Ayurvedic management of mucopurulent chronic bronchitis in children: A Case Report

Abstract

Mucopurulent chronic bronchitis in children is a persistent inflammatory condition of the respiratory tract, often

marked by recurrent episodes of productive cough with thick, mucoid or purulent sputum. Ayurveda is a traditional

system of medicine from India that emphasizes a holistic approach to health, focusing on balance between body,

mind, and environment. It emphasizes balance among bodily humours known as Doshas. Mucopurulent chronic

bronchitis can be correlated with Kaphaja Kasa, a disorder classified under Pranavaha Sroto Vikara, primarily

caused by the aggravation of Kapha and Vata Doshas. It is commonly triggered by the consumption of heavy, oily,

and cold foods (Kaphakara Ahara) and lifestyle habits that promote Kapha accumulation (Kaphakara Vihara).

Children are particularly susceptible due to their natural Kapha-dominant physiology. Persistent cough, as a

prominent symptom, significantly impairs quality of life in paediatric patients and often necessitates repeated

clinical interventions. This case report presents the Ayurvedic management of a 12-year-old girl diagnosed

with mucopurulent chronic bronchitis, clinically understood as Kaphaja Kasa. She reported recurrent productive

cough for over a year, with a recent exacerbation involving expectoration of white mucoid sputum for the last 3–4

days. Symptoms were notably aggravated during early mornings, night-time, and seasonal transitions. After

thorough clinical evaluation, Ayurvedic treatment was initiated, which included Sthanik Abhyanga (localized

massage), Nadi Swedana (localized steam therapy), and internal medications designed to pacify aggravated Kapha

Dosha. The patient responded well to the treatment, showing a significant reduction in cough frequency, sputum

production, and associated discomfort. She was discharged with Samana Oushadhi (mild pacifying medicines),

which were continued for 15 days post-treatment. This case highlights the effectiveness of classical Ayurvedic

interventions in the management of mucopurulent chronic bronchitis in children. The integrative use of external

therapies and internal medication helped address the underlying Kapha imbalance, leading to sustained relief

without recurrence. Such evidence supports the role of Ayurvedic protocols in treating chronic paediatric

respiratory conditions safely and effectively.