🔺CASE STUDY : NO 41 🔺PART NO : 02 🔺HIKKA ( HICCUPS ) 🔺 DIFFERENTIAL DIAGNOSIS Modern Differential Diagnoses • GERD • Peptic ulcer • Pleuritis / Lower lobe pneumonia • Phrenic nerve irritation • CNS lesions (stroke, tumor) • Uremia • Psychogenic • Post-operative 🔺 SAMPRAPTI (PATHOGENESIS) -Obstruction or vitiation of Udana Vayu -Causes spasmodic contractions in the chest -Results in upward movement of air, producing hiccup(Reference: Ashtanga Hridaya Nidana Sthana 6/3) 🔺 UPASHAYA & ANUPASHAYA (PALLIATIVE & NON-PALLIATIVE FACTORS) 📌Upashaya: -Warm gruels and soups -Sneha (unctuous substances like ghee) -Warm water -Nasya and Dhumapana (herbal smoking) 📌Anupashaya: -Cold, dry, rough, heavy food -Talking during meals -Exposure to wind 🔺 SAMANYA CHIKITSA (GENERAL TREATMENT) -Langhana (fasting) -Snehana, Swedana -Mild Vamana in Kaphaja Hikka -Avoid causative factors -Palliative herbs (Pippali, Haritaki, Shunthi)Reference: Charaka Samhita Chikitsa Sthana 18/18-22 🔺 VISHESHA CHIKITSA (SPECIFIC TREATMENT) -Dashamoola Kwatha: for Vata-Kapha Hikka -Pippalyadi Yoga (Pippali, Shunthi, Haritaki) -Haritakyadi Churna: carminative, digestive -Anuvasana Basti: for chronic and Vataja Hikka -Nasya and Dhumapana: for Kapha dominance -Takra Siddha with Saindhava Lavana (buttermilk with rock salt) -Yashtimadhu (Licorice root):1–2 grams powder, twice daily Soothes the throat, balances Vata -Ginger (Shunthi) :250–500 mg powder or fresh juice -Pippali (Long pepper) :250–500 mg -Clove (Lavanga):1–2 cloves to chew or decoction -Dashamoola decoction :15–30 ml twice daily -Sitopaladi churna :1–3 grams with honey Good for hiccups from cold or cough -Trikatu churna (Pippali, Black pepper, Dry ginger):250–500 mg with warm water -Bharangi (Clerodendrum):Juice or decoction(REF AH: CHIKTSA 6/ 15 - 25, CHARAKA CHI, 18) 🛑https://chat.whatsapp.com/JtHGdxv7A5SA9bAe8ZNIS2