Guidelines for Siddha Practitioners for COVID-19
The first few cases of COVID-19 were diagnosed in Wuhan, China during December 2019 and since then, coronavirus only spread and evolved into a pandemic. India went into a complete lockdown in March 2020. In such situations, we cannot ignore the self-immunity which we need to be boost through our indigenous Medical Systems like Siddha. PREVENTIVE CARE: Common Advisory: ...
The first few cases of COVID-19 were diagnosed in Wuhan, China during December 2019 and since then, coronavirus only spread and evolved into a pandemic. India went into a complete lockdown in March 2020. In such situations, we cannot ignore the self-immunity which we need to be boost through our indigenous Medical Systems like Siddha.
PREVENTIVE CARE:
Common Advisory:
- Drinking water- Herbal water infusion made up of half teaspoon of Chukku (Dried Ginger) / boiled in two liters of water can be used as drinking water.
- Inji thenooral / Inji (Ginger) Tea / Adhimaduram (Licorice) tea may be taken as hot beverages.
- Avoiding Milk at bedtime is advisable if needed for children to add a quarter teaspoonful of Manjal (Turmeric) with Milagu (Pepper).
- Steam inhalation – With Tulasi/ Nochi (Vitex negundo) leaves / Manjal (Turmeric) Ÿ Gargling – water boiled with a pinch of Salt and Turmeric should be used not less than 3 times
- All karappan pandam (allergic foodstuff) should be avoided in the diet.
- Diet may include Nandu kanji (Crab soup), Pancha mudichi kanji (5-grain gruel) and Irumurai vadittha kanji (double-cooked gruel).
- Environmental sanitation - Neem leaves fumigation is advocated.
ANTI VIRALS:
Anti-viral Siddha Formulations:
- Kaba Sura Kudineer - 60 ml twice a day after food
- NilaVembu Kudineer– 60 ml twice a day after food
- Visha Sura Kudineer- 60 ml Twice a day after food
- Pavala Parpam -100 mg twice a day with Honey
- Velli parpam - 50 to 100 mg twice a day with Honey
Anti-Viral Siddha Herbs:
- Inji (Zingiber officinale): Injisurasam– 10 ml Once a day
- Thulasi (Ocimum sanctum): Thulasi Kudineer– 60 ml Twice a day
- Milaku (Piper nigrum): With Thulasi as Kudineer said above
- Karunjeerakam (Nigella sativa): Karunjeeraka Chooranam1gm BD
- Keezhanelli (Phyllanthus niruri): Keezhanellisamoolam– 2gm Twice a day
- Athimadhuram (Glycyrrhiza glabra): Athimadhura Chooranam- 1 gm BD
- Vellaipoondu (Allium sativum): Poonduthaen
- Cittra mutti (Sidacordifolia): Cittramutti Kudineer-30 ml Twice a day
- Seenthil (Tinospora cordifolia): Seenthil Chooranam– 1gm Twice a day
- Manjal (Curcuma longa) Ÿ Elumitchai (Citrus limonia) Volatile oil
- Vembu (Azadirachtaindica)
Note: Antiviral activity of the above mentioned drugs and formulations against COVID 19 is not established and not being claimed.
IMMUNITY ENHANCERS SPECIFIC TO RESPIRATORY CARE:
Details of Siddha Medicines for Boosting Immunity:
| S. No. | Immunity Enhancer | Usage | Remarks |
| 1. | Karpam – Korai Kizhangukarpam Thoothuvelai Karpam | With sugar | Internal |
| 2. | Vatral – Kovaikkaivatral Manathakkalivatral Nellivatral | As fryums | It can be taken along with regular food. |
| 3. | Vadagam Inji Vadagam | 1-2 tablets, with water, thrice a day. | Internal |
| 4. | Adai – Mumumusukkaiadai | Leaves grind with boiled rice flour. | Internal |
| 5. | Others - |
|
|
| 6. | Seenthil Chooranam | 1-2 gm, with ghee, twice a day. | Internal |
| 7. | Thiripala Chooranam | 1-3 gm, with honey, ghee or hot water, twice a day. | Internal |
| 8. | Vallarai Choorana Mathirai | 2-4 tablets, with hot water, twice a day. | Internal |
| 9. | Urai Mathirai | 50 mg (Depend upon the age group) | Internal for children |
| 10. | Amukkara Chooranam | 1-2 gm, with honey, hot water or milk, twice a day. | Internal |
| 11. | Nellikaillagam | 2-4 gm, twice a day. | Internal |
| 12. | Ennai Muzhukku – Thulasithailakarpam | Oil Bath | External |
DETAILS FOR VARMAM POINTS STIMULATED FOR BOOSTING IMMUNITY:
| Varmam | Point | Finger Selection | Procedure | Duration |
| Vilangu Varmam | A dimple at the lateral end of the clavicle | Middle three fingers. | Place the tip of the middle three fingers over the varmam point and do a clockwise rotation | 30 sec |
| Ullangaal Vellai Varmam | At the junction of the big and second toe in the plantar region. | Both thethumbs (Central part (pulp) of the thumb). | Place the Central part (pulp) of the thumb over the Varmam point and then press and release (both sides). | 30 sec |
| Nadi Soothira Varmam | Four finger breadths above the wrist joint (radial aspect). | Both the thumb (Medial 1⁄4 part of the thumb). | Place the middle of the thumb (palmar aspect) over the Varmam point; press and release. | 30 sec |
| Savvu Varmam | Four finger breadths distal from the shoulder joint on the medial side of the upper arm. | Both the thumb (Medial 1⁄4 part of the thumb). | Place the middle of the thumb (palmar aspect) over the Varmam point; press and release. | 30 sec |
SYMPTOM SPECIFIC APPROAH IN COVID-19
Interventions for Preventive Category:
| Prevention for Fever and Respiratory Illness | |||||||||||
| Interventions | Dose Recommendations as per Age Group | Direction of Use | Remarks | ||||||||
| Pediatric (<12 years) | Adolescents (13-18 years) | Adults (19-65 years) | Geriatric Age Group (>65 years) | ||||||||
| < 5 years | 5-12 years | ||||||||||
| Nilavembu Kudineer / Kaba SuraKudineer | 5ml | 10ml | 30ml | 60-90ml | 60ml | Twice a day | After food | ||||
| Seenthil Chooranam | 200mg | 500mg | 1g | 1-2g | 1-2g | Honey/Twice a day | After food | ||||
| NellikkaiIlagam | 1-2g | 3g | 5g | 5-10g | 5g | Twice a day | After food | ||||
Interventions for Mild and Moderate Symptoms:
| Symptom | Interventions for Mild and Moderate Symptoms | |||||||||||
|
| Interventions | Dose Recommendations as per Age Group | Direction of Use | Remarks | ||||||||
|
| Pediatric (<12 years) | Adolescents (13-18 years) | Adults (19-65 years) | Geriatric Age Group (>65 years) | ||||||||
|
| < 5 years | 5-12 years | ||||||||||
| Cough | Kaba Sura Kudineer | 5ml | 10ml | 30ml
| 60-90ml | 60ml | Twice a day | After food | ||||
| AdathodaiMana pagu | 2ml | 5ml | 10ml | 10-20ml | 10-15ml | Warm Water | After food | |||||
| NellikkaiIlagam | 1-2g | 3g | 5g | 5-10g | 5g | Twice a day | After food | |||||
| VasanthaKusum akaram | - | 1 nos | 1nos | 1-2nos | 1nos | Twice a day | After food | |||||
| Sore Throat | ThalisathiVadag am | 1/4nos | 1/2nos | 1/2nos | 1nos | 1nos | Twice a day | After food | ||||
| Kaba Sura Kudineer | 5ml | 10ml | 30ml | 60-90ml | 60ml | Twice a day | After food | |||||
| AdathodaiNei | 1ml | 5ml | 10ml | 10-15ml | 5-10ml | Twice a day | After food | |||||
| High Fever | NilaVembu / Kaba Sura Kudineer | 5ml | 10ml | 30ml | 60-90ml | 60ml | Twice a day | After food | ||||
| BramanandaBair avam | - | 1nos | 1nos | 1-2nos | 1nos | Twice a day | After food | |||||
| AdathodaiMana pagu | 2ml | 5ml | 10ml | 10-20ml | 10-15ml | Warm Water/BD | After food | |||||
| Thirithoda Mathirai | - | 1nos | 1nos | 1-2nos | 1nos | Twice a day | After food | |||||
| Difficulty in Breathing | NilaVembu / Kaba Sura Kudineer | 5ml | 10ml | 30ml | 60-90ml | 60ml | Twice a day | After food | ||||
| Seenthil Chooranam | 200mg | 500mg | 1gm | 1-2gm | 1-2gm | Honey/twice a day | After food | |||||
| PachaiKarpoora Mathirai | - | 1/2nos | 1nos | 1-2nos | 1nos | Honey/Only in the morning | After food | |||||
| SwasaKudori Mathirai | - | 1/2nos | 1nos | 1-2nos | 1nos | Honey/Only in the morning | After food | |||||
| ThippiliRasayanam | 200mg | 500mg | 1gm | 1gm | 1gm | Twice a day | After food | |||||
External Therapy:
- Neerkovai Mathirai for headache.
- Fomentation - betel leaf over the chest
Nasiyam:
- Thumbai poo, Thulasi leave juice for Sore throat, Nasal obstruction
Pugai:
- Kandangathiri Pugai
- Manjal Kombu Pugai for rhinitis, nasal obstruction
Varmam:
- Thivalai Kalam, Adapa Kalam, Kavuli Kalam, Mudichu Varmam, Sakthi Varmam, and other energizing Varmam points for immune enhancing, fever and respiratory illness.
Rationale:
In Siddha System, the Diseases are raised based on the derangement of Mukkutram. Usually, Thottru Noigal (communicable diseases) associated with Aiya kutram (Respiratory related Illness), are gets affected due to its Sthiram gunam (stability factor). In Guru Naadiquoted, Thottru Noigal generally caused by Kirumi(Pathogens). The symptoms are due to Noiyinan vanmai (Immunity of individual), if it is good, he/she will not be affected. So, the Medicines are used to neutralize the Aiya kutram.
General Measures for Control of Fever and Respiratory Illness:
General hygiene & sanitation measures are to be continued.
Padigara Neer for Handwash.
Turmeric water washes for sanitizing hands and legs.
Environmental sanitation:
Fumigation of the house every evening with Kungiliyam (Shorea robusta), Sambrani (Styrax benzoin), Manjal (Curcuma longa), Vembu (Azadirachtaindica) are advocated.
Isolation & Quarantine of elderly people who are vulnerable:
- Stress management is very essential among the subjects under isolation / quarantine.
- The Yogam practices such as Naadi sutthi Pranayamam as given in Thirumoolar Thirumanthiram. Literature will help to increase the elasticity of bronchioles as well as rejuvenate the lung tissues.
- Pranayamam, Naadi suthi pranayamam, Suriya namaskaram, Savasanam, Makarasanam, Meenasanam, Artha meenasanam.
Varmam:
- Thivalai Kalam, Adapa Kalam, Kavuli Kalam, Mudichu Varmam, Sakthi Varmam, and other energizing Varmam points are advised for self-stimulation.
- Coarse powder of coriander seeds with palm jiggery made as a decoction and can be taken in the morning.
- Take 500 mg of powdered Amukkara with milk or Hotwater.
- Advised to take oil bath twice a week with medicated oils like Karisalai Thailam, Santhanathy Thailam.
Diet Advisory:
- Foods can be easily digestible should be advocated.
- Plenty of Boiled Water Intake
- Take lemon juice daily Ÿ Barley gruel, Panchamutti kanji gruel, Raggi gruel.
- Rasam with pepper and jeera, star anise and cinnamon, Ginger and Garlic
- Daily green smoothie like Avaraipinju (Broad beans), KathaiPinju (Brinjal), Murungai (Moringa Leaves)to improve prebiotics in Gut and for detoxification
- As above with diet for co-morbidities, like Low Glycemic index and Low Glycemic diet
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