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Guidelines for Ayurveda Practitioners for COVID-19 Patients in Home Isolation.

Preamble

The COVID-19 pandemic has re-emerged as a public health challenge. The burden of the disease and mortality are steadily increasing throughout the globe. Several social and economic factors are leading to devastating situations. Effective management to address this infection is still evolving and attempts are being made to integrate traditional interventions along with standard care.

Home isolation is applicable to confirmed COVID-19 cases which are asymptomatic or have mild symptoms, or to people who had a contact with suspected cases of the disease.

General Disclaimer

  • Patients need to have a general consultation from a qualified physician before starting any intervention.
  • In all severe cases, immediate referral to a higher medical centre as per the Government guidelines is advised.
  • Patients with co-morbidities like hypertension, diabetes etc., are advised to continue their respective medications.
  • Physicians may select interventions as per their own discretion.
  • Use of drugs in vulnerable population is at the prudence of the consulting physician.
  • Doses for children should be adjusted according to their age. 

Management Guidelines for COVID-19 Patients in Home-Isolation

The common clinical features observed in mild COVID-19 cases include sore throat, mild fever, body-ache, nasal congestion, and dry cough. Although a variety of symptoms are being reported, many cases are asymptomatic and some uncommon clinical manifestations include loss of smell and taste.

Some of the asymptomatic cases can be in the pre-symptomatic stage. Considering this possibility, the patient should observe evolving symptoms or signs. This watchfulness should not lead to undue anxiety.

Specific measures for COVID-19 Patients in home isolation

Stage/condition Clinical Presentation Medicine  Dosage*
Asymptomatic COVID-19 Patients --- Guduchi Ghana vati (Samshamani vati) 500 mg tablet twice daily with warm water for 15 days
Ashwagandha Tablet (Aqueous extract) 500 mg two tablets twice daily with warm water for 30 days
AYUSH 64  500 mg two tablet twice daily with warm water for 30 days
Mild COVlD-19 Positive Fever, Headache, Malaise, Dry Cough, Sore throat, Nasal Congestion AYUSH 64  500 mg two tablet thrice daily with warm water for 30 days 
Ashwagandha Shunthi Ashwagandha (Aqueous extract) Tablet 250 mg and Shunthi powder 500 mg twice daily with warm water for 15 days 
Guduchi Ghana vati (Samshamani vati) 500 mg tablet twice daily with warm water for 15 days
Guduchi + Pippali 

Guduchi kwatha* - 100 ml + Pippali Churna-2 gm twice daily before meals for 15 days.

OR

Guduchi Pippali two Tablets** (375 mg each) twice daily

Symptomatic management of mild COVID-19 patients

Stage/condition Clinical Presentation Medicine Dosage*
Mild COVlD-19 Mild Fever, Headache, Malaise, Fatigue Sudarshan Ghan Vati 500 mg twice daily with warm water for 15 days 
Nagaradi Kashaya 20 ml twice a day for 15 days
Cough  Sitopaladi Churna with Honey 3g thrice daily with Honey for 15 days
Sore throat  Vyoshadi vati  Chew 1-2 pills as required
Yashtimadhu churna 1-3 g twice daily with honey for 15 days
Nasal Congestion, Loss of taste Vyoshadi vati  Chew 1-2 pills as required

General guidelines

  1. Patients should follow physical distancing, respiratory and hand hygiene, and wear masks.
  2. Gargle with warm water along with an added pinch of turmeric and salt. Water boiled with Triphala (dried fruits of Emblica officinalis, Terminalia chebula, Terminalia bellirica) or Yashtimadhu (Glycyrrhiza glabra) can also be used for gargling.
  3. Nasal instillation/application of medicated oil (Anu taila or Shadbindu Taila) or plain oil (Sesame or Coconut) or of cow ghee (Goghrita), once or twice a day, especially before going out and after coming back home.
  4. Steam inhalation with Ajwain (Trachyspermum ammi), Pudina (Mentha spicata) or Eucalyptus oil (1-5 drops) or Karpur (Camphor) once a day.
  5. Frequent intake of water processed with Tulasi (basil leaves – Ocimum tenuiflorum L.Merr (synonym Ocimum sanctum L.) is advised.
  6. Adequate sleep (7-8 hours) should be taken and day time sleep preferably be avoided

Dietary guidelines

  • Drinking of warm water or water boiled with herbs like Saunth (Zingiber officinale),Dhania (Coriandrum sativum),Tulasi (Ocimum sanctum), or Jeera (Cuminum cyminum) seeds.
  • Food should be freshly prepared, and easily digestible.
  • Drinking of Golden Milk (Half tea spoon Haldi (Curcuma longa) powder in 150 ml hot milk) once at night. The same should be avoided in case of indigestion.

Source : Ministry of AYUSH



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