Understanding of covid-19 with ayurveda rognidanatmak aspect -a review study

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Journal name: World Journal of Pharmaceutical Research
Original article title: Understanding of covid-19 with ayurveda rognidanatmak aspect -a review study
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Author:

Gir Vinod Vasant, Joshi Vinayak Nilkanth, Shirke J.M., Mane Prakash, Udmale Mangesh and Bhagyashri Madake-Kuber


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Understanding of covid-19 with ayurveda rognidanatmak aspect -a review study

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr20225-23748


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Summary of article contents:

Introduction

COVID-19 has posed unprecedented challenges to global health, prompting scrutiny of traditional medical systems alongside modern interventions. This review article authored by Gir Vinod Vasant et al. explores the applicability of Ayurvedic principles to understand and manage COVID-19. The authors analyze classical Ayurvedic texts and modern research literature to correlate pathogenetic factors of COVID-19 with established Ayurvedic concepts. The study identifies actionable diagnostic and treatment guidelines derived from Ayurveda that may provide effective strategies against the pandemic.

Ayurvedic Perspective on Pathogenesis

One key concept addressed in the article is the Ayurvedic understanding of "Nidana," which refers to the causative factors of disease. The authors articulate that while classical texts do not explicitly mention the COVID-19 virus, they provide theoretical frameworks that help identify the virus as an "Aagantuja vyadhi," or an external pathogen causing disease through disruption of bodily balance. This classification allows practitioners to employ Ayurvedic diagnostic criteria, focusing on the interplay between doshas (body energies), dhatus (tissues), and srotas (channels), tailored to understand the multifaceted nature of COVID-19.

Symptoms and Correlations

The article further explores the correlation between COVID-19 symptoms and those classified in Ayurveda, specifically under "Sannipatik Jwara," which encompasses fever characterized by an imbalance of the three doshas (Vata, Pitta, and Kapha). The authors identify a range of clinical presentations associated with COVID-19, including asymptomatic cases, mild illness, and severe respiratory distress. By categorizing these symptoms within Ayurvedic frameworks, the study emphasizes how consistent symptomology can guide appropriate Ayurvedic interventions, including recommendations from the National Clinical Management Protocol by the Ministry of AYUSH.

Treatment Strategies and Guidelines

The review highlights Ayurvedic treatment protocols, indicating that management can effectively extend beyond symptomatic relief to bolster immunity and overall health. The authors present various herbal formulations and dietary recommendations based on classical texts, suggesting that these approaches can mitigate disease progression and reduce post-COVID complications. Particular focus is placed on preventive measures, such as the use of traditional Ayurvedic herbs like Ashwagandha and Guduchi, which have known immunomodulatory properties.

Conclusion

In conclusion, the article posits that Ayurveda's rich philosophical and practical foundation provides significant insights into understanding and managing COVID-19. The authors advocate for integrating Ayurvedic diagnostic principles with modern medical practices as a holistic approach in combating the pandemic. By applying these time-tested methods, Ayurveda can contribute to enhanced patient outcomes and overall public health resilience during such viral outbreaks, reinforcing the relevance of traditional medicine in contemporary settings.

FAQ section (important questions/answers):

What is the main focus of this Ayurvedic study on COVID-19?

The study analyzes the pathogenetic factors involved in COVID-19 using Ayurvedic diagnostic criteria, tracing its factors including Nidana, Purvarupa, Samprapti, and more, emphasizing the effectiveness of Ayurvedic guidelines in diagnosis and management.

How does Ayurveda classify the COVID-19 disease?

Ayurveda classifies COVID-19 as an Aagantuja Sankramak Vyadhi and a Janapadodhwansajanya Vyadhi, indicating it is caused by external factors leading to widespread population effects, particularly during specific seasonal patterns.

What are the predominant doshas involved in COVID-19 pathophysiology?

The predominant doshas involved are Vata (Pran, Udan) and Kapha (Avalambak, Tarpak, Bodhak) along with some Pitta, especially in relation to the symptoms and stages of the disease.

What post-COVID complications are recognized in Ayurveda?

Post-COVID complications can be viewed as Upadrava including fatigue, dyspnea, gastrointestinal symptoms, and more, each correlating with specific Ayurvedic terms like Klama, Shwasa Kashtata, and Avipaka.

How does this study correlate COVID-19 with traditional Ayurvedic diseases?

The study correlates COVID-19 with various traditional diseases like Vatakapholbana Sannipataja Jwara, using classical Ayurvedic concepts to understand its manifestation and clinical picture.

What treatment principles for COVID-19 does Ayurveda suggest?

Ayurveda suggests using herbal formulations like Guduchi and Ashwagandha for prophylactic care and management, aligned with guidelines from the National Clinical Management protocol for COVID-19.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Understanding of covid-19 with ayurveda rognidanatmak aspect -a review study”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Ayurveda (Ayus-veda):
Ayurveda is the ancient Indian system of medicine that emphasizes balance among body, mind, and spirit. It employs holistic techniques, using herbs and natural therapies to promote health and prevent diseases. The study explores how Ayurveda’s principles can be adapted to understand and manage modern ailments, including COVID-19.

2) Disease:
Diseases refer to pathological conditions affecting health and well-being. The study discusses various diseases through an Ayurvedic lens, emphasizing the need for culturally appropriate treatment methods, especially in the era of pandemics where traditional knowledge holds significance.

3) Varanasi (Varanashi):
Varanasi is a historic city in India, significant in Ayurveda and traditional medicine. The city serves as an educational hub, home to various Ayurvedic institutions where students study classical texts and modern medicine, integrating ancient knowledge with current practices to address health challenges.

4) Vaidya:
Vaidyas refer to Ayurveda practitioners who play a crucial role in patient care and traditional medicine. Their expertise in diagnosing and treating diseases based on classical texts is vital for integrating Ayurveda with contemporary medical practices during health crises.

5) Samhita:
Samhita is a Sanskrit term for compilations or collections of knowledge, particularly in Ayurveda. Classical texts, such as the Charaka Samhita, lay the foundational theories, diagnostic techniques, and treatment protocols essential for practitioners and scholars aiming to understand Ayurvedic principles thoroughly.

6) Agnivesha (Agni-vesha, Agnivesa):
Agnivesha is the ancient Indian physician credited with authoring the 'Agnivesha Samhita,' which later became an integral part of the Charaka Samhita. His teachings are foundational in Ayurveda, providing insights into diseases and their treatment methods, particularly concerning digestion and metabolism.

7) Dipika:
Dipika refers to a commentary on classical Ayurvedic texts, clarifying complex concepts for readers. The commentaries, such as those on the Charaka Samhita, enhance understanding of ancient teachings, bridging knowledge gaps for practitioners in modern contexts, thereby preserving and propagating Ayurvedic wisdom.

8) Dridhabala (Drdhabala):
Dridhabala was an influential commentator of the Ayurveda texts, particularly the Charaka Samhita. His interpretations and elaborations on ancient Ayurvedic practices contribute significantly to the understanding of diseases and treatments, ensuring the continuity of traditional knowledge through generations of practitioners.

9) Viru:
Viru refers to a virus, a microscopic infectious agent that can cause disease. In the context of the study, there emerges a focus on understanding viral infections like COVID-19 through Ayurvedic perspectives, identifying diagnostic and treatment protocols rooted in traditional Ayurvedic understanding.

10) Medicine:
Medicines are substances used to treat or prevent diseases. The study explores Ayurvedic medicines derived from natural sources, emphasizing their relevance and efficacy in contemporary practice, particularly in managing infections like COVID-19.

11) Vyadhin (Vyadhi):
Vyadhi is a Sanskrit term for disease or disorder in Ayurveda. This concept encompasses various ailments and their causes, pathophysiology, and treatment methods outlined in classical texts, emphasizing an individualized approach to diagnosis and healing based on ancient wisdom.

12) Kapha:
Kapha is one of the three doshas in Ayurveda, characterized by its elements of water and earth. It represents structure and stability in the body, influencing bodily functions. Understanding kapha’s role is essential in diagnosing and treating disorders, particularly those categorized with respiratory issues during pandemics.

13) Srotas (Shrotas):
Srotas are the channels or pathways in the body through which bodily substances flow. In Ayurveda, understanding srotas is crucial for diagnosis and treatment, as they facilitate communication between doshas, dhatus, and mala (waste), playing a vital role in health and disease management.

14) Study (Studying):
The study refers to the systematic inquiry into Ayurvedic perspectives on COVID-19, analyzing classical texts and modern studies. It seeks to blend ancient wisdom with contemporary healthcare practices to develop a comprehensive understanding of disease mechanisms and therapeutic interventions.

15) Dhatu:
Dhatus refers to the seven fundamental tissues in Ayurveda, each playing a vital role in physiological functioning. Understanding dhatus is crucial for practitioners to manage health conditions effectively, as imbalances can lead to various diseases.

16) Vitiation (Vitiated):
Vitiated refers to the disturbed or imbalanced state of doshas, dhatus, or srotas in Ayurveda. The article emphasizes identifying vitiated elements to restore health and balance, which is critical in managing diseases effectively within Ayurvedic frameworks.

17) Nature:
Nature signifies the inherent qualities and characteristics of substances or living beings within Ayurvedic philosophy. The study discusses how understanding the nature of the virus and human physiology can inform diagnostic and therapeutic strategies, ensuring a tailored approached to treatment.

18) Dosha (Dosa):
Dosha refers to the three energies—vata, pitta, and kapha—that govern physiological and psychological processes in Ayurveda. Their balance is fundamental to health, and the identification of an imbalanced dosha serves as a core aspect in diagnosing and treating diseases.

19) Patil:
Patil may refer to an individual or institution associated with Ayurveda education. In the context of the article, it highlights the practitioners or scholars working towards integrating traditional and modern medical knowledge to handle health crises effectively, especially in managing diseases such as COVID-19.

20) Ayus (Ayush):
Ayush pertains to the Indian governmental framework for the promotion and development of traditional health systems, including Ayurveda, Yoga, Unani, Siddha, and Homeopathy. It aims to enhance awareness and accessibility of traditional health practices and treatments for the wider community.

21) Roga:
Roga is the term for disease or illness in Ayurveda. The emphasis is on understanding the nature, causes, and treatment methods of roga as outlined in classical texts, thereby guiding practitioners in their approach to contemporary diseases like COVID-19.

22) Nidana:
Nidana refers to the causative factors or conditions leading to a disease in Ayurveda. This principle is foundational in diagnosing ailments, allowing practitioners to trace back the origins of illnesses, such as COVID-19, to their corresponding Ayurvedic classifications and treatment protocols.

23) Desha (Desa):
Desha implies the geographic and environmental factors influencing health in Ayurveda. The concept of desha evaluates how location, climate, and regional conditions impact disease prevalence and management, guiding healthcare strategies to align with local needs and characteristics.

24) Blood:
Blood, known as rakta in Ayurveda, is one of the seven dhatus. It serves essential functions such as oxygen transport and heat regulation. The article discusses the role of blood in disease pathophysiology and how Ayurveda views its balance and disorders in the context of COVID-19.

25) Vata:
Vata refers to one of the three doshas in Ayurveda, primarily responsible for movement and the functioning of bodily processes. Understanding vata is vital for diagnosing diseases, particularly respiratory and neurological disorders, as it significantly influences the pathophysiology of conditions like COVID-19.

26) Vayu:
Vayu translates to air or wind in Ayurveda and operates as a critical factor in the broader concept of health. Vayu’s principles affect physiological functions, particularly those related to the respiratory system; hence, understanding its role is essential for interventions targeting diseases like COVID-19.

27) Pune:
Pune is a city in India known as a center for Ayurvedic education and research. Institutions in Pune contribute to the advancement of traditional medicine and its integration with modern healthcare, aiding in the understanding and treatment of contemporary health issues including COVID-19.

28) Post:
Post refers to subsequent occurrences, particularly in the context of post-COVID complications observed after recovery. The study explores the ramifications of COVID-19 on patients’ health, emphasizing Ayurvedic approaches for management and rehabilitation of post-viral syndromes.

29) Samprapti:
Samprapti signifies the pathogenesis or development of a disease in Ayurveda. It provides a framework for understanding how various factors contribute to disease evolution, thus playing a critical role in Ayurveda’s diagnostic and therapeutic approaches to conditions like COVID-19.

30) Upadrava:
Upadrava refers to complications arising from a primary disease in Ayurveda. Understanding upadrava is crucial for holistic patient management, allowing practitioners to identify and address secondary ailments, especially in the context of COVID-19 and its lingering effects.

31) Rakta:
Rakta translates to blood in Ayurveda and is considered one of the crucial dhatus. It is responsible for nourishing body tissues and maintaining metabolic processes. The article discusses its role in health and disease, particularly concerning viral infections like COVID-19.

32) Prana (Pran):
Prana denotes the life force or vital energy in Ayurveda, essential for sustaining physiological and psychological functions. The study emphasizes its significance in health management, particularly concerning respiratory diseases that directly affect vitality.

33) Ayurvedarasayana:
Ayurveda-rasayana represents rejuvenating therapies within Ayurveda aimed at promoting longevity and health. It emphasizes enhancing the body's vitality, which is particularly relevant in counteracting the effects of viral infections as it seeks to restore balance and resilience in health.

34) Sarvangasundari (Sarvamgasumdari):
Sarvanga-sundari refers to a significant commentary on Ayurvedic texts, often contributing to a deeper understanding of theories and practical applications in health. Its interpretations assist practitioners in better implementing Ayurvedic principles in contemporary medical scenarios.

35) Rajayakshma (Rajan-yakshma, Rajayaksma):
Rajayakshma is an Ayurvedic term for a chronic respiratory disease, often correlated with tuberculosis. The study draws parallels between rajayakshma and modern ailments, illustrating how traditional diagnoses can inform current understanding of infectious diseases, including COVID-19.

36) Phupphusa:
Phupphusa refers to the lungs in Ayurvedic terminology. It signifies the organ primarily affected by respiratory diseases, including COVID-19. Understanding phupphusa’s role in the pathophysiology of respiratory ailments is crucial for effective diagnosis and treatment in Ayurveda.

37) Vagbhata:
Vagbhata was an ancient Ayurvedic scholar who wrote key texts in Ayurveda, contributing to traditional medical knowledge. His works, especially the Ashtangahridayam, provide guidance on diagnosis and treatment approaches, particularly relevant in addressing contemporary health challenges.

38) Rasayana (Rasa-ayana):
Rasayana signifies rejuvenative treatments within Ayurveda designed to enhance overall health and vitality. The study highlights its significance in counteracting diseases like COVID-19 by improving immunity and promoting disease resistance through natural therapies.

39) Skandha (Skamdha, Skamda):
Skandha refers to the categorization or classification of knowledge, particularly in the context of disease understanding and management. This classification is crucial for practitioners to accurately diagnose and treat various health conditions based on Ayurvedic principles.

40) Hridaya (Hrdaya):
Hridaya denotes the heart in Ayurvedic literature and is considered vital for overall health. The study discusses the heart's significance in the context of COVID-19, emphasizing the importance of cardiovascular health and its interaction with respiratory conditions.

41) Sundari (Sumdari):
Sundari translates to beautiful or pleasing, often referring to texts or commentaries that clarify Ayurvedic concepts. Their contributions to Ayurveda help in making ancient wisdom accessible and comprehensible for practitioners and scholars in modern healthcare.

42) Vikriti (Vikrti):
Vikriti refers to the state of imbalance or disorder in the body as per Ayurvedic principles. Identifying vikriti is essential to determine treatment plans and interventions to restore balance and health amid various diseases, including COVID-19.

43) Hemadri (Heman-adri):
Hemadri signifies a knowledgeable figure within Ayurveda whose teachings and commentaries enhance understanding of certain principles and practices. His contributions are critical in shaping the discourse around contemporary health issues and integrating them with Ayurvedic frameworks.

44) Pitta:
Pitta represents one of the three doshas in Ayurveda, responsible for metabolic processes and bodily heat. Understanding its role and balance is vital for overall health, particularly in treating diseases characterized by inflammation or excessive heat, including respiratory infections.

45) Earth:
Earth symbolizes physicality and stability, representing the foundation of life and health in Ayurveda. The study emphasizes the connection between environmental factors and health outcomes, particularly how natural elements influence disease prevalence and management in a localized context.

46) Human body:
The human body in Ayurveda is perceived as a holistic entity influenced by doshas, dhatus, and srotas. Comprehending its balance and disruptions helps practitioners devise treatment strategies to address ongoing health crises, including emerging pandemic-related concerns.

47) Agnimandya (Agni-mandya, Agnimamdya):
Agnimandya signifies weakened digestive fire in Ayurveda, a critical factor in the pathogenesis of diseases. Effective treatment often focuses on restoring agni to enhance metabolism and overall well-being, making it especially relevant in managing viral infections like COVID-19.

48) Samnipata (Sannipata):
Sannipata refers to a state of equilibrium between the three doshas, often indicating complex diseases caused by a simultaneous imbalance. Understanding its implications is crucial for effectively diagnosing and treating conditions, particularly those manifesting with multifaceted symptoms like COVID-19.

49) Lakshana (Laksana):
Lakshana denotes symptoms or features of a disease in Ayurveda. Identifying lakshana facilitates accurate diagnosis and allows practitioners to determine appropriate treatment strategies based on classical Ayurvedic classifications, enhancing patient care during health crises.

50) Pariksha (Pariksa):
Pariksha translates to examination or investigation, emphasizing the importance of thorough assessment in Ayurveda for diagnosis and understanding disease progression. The study advocates integrating modern examination methods with traditional Ayurvedic diagnostics to enhance healthcare outcomes.

51) Sanskrit:
Sanskrit is an ancient language of India that serves as the foundation for many classical texts in Ayurveda. The language carries rich philosophical and medicinal terminologies essential for conveying complex theoretical concepts, facilitating deeper understanding in both practitioners and students.

52) Vasanta (Vasamta):
Vasanta refers to the spring season in Ayurveda, often associated with the rise of specific health concerns, including respiratory infections. Understanding seasonal influences is crucial for Ayurvedic practitioners as it impacts prognosis and treatment strategies for various ailments.

53) Kantha (Kamtha):
Kantha denotes the throat in Ayurvedic terminology, viewed as a pivotal organ in regulating respiratory health. Understanding its function and pathologies is crucial for diagnosing respiratory diseases, facilitating effective management strategies in the context of COVID-19.

54) Sharman (Sarma, Sharma, Sarman):
Sharma may refer to an individual contributing to Ayurvedic medicine or research. The mention highlights the collaborative efforts of practitioners and scholars in advancing Ayurvedic knowledge, particularly in addressing modern health issues, including pandemics like COVID-19.

55) Powder:
Powder in Ayurveda often refers to herbal formulations used in treatments. The study emphasizes utilizing powdered herbs and formulations, such as those mentioned in the context of COVID-19 management, to leverage traditional practices for effective healthcare outcomes.

56) Krimi (Krmi):
Krimi translates to worms or microorganisms in Ayurveda, with relevance to various diseases. The article discusses its significance in understanding infectious agents like viruses, aiming to correlate ancient knowledge with contemporary pathogenic challenges such as COVID-19.

57) Joshi (Josi):
Joshi likely refers to a person involved in Ayurvedic research or practices. The name underscores the collaborative academic efforts in studying COVID-19 through Ayurvedic lenses, enhancing integration of traditional and modern medical approaches.

58) Fever:
Fever, referred to as jwara in Ayurveda, is a common symptom indicating the body's response to infection. Understanding its nature and treatment is essential for practitioners, particularly in the context of managing viral infections like COVID-19 efficiently.

59) Sushruta-samhita (Susruta-samhita):
Susrutasamhita is a fundamental text of Ayurveda attributed to Sushruta, focusing on surgical techniques and procedures. Its insights are vital for understanding disease mechanisms and treatment protocols, enriching the discourse around the integration of traditional methods in contemporary health management.

60) Rogapariksha (Rogapariksa, Roga-pariksha):
Roga-pariksha signifies the examination or assessment of diseases in Ayurveda. The study emphasizes this process as crucial for accurate diagnosis, guiding treatment decisions and promoting effective healthcare outcomes through a detailed understanding of patient conditions.

61) Pratishyaya (Pratisyaya):
Pratishyaya denotes a specific condition, often related to ailments affecting the respiratory tract. The article draws parallels between pratishyaya and contemporary respiratory diseases, helping inform effective Ayurvedic treatment techniques amid challenges like COVID-19.

62) Madhavakara:
Madhavakara was a significant figure in Ayurvedic history, credited with compiling and commenting on essential texts. His contributions provide foundational insights into disease classifications and treatment approaches, especially relevant in the discourse surrounding modern health issues.

63) Kaphadosha (Kaphadosa, Kapha-dosha):
Kapha-dosha is one of the three doshas representing stability and structure in the body. The study explores its role in health and disease, particularly in respiratory conditions, highlighting the need to balance kapha for optimal health outcomes.

64) Ashvagandha (Ashva-gandha, Ashvagamdha, Ashwagandha, Asvagandha):
Ashwagandha is an adaptogenic herb prominently used in Ayurveda for enhancing vitality and resilience. The article discusses its relevance in managing stress and improving health outcomes, particularly during challenging times such as pandemics impacting mental and physical well-being.

65) Anupashaya (Anupasaya):
Anupashaya refers to relief or alleviation factors in Ayurveda that assist in managing diseases. Understanding these provides practitioners with tools for better patient care, especially when dealing with the complexities of modern health challenges like COVID-19.

66) Science (Scientific):
Scientific refers to the systematic study or approach based on observation and experimentation. The study integrates scientific methodologies with traditional Ayurvedic practices to explore new dimensions of understanding health and disease, particularly in the context of contemporary pandemics.

67) Purvarupa (Purva-rupa):
Purvarupa denotes the prodromal stage or initial manifestations of a disease in Ayurveda. Understanding purvarupa aids in early diagnosis and intervention, significantly enhancing management strategies for diseases such as COVID-19.

68) Ghanavati:
Ghanavati refers to herbal tablets or formulations in Ayurveda, typically used for therapeutic purposes. Their significance in treating various ailments, including those related to respiratory health, is discussed, emphasizing traditional methods within a modern health context.

69) Mahasrota:
Mahasrota signifies the primary channels in the body that govern the flow of vital energies and substances. Recognizing the role of mahasrotas is crucial in understanding disease pathology and developing effective Ayurvedic treatments for various conditions.

70) Knowledge:
Knowledge in the context of Ayurveda encompasses the understanding of classical texts, theories, and practices. The study emphasizes the importance of integrating ancient wisdom with modern medical insights to boost healthcare strategies and improve patient outcomes.

71) Upashaya (Upasaya):
Upashaya refers to therapeutic practices or remedies in Ayurveda that relieve symptoms or enhance wellness. This concept is critical in developing holistic treatment plans tailored to individual patient needs, particularly in chronic and complex health issues like COVID-19.

72) Badhirya:
Badhirya signifies hearing loss in Ayurveda, which can arise from various health conditions. The article discusses its implications, especially in post-COVID scenarios, advocating for Ayurvedic interventions to restore sensory functions.

73) Vomiting:
Vomiting, known as chhardi in Ayurveda, is a symptom that indicates digestive disturbances. Understanding its causes and management is essential for practitioners, particularly in addressing complications arising from viral infections or treatments.

74) Pippali (Pippalin):
Pippali, or long pepper, is an important herb in Ayurveda known for its digestive and respiratory benefits. The study recognizes its role in traditional medicinal practices, particularly in addressing respiratory illnesses, underscoring Ayurveda's relevance in contemporary health scenarios.

75) Shonita (Sonita):
Shonita translates to blood in Ayurveda and is one of the crucial dhatus. Its balance is paramount in maintaining health, impacting both physical vitality and susceptibility to diseases including those driven by viral infections like COVID-19.

[Note: The above list is limited to 75. Total glossary definitions available: 186]

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Agnimandya, Vyadhikshamatwa, Nidan Panchak, Covid-19 disease.

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