Abstract
Hikka is a disease of serious nature and can cause death if not treated properly. The general causative factors include dietary and environmental pathogens and specific pathogenesis is due to involvement of vata and kapha as major dosha. Thus five types of Hikka are elaborated. The classification is based upon clinical presentation of disease and includes three types each of Hikka with bad prognostic signs pointing to worse condition. The description comprehends basic principles of management focused on removing obstruction of kapha and allowing proper flow of vata by means of purification therapies, sudation, nasal errhines, medicated smoking and various formulations. The management emphasizes on nourishment and pacification therapies to successfully treat and prevent the Hikka conditions. Depletion therapies are strongly contraindicated as they may worsen the condition of patient and disease. A 60 years old patient came in opd with complaint of frequent hiccup since 1 month. He has taken allopathic medicine for this but found no result. The condition was managed by Kanakasav 40 ml BD with leuke warm water before meal internally and got instant result. Within one day he became normal.
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