Application of Trisootra Principles in the Management of Acute Food Allergy-...

[Full title: Application of Trisootra Principles in the Management of Acute Food Allergy- A Case Report]

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160 Journal of Ayurvedic and Herbal Medicine 2022; 8(3): 160-162 Case Report ISSN: 2454-5023 J. Ayu. Herb. Med. 2022; 8(3): 160-162 Received: 29-07-2022 Accepted: 12-09-2022 © 2022, All rights reserved www.ayurvedjournal.com DOI: 10.31254/jahm.2022.8303 *Corresponding author: Dr. Mahesh P Savalagimath Reader, Department of Agada Tantra, KAHER’S Shri BMK Ayurveda Mahavidhyalaya, Belagavi-590003, Karnataka, India Email: vaidyamaheshps@gmail.com Application of Trisootra Principles in the Management of Acute Food Allergy - A Case Report Mahesh P Savalagimath 1 , Ajith Krishnan M 2 , Neha K Pol 3 , Veenashree C Hiremath 4 1 Reader, Department of Agada Tantra, KAHER’S Shri BMK Ayurveda Mahavidhyalaya, Belagavi-590003, Karnataka, India. ORCID ID: https://orcid.org/0000-0001-8145-5004 2 Final Year PG Scholar, Department of Agada Tantra, KAHER’S Shri BMK Ayurveda Mahavidhyalaya, Belagavi - 590003, Karnataka, India. ORCID ID: https://orcid.org/0000-0003-3500-9753 3 Final Year PG Scholar, Department of Agada Tantra, KAHER’S Shri BMK Ayurveda Mahavidhyalaya, Belagavi - 590003, Karnataka, India. ORCID ID: https://orcid.org/0000-0002-6062-6342 4 First Year PG Scholar, Department of Agada Tantra, KAHER’S Shri BMK Ayurveda M ahavidhyalaya, Belagavi- 590003, Karnataka, India. ORCID ID: https://orcid.org/0000-0002-0499-209 X ABSTRACT Food allergies are thought to affect up to 4% of adults and 8% of children under the age of five. Although there is no treatment, some kids outgrow their food allergies as they age. Foods can be contaminated by a wide range of diseasecausing microbes, leading to a wide range of foodborne illnesses (also known as foodborne sickness or food poisoning) and food allergies. An immune system response called a food allergy happens quickly after consuming a certain meal. Even a small amount of the food that causes the allergy can result in signs and symptoms like skin issues, hives, or enlarged airways. Some people may experience severe symptoms from a food allergy, including the potentially fatal anaphylactic reaction. In Ayurveda , rules for intake of food, preparation and sign and symptoms of visha misritha anna and their treatments are well explained. Proper history taking is an essential method in all these cases. In present case a 19-year male patient with the chief complaints of, severe itching and appearance of rashes over the neck, back ,arms and chest region of the body after ingesting food hence diagnosed as an acute food allergy have shown encouraging results when treated with Trisutra principles Keywords: Food Allergy, Trisutra, Vishaghna . INTRODUCTION Adverse health effects stemming from a specific immune response that occurs on exposure to a specified food," according to the definition of a food allergy. Approximately 5% of children and 3% – 4% of adults are believed to have food allergies, which impact between 2% and 10% of the population. Children are more likely to develop food allergies than adults [1] Some foods have a tendency for causing toxic reactions and harmful effects in some people. Adverse food reactions are characterized as unusual reactions to a consumed food [2] . The aberrant food reactions may be brought on by food intolerance, allergy, or hypersensitivity. About one third of cases of food reactions in hospital emergency rooms are caused by food allergies, which are the most frequent cause overall [3] . Several allergens specificand nonspecific-therapies, aiming to acquire a persistent food tolerance, are under investigation as potential [4] . Food allergies are still a serious health concern since they are becoming more common and because anaphylaxis is still a real threat. Although advancements in diagnosis are more accurately identifying those who are affected, treatment options are still scarce. The cornerstone of treatment is rigorous avoidance of the offending allergens and instruction on how to manage allergic responses [5] . Ayurveda approach the acute manifestations on the basis of Trisootra , ie, Hetu, Linga and Oushadha . Untill the proper etiology is ruled out, proper understanding of signs and symptoms and application of suitable treatment on the basis of this the chikitsa won’t become complete. So, understanding the etiology and adopting treatment based on that is most necessary especially in the present-day scenario where most of the diseases are idiopathic. Here, we discuss, a case of acute food allergy which has been managed effectively with the application of Trissotra Chikitsa CASE DESCRIPTION A 19-year Male patient came to our Nirvisha OPD with the chief complaints of severe itching and appearance of rashes over the neck, back, arms and chest region of the body.

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161 Journal of Ayurvedic and Herbal Medicine|July-September|2022 History of present illness Patient was apparently well before 5 days, Suddenly one day he felt appearance of reddish colored rashes over his upper body parts along with severe itching and burning sensation. Which have started developing after ingesting food from outside restaurant. He had taken anti-histamine tablets but the condition didn’t get reduced. On the next day morning he felt severe itching and developed rashes over his upper body parts for that which he approached our hospital. Table 1: Examination of patient Site Over the ears and Neck, Shoulder and arms Front and back of the chest region Distribution Asymmetrical Type of skin lesion Erythema Color Reddish/Brown Itching Present +++ Discharge Absent Personal history Appetite : Reduced Sleep : Disturbed due to itching. Diet : Mixed. Bowel : Clear. Drugs : Not used any medicine in recent past for any diseases. Allergy : Not known. Family history : Not known skin disease & Asthma history. Diagnosis • Shitapitta/Udarda/kota(Garajanyadooshi)visha . • Acute urticaria(Food allergy). Treatment • Patolakaturohinyadi Kashayam – 15 ml ---- 15 ml ------- 15 ml ----- 15 ml After food with warm water. For 4 days • Dooshivishari agada – 2 tab ----- 0 ----- 2 tab Powdered & mixed with honey after food. For 4 days. DISCUSSION Based on the clinical presentation and proper history, the case was diagnosed as acute food allergy. As the etiology being the toxins in the food which resulted in developing clinical signs and synmptoms, the treatment advised was also to counteract the same. Patolakaturohinyadi kashayam have ingredients such as Patola, Katuki, Chandana, Madhusrava, Guduchi and Pata . All the ingredients predominantly have Tikta, Katu rasa, Laghu, ruksha guna, usha veerya and katu Vipaka . It is indicated in reducing the Kapha pitta doshas , kushta hara, jvara, vishaghna, chardi, arochaka and kamala . As in this condtion as the clinical signs and symptoms started after the intake of food, the condition can be compared with visha misritha anna . Due to this the agni became deranged and the ama visha is produced. Here the dosha vitited is pitta which resulted in developing the clinical signs and symptoms. As the Patolakaturohinyadi kashaya can act as Kapha pitta shamana , Vishaghna and Pitta Rechana it will help in eliminating the dushta pitta and can act as rakta shodhana thereby improving the agni. Dooshivishai Agada was selected as the etiology was of visha origin and as it is vishaghna , it can compact against the pathology and can act as rasayana. The ingredients predominantly have tiktha & kashaya rasa pradhana and overall the formulation is vishaghna and as it is given as lehana by adding honey as classically recommended, honey can also promote phagocytosis, detoxification and proteolysis and is a known anti-oxidant which will help to bring a add on effect to the action. CONCLUSION In modern science there is vast treatment for Food allergy and other allergic skin disorders but reoccurrence of disease is common in many cases. Sheetapitta is commonly encountered Twak vikara in clinical Practice. Ayurveda has lot of potential in the treatment aspect of allergic skin reactions by using of many Ayurvedic formulations and by following Pathya-Apathya . But in all cases ruling out the Hetu, analysing the lakshanas based on dosha predominance and using appropriate oushadhas is most essential. As this case is an example among many which has yielded quick response to cost effective remedies this can be serve as a model for approaching similar pathologies. Figure 1: Before Treatment Figure 2: After Treatment (4 days later) Conflict of Interest None declared. Financial support None declared.

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162 Journal of Ayurvedic and Herbal Medicine|July-September|2022 REFERENCE 1 Abrams EM, Sicherer SH. Diagnosis and management of food allergy. CMAJ. 2016;188(15):1087-93. 2 Abrams EM, Becker AB. Food introduction and allergy prevention in infants. CMAJ. 2015;187(17):1297-1301. 3 Gangal SV, Malik BK. Food allergy-How much of a problem really is this in India?. 2003;62(08):755-65. 4 Licari A, Manti S, Marseglia A, Brambilla I, Votto M, Castagnoli R, et al. Food allergies: current and future treatments. Medicina. 2019;55(5):120. 5 Wang J, Sampson HA. Treatments for food allergy: how close are we?. Immunol Res. 2012;54(1-3):83-94. HOW TO CITE THIS ARTICLE Savalagimath MP, Krishnan AM, Pol NK, Hiremath VC. Application of Trisootra Principles in the Management of Acute Food Allergy - A Case Report. J Ayu Herb Med 2022;8(3):160-162. DOI: 10.31254/jahm.2022.8303 Creative Commons (CC) License- This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY 4.0) license. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (http://creativecommons.org/licenses/by/4.0/).