The reference for Elakanadi kashayam is found in the context of Kshatakasa which can be co-related with chronic that causes emaciation and severe lethargy. Elakanadi kashaya clears kapha from the region of the chest and strengthens function. Kashaya or herbal decoctions harness herbs' healing properties and roots in a mild and easily absorbable water base. Combination of Ela (Elettaria cardamomum) Kana (Piper lom) Madhuka (Glycyrrhiza glabra) Nagara (Zingiber officinale) Vasa (Adathoda vasica) Guduchi (Tinsopora cordifolia) Dasamoola (the group of ten roots) etc.