Effect of Rasayana In Covid-19 Cases: An Observational Study

Aim: Evaluation of effect of Rasayana in COVID-19 Cases 
Background: The pandemic of novel corona virus disease(COVID-19) created havoc worldwide. The global community is facing the rapidly spreading pandemic. WHO is trying hard to contain effects of COVID-19 to a minimum. At this moment whole world needs appropriate line of management. So, it needs to be seen that any significant leads can be procured through the intervention of Ayurveda. Rasayana is the rejuvenation therapy of body. It is one of the comprehensive disciplines of Ayurveda which consist of specialized use of herbs, herbo-mineral formulation, which target at Dhatu Samya. 
Methodology: This is an observational study of 10 home quarantine cases of COVID-19 of age greater than 20 years. They were mild symptomatic who received only ayurvedic medicine. Graphically represented data is observed and analysed the improvement in symptoms and recovery from COVID-19. Data is graphically represented. 
Result: 7 out of 10 patients in this study were relieved from symptoms within first 15 days of treatment exhibiting 70% recovery. 3 out of 10 patients in this study were relieved from symptoms after 15 days of treatment exhibiting 30% recovery. 
 Conclusion: The Rasayana Chikitsa mentioned in Ayurvedic text is sufficient to improve mild infection of COVID-19. 
 


Introduction
The pandemic of novel corona virus disease (COVID-19) created havoc worldwide. It is caused by severe Acute Respiratory Syndrome corona virus-2 (SARS-Cov-2). [1] The global community is facing the rapidly spreading pandemic. The corona virus primarily spread among the people during close contact, most often through small droplets produced by sneezing, coughing and talking. Less commonly infected by touching contaminated surface. fatigue, anosmia, difficulty in breathing and tastelessness. [2] Complication may include pneumonia and ARDS. [3] WHO is trying hard to contain effects of COVID-19 to a minimum. At this time whole world needs appropriate line of its management. So, it needs to be seen that whether any significant recovery can be possible through the intervention of Ayurveda or not.
Rasayana is the rejuvenation therapy of body. It is one of the comprehensive disciplines of Ayurveda which consist of specialized use of herbs, herbo-mineral formulation, food articles and life style which aims at Dhatu Samya(homeostasis). [4] Rasayana is of two types Bheshaj and Abheshaja. Bheshaj Rasayana is divided into two types 1. Swasthasyaojaskar which means it helps to improve immunity of healthy individuals. [5] 2. Aartasya Roganut means to resolve disease condition. [5] Rasayana helps to improve physical and mental strength by achieving homeostasis of seven Dhatu. Longevity, improve memory, grasping power, health, complexion and voice are the benefits of Rasayana. [6] It delays the age by nourishing the body and promote longevity. Thus we can plan for Rasayana therapy right from birth which may be introduced in future immunization schedule.
Ministry of AYUSH in India has propagated use of traditional Indian system of medicine including Ayurveda for prophylactic use as well as an alternative system of medicine to provide an effective and holistic approach towards COVID-19. As per Ayurveda COVID-19 corelates with Sannipataj Jwara, one of the types of fever mentioned. [7] It also bears analogy with Rajyakshma (Shosha) [8] and Dushtya Pratishyaya [9] due to Agnimandya. This COVOD-19 infection affects digestive system and hamper the immune system (Oja Kshaya). In Ayurveda it is said that the root cause of all disease is Mandagni which leads to insufficient immunity. Thereby, from this study we can say that the Rasayana Chikitsa mentioned in Ayurvedic text is sufficient to improve mild infection. The aim of this study was to evaluate the role of Rasayana Chikitsa in COVID-19.

Observations Patients evaluation
At baseline, the clinical symptoms of the patients such as body temp, cough, bodyache, headache, sore throat, nasal congestion were monitored. Subsequently, these parameters were regularly tracked along with any visible symptoms or any side effects of the treatment.

Data Presentation
Overall and group-wise age distributions are represented as percent COVID-19 cases in different age range, genders distribution within each age group is shown as percent male / female of the total patients within that particular group and as shown as bar graphs. Gender distribution within study groups is represented as pie chart. Resolution of symptoms within 30 days to represented as proportional bar graphs. Percent In this study 50% population is from age group 20-30 years out of which 25% is male and 66% is female. 20% population is from the age group 30-40 years out of which 25% belong to male and 17% belongs to female. 30% population is belongs to age group greater than 50 years out of which 50% is male population and 17% is female population.

Fig.2 Gender Distribution
In this study 60% population belongs to female and 40% belongs to male.

Fig.3 Days for Resolution of symptoms
70% case recovered from fever up to 5 th day. 60% cases recovered from cough up to 7 th day. 70% case recovered from headache up to 4 th day. 60% case recovered from fatigue up to 12 th day.
70% case recovered from sore throat up to 5 th day. 57% case recovered from nasal congestion up to 5 th day.  Rasayan Churna and its contained we can used it as a best rejuvenation therapy, as it has a property like, anti-depressant, Immunomodulatory, Anti-diabetes, antihypertensive, anti-inflammatory, Anti-toxic effects, Anti-arthritic, Anticancer effects, Anti-microbial effect, and Anti-oxidant effect. So it should be taken in day to day life during Covid -19 out break for the protection of the health and to reduce the stress level in normal individual. And in symptomatic and in asymptomatic patients it is used as immunomodulant to boost the immunity. Ayush Kwath due to its antiviral, immune-modulatory, antioxidant, antiinflammatory, anti-platelet, antiatherosclerotic, hepato-protective, renoprotective properties; seems to be effective in regulating immunity for the prevention and reduction of viral disease complications. The observation that only Ayurvedic medicines were capable of safe symptomatic improvement of COVID-19.