By Dr. Ajay Kumar Chaudary
Instructor, Ayurveda Campus, Kirtipur
Definition:
The disease in which the patient feels difficulty in taking vayu (air) giving rise to many dreadful symptoms which disturbs the life of the patient is called as swas rog. This is produced due to vitiation of Kapha and Vata doshas taking shelter of Pitta sthana.
Samprapti (etiopathogenosis):
According to Ayurveda, Amashaya (stomach) is considered as the main site of Kapha dosha. The kledaka kapha vriddhi in Amashaya causes agnimandhya leading to Ama Utpati. The sama rasa (chyle with ama) when comes to lungs obstructs the natural flow of Prana and Udana Vayu.
Amashaya (stomach), Phupus (lungs) and Hridaya (heart) are interlinked together. Heart pumps oxygenated blood through aorta and its branches throughout body and collects the venous blood from superior and inferior venecava. Mesentric vein collects the venous blood from intestines which is mixed with “Aahara Rasa” enters into the heart through inferior venacava. Pulmonary artery takes the venous blood to lungs where transfusion of O2 and CO2 takes place and oxygenated blood returns to left atrium throuogh pulmonary vein.
As these organs are interlinked the sama or vitiated kapha from amasaya is carried to lungs and deranges the Avalambaka kapha. This kapha blocks the srotas or channels which cause vata prakopa. Due to nidana sevana vitiated vata causes dryness, constriction and rigidity in srotas (here bronchioles). Digestion is disturbed due to Agnimandhya and also excretion of waste material does not take place properly which causes “Apana vayu” prakopa. The upward movement of apana vayu leads to Tamak swas. Thus the vayu which is obstructed by kapha (kleda) gets excited and spreads in the whole lungs manifesting the symptoms of Tamakswasa.
When the vata is predominant it results into inflammation and oedema in bronchioles causing obstruction whereas mucolent secretions obstruct in kapha predominant condition.
Pharmacotherapeutic Management:
A. Sodhan Chikitsa (Purifying Therapy):
1. Snehana & Swedana (Oleation and Sudation) :-
The patient of Tamak swas (allergic bronchitis) should at first be managed with snehana - swedana. The patient should be given nadi or sarwanga swedana after proper massage on chest and back with saindava oil. By snehana and swedana therapy the sticky kapha gets dissolved and hence the passage becomes soft and vayu returns to its normal course. After snehana and swedana the patient should be given kapha utkleshakar aahar such as rice along with meat soup or fish with curd. When kapha is increased to optimum level the patient should be advised to take vamana (emesis) with 10 gms of Madanphal-Pippali which is not antagonistic to vayu. The patient gets relief after diminution of sticky kapha. The channels are cleansed and vayu moves freely.
2. Nasya (Nasal instillation):
If patient is weak, nasya is administered after applying the snehana and nadi swedana.
3. Vamana (Emesis):
Dominant of Kapha dosha with strong body can be administered vaman after snehana pana and swedana, whereas the patient who is having predominance of vata and in children and old aged persons should be given mridu virechana and samana drugs.
4. Virechana (Purgation):
Virechana is one of the important treatments for tamak swas patients.
1. Rasayan haritaki churna: 5-6 gms at bed time with hot water.
2. Ichha bhedi rasa 250-500 mg early morning (strong body and constipated patients)
3. Eranda Tail 30-50 ml at bed time or early morning.
5. Basti (Enema):
Anuvasana basti or matra basti for 8 days.
If constipation is main symptom yoga basti should be given.
B. Shamana Chikitsa (Pacifying Therapeutics):
Shaman Drugs:-
1. Swaskuthar Rasa 250 mg
2. Tribhuvn Keerti Rasa 250 mg
3. Mix and use with honey:
• Talisadi churna 1 gm
• Sringa bhasma 250 mg
• Tamkan bhasma 250 mg
• Abhrak bhasma 125 mg
Subscribe to this comment's feed
