming foods — such as cooked vegetables and lentils. Pay attention to digestion, as a robust agni will help reduce excess Kapha—and thereby, mucus buildup.

Incorporate pranayama, especially Kapalbhati and Nadi Shodhana, to keep the nadis clear and enhance respiratory function. However, it’s always advisable to consult with a local healthcare provider to rule out any underlying conditions. If you experience any sudden symptoms like chest pain or difficulty breathing, seek immediate medical attention.

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Hello Nora,

1) Shitopaladi + Talisadi + yashtimadhu churna= 1 tsp with honey twice daily after meals

2) Kantakari avaleha= 1 tsp twice daily after meals

3) Laxmivilas ras = 1 tab twice daily after meals

4) Guduchi ghan vati = 2 tabs twice daily

Have tulsi ajwain decoction twice daily

Avoid sweet bakery products Avoid ice cream sugary products Avoid junk food fried spicy

Have warm nourishing foods Do steam inhalation

Thank you

Dr Hemanshu Mehta

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