Critical Analysis of Kasmaryadi Kwatha- A Comprehensive Review

Abstract

The mode of action of a compound Ayurvedic formulation must be carefully examined to ensure its therapeutic efficacy. Kasmaryadi Kwatha is a least explored Ayurvedic formulation specifically mentioned for the treatment of Pittadhika Vatarakta. There are six ingredients in this formulation viz Kasmarya, Draksha, Aragwadha, Rakthacandana, Madhuka and Ksheerakakoli. Sarkara (Sita) and Madhu are the Anupana. Out of these six ingredients Ksheerakakoli is an Abhava Dravya and Satavari and Aswagandha are mentioned as its Pratinidhi Dravya. This review highlight which drug can be most suitably used as substitute of Ksheerakakoli by analysing similarities in properties and actions This review is an also attempt to explain the mode of action of this formulation. On analysing the properties of the ingredients, it was found that it is predominant of Madhura Tikta Rasa, Guru Snigdha Guna, Sheeta Veerya and Madhura Vipaka. These properties are responsible for its action in Pittadhika Vatarakta. As per modern pharmacology many phytoconstituents present in the drugs are having anti-inflammatory, antioxidant and laxative actions which is also beneficial in the condition. The analysis of mode of action provides a comprehensive understanding of the therapeutic application of this formulation, thereby substantiating its efficacy in alleviating the symptomatology in Pittadhika Vatarakta.