ABSTRACT
Bronchial asthma is one of the most distressing chronic illness in all socio- economic status people, affecting all age groups. Changing in lifestyle, demographic factors, urbanization, environmental charges are the triggering factors of bronchial asthma. Tamaka swasa is characterized by paraoxysmal attacks of breathlessness, cough, coryza, due to chest tightness, rapid respiration, distress inability to expectorate and prolonged expiration. Methods: This is a single case study of a 34 year male patient, came with the complaints of difficulty in Breathing since 5 years. He also complaints of abdominal distension and decreased appetite. According to patient, he was apparently well before 5 years. Gradually he developed breathing difficulty because of his smoking habit. Patient also c/o abdominal distension and decreased appetite at that time. In the case study patient was given Sadhyo vaman first followed by Snehapana with Brahmi ghrta was given along with Internal medications. Result: Patient showed remarkable improvement in severity of symptoms and as well as time period between 2 successive episodes of dyspnea is increased. During this course we observed that the patient had partial relief of symptoms. Lesser the chronicity greater the relief and improvement in chronic condition was observed. Interpretations and Conclusion: The patient was given Sadhyovamana, followed by Snehapana with Brahmi ghrtam for Virechana. The contents of Brahmi ghrtham are Ghee, Brahmi, Shankapushpi, Trikatu, Shweta trivrt, Krishna Trivrt, Vidanga, Nipadruma, Saptala, Danti, followed by Virechana with Trivrt lehaya. Tamake tu virechana In this condition Virechana is advised as the best line of treatment, and in the above mentioned case after Virechana patient feels better and got much more relief from symptoms.
ABSTRACT
Rasapravicharana cikitsa is the administration of drugs in accordance with the Rasam (taste) after assessing the Doshic imbalance in diseases. The basic approach of Ayurveda is to normalize the Doshas in aggravated or depleted conditions occurred in the manifestation of disease. The objective of the study was to assess the effect of Rasapravicharana cikitsa (taste specific drug therapy) in aggravated Kapha dosha of Kapha dominant Tamaka swasa (asthma). The study was conducted on 10 patients between the age group 16 to 70 yrs of both the sexes. The patients were administered with Katu (pungent) rasa drug ie, powder of the dried fruit of Maricham (Piper nigrum Linn) at the dose of 500 mg, Tikta (bitter) rasa drug i.e., dried Vasa leaf powder (Adhatoda vasica Nees) at the dose of 3gm, and Kashaya (astringent) rasa drug i.e., powder of the dried fruit pericarp of Haritaki (Terminalia chebula (Gaertn.) Retz.) at the dose of 3gm, 8 AM and 8 PM after food daily in luke warm water respectively for a period of two weeks each. The Katu rasa drug administered for 14 days produced highly significant reduction in dyspnoea, cough bout frequency, wheeze, expectoration of sputum and quantity of sputum, and significant improvement in PEFRate. But no significant improvement was observed in PEF%. The administration of Tikta rasa drug in the next 14 days resulted in highly significant reduction in cough bout frequency and expectoration of sputum and significant reduction in dyspnoea. The reduction was maintained in other signs and symptoms. The Kashaya rasa drug used in the last 14 days significantly improved PEFRate. Reduction in other signs and symptoms was maintained. The management according to Rasapravicharana cikitsa has a significant role in the pacification of Doshas involved in the manifestation of diseases.
ABSTRACT
Ayurveda refers to bronchial asthma as Tamaka Swasa and it is well explained in Charaka Samhita. It contributes several modalities of the treatment for Swasa roga( asthma). Among all modalities of treatment, polyherbal combinations are said to be well-accepted, safe and effective in asthma. A study was carried out in 40 patients of either sex in between the age of 15-65 years to assure the clinical response of Padmapatradi yoga in bronchial asthma (Tamaka Swasa) at P.G. department of Kayachikitsa, D.G.M. Ayurvedic Medical College, Gadag, Karnataka. The sum total properties of Padmapatradi yoga is tikta katu rasa, laghu and tikna guna (light and penetrating properties), ushna virya (hot potency) and vatakaphagna (decrease vata and kapha dosa) Padmapatradi yoga is effective in increased peak expiratory flow rate, breath holding time, and reduces the absolute eosinophil count of studied cases and also found statistically highly significant at p<0.001 level. The drug is quite safe and acts as a bronchodilator, antihistaminic and anti-inflammatory.