Abstract
Objective: The present study was conducted on patients taken from Swasthavrutta department of Gujarat Ayurved University in Jamnagar town, Gujarat. The study was done with an objective of providing a safe and reliable as well as cost-effective natural management of symptoms occurring in patients of bronchial asthma. This is also done to reduce the various harmful effects of modern medicines among the patients and to reduce the use and dependency on inhalers.
 Methods: Thirty-two patients with bronchial asthma (Tamaka Shwasa) underwent training for 16 weeks in an integrated set of yoga exercises, including prayer, strengthening exercises, Yogasanas (including standing Asana, prone Asana, sitting Asana, and supine Asana), Pranayama (Nadi Shodhana, Ujjayi, Bhramari, and Aumkara Dharana), and Shuddhi Kriya (to be done once in a week) which includes Kunjal, Sutraneti, and Kapalabhati. The patients were told to practice these exercises for 60 min daily.
 Results: Significant improvement was seen in the patients who undergone yogic interventions. There was significant improvement in the duration of Shwasakashtata, frequency of Shwasakashtata, reduction in taking number of emergency medicine, Pinasa, Kaphashtheevana, cough, Ghurghuraka, orthopnea, Parshvashula, Lalate Sweda, result on peak expiratory flow rate, airway exchange catheters, oxyhemoglobin saturation, and chest expansion.
 Conclusion: From the study, it can be concluded that yoga practices can be opted as long-term management of bronchial asthma, but its beneficial effects need to be studied in more details on large sample size.
Highlights
Bronchial asthma is one of the chronic inflammatory diseases of the airways
A clinical trial, controlled prospective study was conducted on 32 patients by intervening into yoga practice everyday for 60 min for 16 weeks by a yoga trainer
This study showed a reduction in the number of asthma attacks which is comparable to the previous research work [7,8]
Summary
Bronchial asthma is one of the chronic inflammatory diseases of the airways It is commonly associated with an airway hyperresponsiveness which leads to recurrent episodes of wheezing, breathlessness, chest tightness, and coughing mainly at night or in the early morning [1]. Yoga and Pranayam practices adjust the autonomic imbalance, control the rate of breathing, and alter various physiological variables. They have their impact on the psychological status of the asthmatic patient and help in reducing the stigma associated. These changes are mainly due to decreased sympathetic reactivity and relaxation of voluntary inspiratory and expiratory muscles [4]. With the aim of improving the quality of life of asthmatic patients by intervening them into various yoga practices, the present study was conducted
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