Abstract

Background: Tamak Shwasa is one of the varieties among the five types of Shwasa roga characterized by prolonged expiration, wheeze, and dyspnoea. In modern science, it can be correlated with bronchial asthma. It is a yapya vyadhi. shodhana and shaman chikitsa are the important line of treatment described in Ayurvedic classics. Aim: To evaluate the effect of Kulattha guda with and without nitya virechana karma in the management of Tamak Shwasa. Method: In the present study Kulattha guda and Kulattha guda after nitya virechana karma with Trivrit avaleha were selected for a clinical trial in Tamak Shwasa. The clinical study was done on 40 patients and divided randomly into two groups. In Group A, Kulattha guda 5 gm BD with lukewarm water was given for 45 days, and in Group B, firstly, nitya virechana was done with Trivrit avaleha 5-15 gm at night for 3-7 days according to the kostha of the patient, after that Kulattha guda 5 gm BD with lukewarm water were given for 45 days. Result: In the trial, 10.53% of patients in Group A and 50% in Group B showed marked improvement, 68.42% in Group A and 38.89% in Group B showed moderate improvement and 21.05% in Group A and 11.11% in Group B showed mild improvement. Conclusion: In the present study Group A showed significant results, and Group B showed highly substantial in all subjective parameters. Thus, the synergetic effect of nitya virechana with Trivrit avaleha and Kulattha guda were more than only Kulattha guda.

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