Abstract

TAMAKA SHWASA (BRONCHIAL ASTHMA) - A CASE STUDY

Dr. Ruchika A. Chaudhari*, Dr. Khushali Zalavadiya and Dr. Dipti S. Purani

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Abstract

Tamaka Shwasa is listed as one of the variety among five types of Shwasa Roga. Tamaka Shwasa is a ‗Swatantra Vyadhi‘ and having its own specific aetiology, pathology and management. Hence, Acharya Charaka has given separate Samprapti of Tamaka Shwasa in addition to general Samprapti of Shwasa Roga. Kshudra Shwasa is present as symptom in most of the diseases & does not require any medication. And other types are difficult to cure. Bronchial asthma mentioned in Modern Medicine closely resembles with the Tamaka Shwasa on the basis of its clinical features and etiopathogenesis. Here, I am presenting a case study of a 33-year-old male patient with history of Tamaka Shwasa since last 2 years. The Patient was having symptoms as shortness of breath especially at night time (Shwasa Kricchrata Ratrikale), coughing with expectoration (Sakapha Kasa Pravriti), Rhinitis (Pratishyaya) and heaviness of chest region (Urah Gauvaravata evum Shleshma Purna Urah Anubhuti) feeling comfort in sitting posture (Aasine Labhte Saukhyama). On examination of chest wheezing was present bilaterally on auscultation. Patient was taking bronchodilator. He was using inhaler 3-4 times per day. In Tamaka Shwasa, Kapha obstructs the passage of Vayu, the obstructed Vayu have in upward direction (Pratiloma Gati of Vayu). So, destroy this pathogenesis is a line of treatment, Shodhana Chikitsa along with Shamana Chikitsa was adopted. Here used Virechana drugs having quality of Vatanuloman, Ushnaguna, Kapha-vataghna properties. As they are more beneficial in condition of Shwasa. Virechana remove mainly Pitta and Kapha Dosha and makes the downwards movement of Vayu. After 45 days of treatment patient got 60% relief in asthmatic symptoms. Here, the present paper endeavours to enunciate the concept based on classical references as well as scientific studies carried out in recent years by research scholars.

Keywords: Tamaka Shwasa, Bronchial asthma, Shodhana chikitsa, Shamana Chikitsa.