JoAYUSH (2013) 1-10 STM Journals 2013. All Rights Reserved Page 1 Ayurvedic Concept of Allergy in Reference to Diet and Regimen
Sarvesh Kumar Singh 1 , Kshipra Rajoria 2 , Mahendra Prasad 3 * 1 Lecturer, P. G. Department of Panchkarma, NIA, Jaipur, India 2 Lecturer, Department of Panchkarma, S. S. S. V. Ayurvedic College and Hospital, Kishangarh, Rainwal, Jaipur, India 3 Lecturer, P. G. Department of Sharir Kriya, NIA, Jaipur, India
Abstract Life of man depends on three main sub-pillars; these are Ahar, nidra and brahmacharya. Ahar plays very important role to provide strength, complexion and lifespan. Nowadays, human life is too busy to fulfill his lawful diet. Some diets are incompatible, unwholesome while some are wholesome. Unwholesome and incompatible produce untoward skin diseases. Foods that are not suited to body produce allergy. Udard, koth, raktapradoshaja vikara and shitapitta are allergic disorders. Incompatibility may be due to weight, rasa, veerya and vipaka. Other factors are fish, meat, vegetables, honey, fruit, diet, place and pulses. They are divided into Satmya and Asatmya. Jati asatmya Gomamsa to Manushya, Ritu asatmya Rituviparita, Roga asatmya curds in Shotha. Vyayama asatmya excessive exercise by weak person (Stress test in CCF). Udaka asatmya water of different places is unpalatable. Divaswapna asatmya Shvasa, Timira, C. C. F. Rasa asatmya. Honey and ghee should not be taken together because they are viruddha. Such viruddhas are of many types and produce allergy.
*Author for CorrespondenceE-mail: mprasadmahendra5@gmail.com
INTRODUCTION Life of modern man is far removing from the rules of nature. In fact, there has been a drastic change in his day-to-day activities including his lifestyle, food, sexual life and medication. The intake of canned food, intoxicating beverages, eating and sleeping at irregular intervals, usage of various types of synthetic drugs, uncontrolled and unhealthy sexual activities have taken modern man to a world, where immunity is declining day by day and many new diseases are evolving.
Ayurveda has explained various types of diseases and or symptoms that are similar to allergy. Acharya Charaka has described some allergic disorders, e.g., Udarda under Kaphananatmaja vyadhi [1] and Kotha under Raktapradoshaja vikara [2]. Acharya Bhava Prakasha and Madhav have also described Shitapitta under allergic disorder.
There is altered immune response in allergy. This condition in Ayurveda is described as Ojovyapat [3]. Both intrinsic and extrinsic causes of Ojovyapat are described in Ayurveda at various places.
Allergy is defined as a disorder in which the body becomes hypersensitive to particular antigens, which provoke characteristic symptoms whenever they are subsequently encountered, whether inhaled, ingested, injected or otherwise contacted. Allergic condition in any person develops due to response of his body system with allergens. Thus, presence of allergen is a basic need for generation of pathology, resulting in manifestation of allergy. According to Ayurveda the substances which are basically in juxtaposition to dhatus and body are considered as allergens.
According to Ayurveda, the different ways and means by which a substance becomes unwholesome or allergen to an individual is explained under the concept of Viruddha, Satmya and Asatmya. Ayurvedic Concept of Allergy Singh et al. __________________________________________________________________________________________
JoAYUSH (2013) 1-10 STM Journals 2013. All Rights Reserved Page 2 Viruddha Ahar (The unwholesome dietetics): The food articles which derange body tissues in their own state have been stated as Ahitkar or unwholesome. They are basically in juxtaposition to dhatus [4]. Viruddahara leads to Ama formation. Ama thereby produced acquires toxic potency and exhibits toxic symptom
[5]. Chakrapani explains that conversion of Ama to visharupa is because of amajanakahetu vishesha prabhava (idiosyncrasy) as seen in equal quantity administration of honey and ghee [6]. Keeping this principle in view, Maharshi Charak and Vagbhat have detected some dietetic articles as naturally unwholesome (swabhawik). Considering all the dietetic categories, he says that among all cereals having bristles Yavaka (barley) is most unwholesome. Similarly, among all pulses, the Masha (blackgram); among various types of drinking water, the river water in rainy season; among all salts, the Ushara (salt collected/prepared from saline soil); among all potherbs, the mustard; among all animal meats, the beef; among all birds (meat), the dove; among the animals living in holes, the frog; among all ghee, the ghee of sheep; among all milk, the milk of sheep; among all vegetable fats, the oil of Kusumbha (Canthamus tinctorius); among the fats of marshy animals, the fat of buffalo; among the fat of aquatic animals, the fat of Kakamudga (waterfoul); among the fats of gallinaceous type of birds, fat of Chatak (sparrow); among the fats of all branch eating animals, the fat of elephant; among all the fruits, the fruit of Nikucha (Atrocarpus nikucha); among all the rhizomes and roots, the root of Aluka; among all the preparation of sugarcane, the Phanita is regarded as most unwholesome [7].
All the dietetic articles possess their certain inherent qualities and based on that their effects are seen on the body. The unwholesome effect of the food articles, in addition to its inherent qualities are also governed by several other factors which are as follows. (1) Some act due to their mutually contradictory qualities, (2) some by combination (Samyoga), (3) some by method of preparation (Samskara), (4) some by virtue of place (Desha) land and body, time (Kala), Dose (Matra) and (5) some other by their (inherent) nature. Supporting these principles, Maharashi Sushruta says that some drugs and diet become unwholesome by their combination (Samyoga), by their incompatible preparations, by their objectionable proportions, by their incompatible taste, potencies and digestive transformations [8]. Vagbhat has also dealt about the incompatibility of food. In comparison, the view of Charaka is more clear and appropriate, as while mentioning the incompatibility of dietetic articles, he has dealt with the causes and effects also. Keeping in view these principles of unwholesome of diet described by Charaka, Sushruta and Vagbhat, the different types of food articles and their combinations are dealt with in detail.
Incompatibility of Combination The flesh of any domestic (Gramya) or aquatic (Anupa) beast or bird, as well as the flesh of those which live in marshy ground (Audaka) should not be eaten with boiled rice prepared from paddy which has commenced sprouting or with the lard, honey, milk, treacle or Masha (blackgram). The potherbs known as the Rohini and the Jatu-Shaka, should not be partaken of in combination with milk or honey, nor the flesh of the heron, eaten simultaneously with Kulmasha (a food prepared from barley) and the spirituous liquor known as Varun. Maricha (black-pepper) and Pippali (Long-pepper) should not be eaten in combination with the pot-herbs known as the Kakamachi and Nadishaka should not be eaten simultaneously. Sura (wine) Krishara and Payasa should not be taken in combination. Similarly, Souviraka and Sesamum paste, fish and modification of sugarcane juice, treacle and Kakamachi, honey and Mulakam, treacle and the flesh of a wild bear or honey and bears flesh should not be taken in combination. Similarly, milk and Mulakam, mango fruit, Jamboline fruit and the flesh of Godha, porcupine and hog should not be eaten together. All fish should not be taken with milk, nor should the fruit of a plantain tree be simultaneously eaten with Tala fruits, milk or whey. The fruit Lakucha should not be taken with milk, curd or meat soup, nor with honey and clarified butter, nor immediately before or after the drinking of milk
[9]. He further says regarding the incompatible preparation of food that the flesh of pigeon fried with mustard oil, should not be eaten. The flesh of Kapinjala, Lava, Titira and Godha, boiled with castor oil and on a fire of the twigs of castor plants, should not be eaten. Clarified butter, kept in a Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy Volume 2, Issue 2, ISSN: 2278- 2214 __________________________________________________________________________________________
JoAYUSH (2013) 1-10 STM Journals 2013. All Rights Reserved Page 3 vessel of Indian bell metal for ten consecutive days, should be rejected as unwholesome. Honey should not be used in combination with an article or substance heated by fire or in the season of summer and autumn. The pot-herbs known as the Kakamachai, boiled in a bowl in which fish or ginger had been previously boiled or prepared, should be rejected as positively injurious. Similarly, the pot-herbs known as Upodika (Spinach) should not be eaten by boiling them with levigated paste of sesamum.
Incompatibility by Weight The objectionable proportions (Mana) like two oily substances (such as oil and clarified butter) or honey and any of the oily substances, mixed in equal proportions, should not be taken; nor should rain water be drunk immediately after having taken honey and clarified butter [11].
Incompatibility of Rasa, Veerya and Vipakas Moreover, Sushruta deals with incompatible tastes, potencies and chemical reactions as following. Regarding the tastes, sweet and acid tastes or sweet and saline tastes should be deemed incompatible to each other in respect to their potencies and inherent properties. Sweet and acid taste are incompatible to each other in all the above respects. Similarly, sweet and bitter or sweet or astringent should be deemed incompatible to each other in respect of their tastes and chemical action. Acid and saline things are incompatible to each other as regards their flavor. Acid and acrid things are incompatible as regards flavor and chemical action. Acid and bitter or acid and astringent things are incompatible to each other, both regards their respective flavors, potencies and digestive or chemical transformations. Saline and pungent things are incompatible to each other as regards their respective flavor (Rasa) and digestive (chemical) transformation. Similarly, saline and bitter things or saline and astringent things are incompatible to each other in respect of all the three above-said relations and categories, pungent and bitter tastes are incompatible to each other in respect of flavor and digestive transformation whereas substances of pungent and astringent or bitter and astringent tastes are incompatible to one another as regards their respective potencies, flavor and digestive (chemical) action or transformation [12].
Substances that are incompatible with or antagonistic to the system through a difference of degree or intensity are well as things which bring about an extreme dryness of the organism, or those which are extremely oily in their composition or are characterized by extreme cold or warmth should be rejected [13]. While considering the effects of incompatibility of diets, by taking substances which are incompatible to one another as regards their tastes, potencies and digestive transformation, a greedy and intemperate person becomes afflicted with disease and weakness of the sense organs and ultimately meets his doom [14]. Some more incompatible diets are mentioned.
The fish should not be taken together with milk because both of them have sweet taste, but due to the contradiction in their potency (fish is hot and milk is cold) they vitiate the blood and obstruct the channel of circulation and cause constipation and diseases relating to blood and it may even lead to death [15]. The meat of domestic, marshy and aquatic animals should not be taken together with honey, sesamum seeds, sugar candy, milk, Masha (blackgram), radish, lotus stalk or germinated grains. By doing so, one gets afflicted with deafness, blindness, trembling, loss of intelligence, loss of voice and nasal voice; it may even cause death [16].
One should not take vegetable of Pushkara (Nelumbo nucifera) and Rohini or meat of Kapota (dove) fried in mustard oil together with honey and milk, for this obstructs channels of circulation and causes dilatation of blood vessels, epilepsy Sankhaka (a disease of the head characterized by acute pain in temporal region), Galaganda (scrofula), Rohini (diphtheria) or even death [17].
Milk should not be taken after the intake of radish, garlic, Krushnagandha (Moringa oleifera), Arjaka (Ocimum gratissimum), Sumukha, Surasa (Ocimum sanctum), etc. This may cause obstinate skin diseases including leprosy [18].
Ayurvedic Concept of Allergy Singh et al. __________________________________________________________________________________________
JoAYUSH (2013) 1-10 STM Journals 2013. All Rights Reserved Page 4 Leaves of Jatuka (Ferula narehex) or ripe fruit of Nikucha (Artocarpus lakoocha) should not be taken with honey and milk. It may cause loss of strength, complexion and semen, sterility and other serious types of diseases which may lead to death [19].
Ripe fruit of Nikucha should not be taken with the soup Masha (black gram), sugar candy and ghee because they are mutually contradictory [20].
Amra (mango), Matulunga (Citrus decuman), Nikucha, Karamarda (Kamrak), Mocha (banana), Dantashtha (Citrus medica), Badara (Zizyphus jujuba), Kosamra, Bhavya (Dillenia indica), Jambava (Syzygium cumini), Kapitha (Feronia limonia), Tintidik (Tamarindus indica), meat of Paravta (pigeon), Akhsoda (Fuglans regia), Panasa (Artocarpus heterophyllus), Narikela (Coconut), Dadima (Punica granatum), Amalaka (Emblica officinalis) and such other solid and liquid materials which are sour in taste become mutually contradictory when taken with milk [21].
Pulses: Similarly, Kangu (Setaria italica), Vanaka, Makustha (Phaseolus aconitifolius), Kulattha, (Dolichos biforus), Masha (Phaseolus radiatus), Nispava, when taken with milk are mutually contradictory [22].
Shaka: Padma (Nelumbo nucifera), leaves of Uttarika, Sharkara type of wine, Maireya type of wine and honey, if taken together, are unwholesome and they aggravate Dosha specially Vata.
Meat: Meat of Haridraka bird, fried with mustard oil is unwholesome and they aggravate Dosa and specially Pittam [23]. Meat of crane either with Varuni type of wine or Kulmasa (paste of barley mixed with hot water and slightly boiled so as to form a cake is called Kulmasa) is unwholesome, again if fried with lard; it will cause instantaneous death [24]. Meat of peacock roasted on a castor spit, if burned with castor wood fuel and mixed with castor oil, causes instantaneous death. Similarly, the meat of Haridraka roasted on a turmeric spit and burned with the fuel of turmeric wood and when mixed with ashes, dusts and honey, causes instantaneous death. Pippali (Piper longum) prepared with fish fat and Kakamachi mixed with honey causes death [25].
Honey: Hot honey or intake of honey by a person afflicted with heat causes death. Honey and ghee, honey and rain water both in equal quantity, honey together with the seeds of Puskara (Nelumbo nucifera), intake of hot water after taking honey, Bhallataka (Semecarpus anacardium) together with hot water should be avoided [26].
Milk Preparation: The Payasa (milk preparation) when taken with Manth (thin gruel) is unwholesome and they aggravate Dosha specially Kapha. Upodika (Basella rubra) prepared with the paste of Tila (sesamum indicum) causes diarrhea [27]. Furthermore, the drugs and diets that dislodge the various doshas but do not expel them out of the body are to be regarded as unwholesome [28].
While considering the other unwholesome factors of diet and drugs like variance with place, time, power of digestion, dosages, habit, Dosha, mode of preparation, potency, bowel, state of health, order, proscriptions and prescriptions, cooking, combination, palatability, richness of quality and rules of eating are unwholesome [29]. They are illustrated below. Incompatibility of food also affects with desha. Intake of dry and sharp substance in deserts and unctuous, cold substance in marshy land [30]
is unwholesome. According to seasonal variation, diet should be taken against guna of weather likewise intake of cold and dry substance in winter, pungent and hot substance in the summer [31] is incompatible to health. Intake of heavy food when the power of digestion is low (Mandagni) creates lots of discomfort and intake of light food having power of digestion [32] is sharp (Tikshnagni). It produces abdominal discomfort. Certain dietetics should not be intermixed when taken in. Intake of honey and ghee [33] in equal quantity is forbidden.
Intake of sweet and cold substance by persons accustomed to pungent and hot substance [34] same time, is beneficial consider as Satmya. In relation to dosha, use of diet and regimen similar qualities but variance with the habit of the individual [35], drugs and diets prepared in Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy Volume 2, Issue 2, ISSN: 2278- 2214 __________________________________________________________________________________________
JoAYUSH (2013) 1-10 STM Journals 2013. All Rights Reserved Page 5 a particular way produce poisonous effect [36], diet substances having cold potency in combination with those of hot potency [37], administration of mild purgative in a small dose for a person of constipated bowel or krur koshthi and administration of strong purgatives in strong doses for a person having relaxed bowel or mrudu koshthi is incompatible [38]. Intake of Vata aggravating food by a person after exhaustion, sexual act and physical exercise or intake of Kapha aggravating food by a person after sleep or drowsiness is unwholesome [39]. If a person takes food before his bowel and urinary bladder are clear (empty) or when he does not have appetite or after his hunger has been aggravated are called Krama Virudham [40]. Use of hot things after taking pork, etc., and cold thing after taking ghee is unwholesome [41, 42]. Preparation of food, etc., with bad or rotten fuel and undercooking, overcooking or burning during the process of preparation
[43], any substance which is not pleasant in taste [44], intake of food substance is not matured, over-matured or putrefied [45]
and taking meals in society is always unwholesome [46].
Diseases Caused by Unwholesome Diet Intake of unwholesome food is responsible for the causation of sterility, blindness, Visarpa (an obstinate skin disease characterized by an acute spread), ascitis, eruptions, insanity, fistula, fainting, intoxication, tympanitis, spasmodic obstruction in throat, anemia, poisoning due to Ama, Kilasa type of skin disease, obstinate skin disease including leprosy, sprue, edema, acid dyspepsia, fever, rhinitis, fetal disease and even death. It has been reported that the diseases caused by the intake of unwholesome diets and drugs can be cured by emesis, purgation or administration of antidotes and by taking prophylactic measures [47]. Showing more seriousness to unwholesome diet are incompatible to one another as regards their tastes, potencies and digestive transformation, a greedy and intemperate person gets afflicted with disease and weakness of the sense organs as well as ultimately meets his doom. Thus, an intelligent physician considering the nature of the disease, the strength and temperament of the patient and the state of his digestion as well as the seat of the affection the physical features of the country and thin prevailing season of the year, should prescribe a diet which he thinks the most proper and suitable to the requirements of the case [48]. Emphasizing the effects of unwholesome diet, the milk often acts like poison, if given without proper consideration, and on the other hand the poison also acts like best medicine, if administered properly [49].
The ill effects produced by incompatible diet as explained by Hemadri are that some types of unwholesome diets may lead to immediate fatality just like poison, some diets may lead to delayed mortality and some types of unwholesome diets may lead to generation of different diseases [50]. Ayurvedic concepts related to ill effect of incompatable diet understood very well with the concept of modern science. Sadhya nasha or immediate fatality can be correlated with anaphylactic shock. Kalantara Nasha or delayed, latent fatality can be correlated with cell-mediated (delayed) hypersensitivity reactions.
Conditions those Interfere with the Viruddha J anya Ill Effects There are a few factors that control or neutralize the hazardous effects of incompatible food in the body. The doshas do not produce disorders immediately in those who indulge in unhealthy practices (food, activities, etc.) as long as there is hindrance to their increase by the dushyas, which are of opposite qualities. Individuals with optimum vyadhikshamatva will not get affected by incompatible food and regimen [51]. By different combinations, unhealthy food ingredients sometimes lose their bad qualities and become non-injurious. Combinations of ingredients having only opposite qualities produce ill effects, e.g., honey and ghee in equal quantity along with Triphala churna combination is not viruddha [52]. The combination of curd, milk, etc., may not be incompatible when the combined effect of the recipe is antagonistic to the dosha, dushya, bala, kala, etc., e.g., Lashuna Ksheera [53], Panchashrya, etc. Incompatible food, regimes, etc., do not cause adverse reactions in the persons Ayurvedic Concept of Allergy Singh et al. __________________________________________________________________________________________
JoAYUSH (2013) 1-10 STM Journals 2013. All Rights Reserved Page 6 fortified with regular exercise, oleation have optimum digestive power, youthful and optimum bala [54] (immunity). Artificial homologation (Kritrima Satmya Karma) of unwholesome substances will not produce adverse effects after habituation [55]. Accustomed food even when taken in excess does not vitiate dosha [56]. Though hot milk has hot property and its madhura rasa is shita (cold), apparently viruddha, does not vitiate dosha [57].
Other Allergens Apart from the Viruddha allergens, following factors can also be considered as allergens like Apathya, Ahita, Anupashaya, Samashana, Adhyashana, Vishamashana, Nidanarthakara, Manasa.
The substance that is not harmful to the body and mind is known as Pathya and conversely all the things which prove to be harmful are apathya [59]. There are a lot of apathya substances. Some are pollens, mold spares, aerosols and volatile chemicals. Non- immunological contact substances are plant (nuts), animals like caterpillar and jellyfish, medications like dimethyl sulphoxide, uncertain mechanism for contact of ammonium sulphate in hair bleaches. Some chemicals, foods, textiles, wood, saliva, cosmetics and perfumes are apathya. Physical stimuli, exercise induced anaphylactic syndrome, solar, cold, heat, vibrations and water create over reaction. The food articles and behavior that do not maintain the harmony of Dhatus and vitiate doshas are considered as Ahita (59). All the modalities of treatment such as hetu, vyadhi, hetu vyadhi viparita and hetu, vyadhi, hetu-vyadhi viparitarthakari- Anna, Aushadha and Vihara which result into amelioration are termed upashaya and the same when prove to be detrimental to health are anupashaya. Thus, almost anything can become allergen [60]. The partaking of both pathya and apathya together is termed Samashana and it is harmful [61]. Eating again after a meal when previous meal is yet undigested [62]
is adhyashana. To eat before or after the appropriate time is vishamashana [63]. One disease when becomes the cause of another (e.g., Cor-Pulomonale). Few other examples are: Raktapitta from Jwar, Shotha; Kasa and Kshaya from Pratishyaya [64]. Inappropriate sound, touch, vision, taste and smell have been also considered to produce asatmya (allergic) [65]. Mental emotions evolving should be retaining in mind so these are consider as Dharaniya urges. The wholesome food also taken in proper quantity does not get digested and produces ama (toxin) due to anxiety, grief, fear, anger, uncomfortable bed and vigil [66]. The substances to which the body becomes accustomed after prolonged use and which do not cause deleterious effects are Satmya. Satmya is the homologues of a substance by the habit of using it for a long period. Satmya can be a hita or an ahita. All those substances which are not homologated or compatible to the body either be they hita/ahita are Asatmya (allergens) [67].
Classification of Satmya
As per lexicon and samhitas, Satmya are three types according to symptoms. These are Pravar, madhyam and avar. Getting accustomed to all the tastes is best and to only one taste is poor and to two or more tastes is medium. Hemadri has classified the concept of satmya as Kritrima and Akritrima. Kritrima (artificial) satmya is the condition in which the body grows accustomed to even potentially harmful substances after prolonged use All samhitas Sushruta [69] Charaka [70] Hemadri [71] Ajanma Satmya 1. Pravara 2. Madhyama 3. Avara [68]
JoAYUSH (2013) 1-10 STM Journals 2013. All Rights Reserved Page 7 (conditioning or desensitization therapy). Akritrima or natural satmya is further divided into two types Nirupadhika (independent) and Sopadhika (dependent). Nirupadhika satmya is independent of dosha, desha, kala, etc. All sada pathya substances are nirupadhika satmya, e.g., Shashtika, Shathi, Mudga, water, milk, ghee, etc. Sopadhika satmya is the accordance with dosha, Prakriti, desha, etc. Entire aushadhi are considered as sopadhika satmya.
Asatmya are categorized as kritrima asatmya, nirupadhika and sopadhika. Sopadhika asatmya is evident only when dosha, prakriti, desha, etc., are favorable. Kritrima satmya may become sopadhika asatmya and vice versa for, e.g., kritrima satmya of a previous season becomes sopadhika asatmya in the successive season. If ushna kritrima satmyata in varsha is continued in sharada ritu then it vitiates pitta as it is sopadhika asatmya. Acharya Indu clarifies that incompatible food even if made kritrima satmya has only temporary comforts and becomes incompatible in the long run [72]. Thus, nirupadhika satmya is pathya and sopadhika satmya is aushadha. Together they form upashaya and conversely nirupadhika asatmya and sopadhika asatmya together form anupashaya. Satmya and asatmya can be classified into eight types, first one is desha. It is again divided into two parts bhumi and atur. Bhumi and atur are categorized into samudaya (whole). Loss and destruction of all seven dhatus due to intake of poison, this is because visha qualities are opposite nature of dhatu and eka deshaja (a part of body or dhatu) Intake of kshar leads to destruction of shukra dhatu and loss of strength. Second is jati asatmya like gomamsa and manushya. Third is ritu asatmya ejection of diet against season (ritu) is known as rituviparita. Fourth one is roga asatmya in which apathya are not taken in diseased conditions. Curd taken in Shotha is roga asatmya. Fifth one is Vyayama asatmya. In such conditions, excessive exercise is performed by weak persons. Sixth one is Udaka asatmya. In this reference, water of different places is unpalatable. Seventh is divaswapna asatmya. Day time sleeping is prohibited in some diseases. In shvasa and timira, sleeping is asatmya. Eighth is Rasa asatmya. Amla rasa in Amlapitta is contraindicated if person using amla rasa enhances amlapita.
CONCLUSIONS Ayurveda conceives the idea of allergy and intolerance (asatmya) is caused by a variety of unwanted endogenous and exogenous materials and way of life. Concept of Virudhahar or unwholesome diet in relation to allergy is very relevant in the present context. Asatmya is due to intermixing of disproportionate diet causing long-term toxic effect on body. They are desha, jati, ritu, roga, vyayam, udaka, diwaswapna and rasa. For management of various allergic problems, one should consider all these points in the mind and treatment should be planned accordingly. By this way, we would be able to treat various types of allergies which are much difficult to treat.