A Comparative Clinical Study of Vasa Avaleha and Kantakari Avaleha in the Management of Pediatric Kaphaja Kasa

Background: Kaphaja Kasa (productive cough) is a common respiratory ailment in children, often linked to dietary and environmental triggers that vitiate Kapha Dosha. In Ayurveda, Avaleha are preferred for their palatability and sustained action. Aims: This study compares the clinical efficacy of Vasa Avaleha and Kantakari Avaleha in school-aged children (6-16 years). Methods: A randomized comparative clinical trial was conducted with 100 patients divided into Group A (Kantakari Avaleha) and Group B (Vasa Avaleha). Parameters including Total Leukocyte Count (TC), ESR, and cough frequency were assessed over 14 days. Results: Both groups showed significant improvement; however, Group A exhibited a superior reduction in TC levels (Mean Diff: 1045.5 cells/mm³) and a higher percentage of "Good" to "Excellent" clinical outcomes (83.8%) compared to Group B. Conclusion: Kantakari Avaleha is highly effective in managing pediatric Kaphaja Kasa by breaking the pathogenesis (Samprapti Vighatana) through its bronchodilatory and Chedana (expectorant) properties.