Understanding of Post Covid Mucormycosis through the Lens of Ayurveda

Mucormycosis is fungal disease caused by fungus Mucor. It has been seen as a life-threatening complication of disease Covid-19. It has 70 times higher prevalence rate in India as compared to the world, having only few but expensive treatment options. The triggers of Mucor infection in Covid-19 patients are immune deficiency and hyperglycaemia caused by the use of corticosteroid, which favours Mucorales tissue Penetration. Mucormycosis has mainly six different types viz pulmonary, rhino-orbital-cerebral, gastrointestinal, widely disseminated, cutaneous, & miscellaneous infection, the commonest clinical presentation is rhino-orbito-cerebral in Covid-19 pandemic. Ayurveda though an ancient science of healing, has strength to treat newer diseases from several decades. Mucormycosis disease is not mentioned in Ayurveda text directly, it is Un uttered disease (Anukta Vyadhi) but it can be treated with help of basic principles of Ayurveda. By understanding the pathogenesis, it can be stated that, it is an Abhishangaja Vyadhi (diseased caused by Virus/ Bacteria/ Parasite) and categorised as Raktapitta Pradhan Tridoshaja Vyadhi (disease caused by vitiation of all three humors with rakta pitta predominance). Prevention of Mucormycosis can be achieved by following daily (Dincharya) and seasonal (Ritucharya) regimens. The treatment protocol include Krimighna (Antimicrobial), Tridoshashamak (normalise all three humors) and Raktashodhaka /Pittashamak (blood purifier), Agnideepak (improve digestion) & Aampachak (improve metabolism), Pramehhar (treatment of diabetes/hyperglycaemia) and Rasayana (Rejuvenation) drugs. Key words- Abhishangaj vyadhi, Anukta Vyadhi, Mucormycosis , RaktaPitta Pradhan Tridoshaj Vyadhi