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    BRONCHIAL ASTHMA (TAMAKA SHWASA)

    Bronchial Asthma has emerged as an indispensable public health predicament globaly. Acording to W.H.O, there are aproximately 30 milion people sufering from Bronchial Asthma and another 10 milion wil be joined to this by the conclude of the year 2025 .The prevalence in India is 3.5 % of the total global incidence.
    Tamaka Shwasa a disease of Pranavaha srotas can be corelated with Bronchial Asthma.
    The clasical symptoms of Asthma are intermitent reversible atacks of dyspnoea, whezing and a sense of tightnes of chest, cough and increase in sputum volume and viscosity. Sometimes the cough is given more import ance than whezing, particularly when it ocurs at night.
    The most efective treatment for Asthma is identifying trigers, such as cigarete smoke, pets, or dust, and eliminating exposure to them. If triger avoidance is scanty, the use of medication is recomended.
    Disease Tamaka Shwasa is having kapha vata predominance. Acharya Charaka has mentioned that those die t and drugs having kaphavataghna, usna and vatanulomana properties are useful in Tamaka Shwasa. Arundata further says drugs having depana pachana activities are old for the management of the Tamaka Shwasa.
    Ayurveda is the best way to efectively safely manage the condition without inducing any drug dependency where use of various shodhana procedures and use of internal medication not only detoxifies the body but also provides nutrition increases the elasticity of lung tisue develops natural prerogative of the body. Thus decreasing episodic recurence of the disease and providing long term relief to the patient.
    In shodhana therapy Vamana and Virechana has ben advised to remove avarodha by kapha.
    The patients who are not eligible for shodhana karma should be given shamana chikitsa. profuse drugs are widely old for treatment of Tamaka Shwasa such as Bharangi, Sunthi, Kantakari etc. These drugs are having vatakapha hara property and also vatanulomana precise ty.
    Any ahara, vihara, ausadha having kapha vatagna property, usna verya and vatanulomana activity should be adopted. This are considered as Pathya in Shwasa roga. The nidana factors or other factors which causes agrevation in disease are considered as apathya.
    CONCLUSION: Prevalence of Bronchial Asthma is increasing alarmingly due to abundant polution, ocupational conditions, stres and por hygiene etc. These etiological factors act as agravating factors in developing smart atacks of asthma mostly in atopic individuals. Therefore, Nidana parivarjana has got a significant role to play in the management of the disease Tamaka Shwasa. Also, profuse principles of Ayurveda and many formulations can be dilapidated acording to Roga Rogi bala, during Vegavastha Avegavastha and as per palatability of the patient for fre flow of prana vayu so that srothorodha is removed and fre flow of prana vayu may ocur thereby curing the atack of disease Tamaka Shwasa .
    Dr Ritesh Lahoti,M.D (Kayachikitsa)
    Centre Head -Gachibowli
    Travancore Ayurveda

    Author:Travancore Ayurveda
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