Abstract

A CASE STUDY: AYURVEDIC MANAGEMENT OF TAMAKSHWAS W. S. R. BRONCHIAL ASTHMA

Dr. Sachinkumar Sahebrao Patil*, Dr. Sanket Ravindra Darawade, Dr. Yogesh Tukaram Kotangale

ABSTRACT

Introduction - According to Ayurveda, Shwas Vyadhi is group of symptoms like Sakashta Shwasa (breathlessness), Ati Swedapravartana (excessive sweating), Hrutpeeda (mild chest pain). Tamak Shwasa can be correlated with Bronchial Asthma due to its signs and symptoms. Objectives: To study the effect of Bibhitaki Choorna , Shunthi Choorna, Pippali Choorna, Sameerpannag Rasa with Madhu for Lehana in Vegavastha and Avegavastha of Shwasa Vyadhi. Material and Methods: A 65 yrs/Male patient who was a K/C/O Bronchial Asthma since 4 years came to OPD with the above mentioned symptoms. He was admitted in ward for 5 days. He was treated with Bibhitak Choorna, Shunthi Choorna, Pippali Choorna, Sameerpanag Rasa Lehana during his hospital stay as well as on OPD basis over the period of 15 days as an adjuvant treatment. During treatment at outpatient department, periodic follow ups were taken for assessment. Concomitant treatment included. (1) Inj. Augmentin 1.2 gm IV tds x 5 days. (2) Syp. Ascoril 2 tsf tds x 5 days. (3) Budecort nebulisation 8 hourly and Duolin nebulisation 6 hourly x 5 days. On discharge he was shifted on Foracort 200 rotacaps 2 puffs bd dose.[1,2] Since 4 years patient was taking treatment for Bronchial Asthma. Addition of Bibhitaki Choorna, Shunthi Choorna, Pippali Choorna, Sameerpannag Rasa Lehana showed promising results as it acts on Pranavaha Srotas. It helped to reduce the symptoms of Shwas Vyadhi like breathlessness, excessive sweating, and mild chest pain. Observations: There was significant reduction symptoms such as Sakashta Shwasa (breathlessness), Ati Swedapravartana (excessive sweating), Hrutpeeda (mild chest pain). Clinically, there was significant reduction in wheezing also. Visual Analogue Scale (VAS) was applied for evaluation of all above symptoms. It was observed that Visual Analogue Scale (VAS) score also improved after the treatment. Conclusion: Bibhitaki Choorna, Shunthi Choorna, Pippali Choorna, Sameerpanag Rasa is effective in Vegavastha and Avegavastha of Shwas Vyadhi as an adjuvant treatment along with concomitant medications.

Keywords: Bibhitaki Choorna, Shunthi Choorna, Pippali Choorna, Sameerpanag Rasa, Bronchial Asthma, Tamak Shwasa.