Tamaka Shwasa Research Articles

A Critical Review on Tamaka Shwasa (Bronchial Asthma)

Tamaka Shwasa is a broad term, which includes many diseases where dyspnoea is a characteristic symptom. There are five classes of shwasa: Kshudra, Tamak, Chhinna, Maha and Urdhava shwasa. Tamak shwasa is Kaphaand Vatadominant. Tamak shwasa is main disease of pranvaha strotas. It is of two types- Santamak and Pratamaka shwasa. Acharya Charaka described that Tamaka Shwasa is Yappya type of disease. The etiological factors of Tamaka Shwasa are mentioned with variable multiplicity of diet, lifestyle and consequences of diseases. Every ayurveda physician should have the great knowledge of Tamaka Shwasa to decide different aspect of treatment.

The efficacy and safety of Kantakaryavaleha and Eladi Gutika in the management of mild stable bronchial asthma (Tamaka Shwasa)

BACKGROUND: Although Ayurveda medicine is used to manage bronchial asthma, available evidence relating to its efficacy needs to be generated. To scientifically evaluate the efficacy and safety of Ayurveda interventions, Kantakaryavaleha and Eladi Gutika, a multicenter, prospective, single-arm, open-label clinical study on mild stable bronchial asthma (Tamaka Shwasa) will be initiated. MATERIALS AND METHODS: 90 patients (45 in each center) with mild stable bronchial asthma will be enrolled based on inclusion and exclusion criteria. All the patients will be treated with Ayurveda medicines, i.e., Kantakaryavaleha 10 g, orally, twice daily with lukewarm water and tablet Eladi Gutika, 1 g thrice daily, orally. The intervention period will be 12 weeks and each participant will be followed up for 2 more weeks post intervention period. The primary outcomes will be measured assessing the change in the Asthma Control Questionnaire and the frequency of need for control medication before and after the trial intervention. The secondary outcomes will be measured by comparing the changes in clinical signs and symptoms of Tamaka Shwasa as per the Ayurveda classical text, changes in forced expiratory volume (FEV1), and biomarkers such as serum C-reactive protein (CRP), and IgE. TRIAL REGISTRATION: The trial has been registered at the Clinical Trials Registry-India (CTRI); the registration number for this trial is CTRI/2018/06/014425.

Clinical Efficacy of Simhyadi Kwathalong with Shati Churnain Tamaka Shwasa (Bronchial Asthma)

Clinical Efficacy of Simhyadi Kwathalong with Shati Churnain Tamaka Shwasa (Bronchial Asthma)

Clinical Evaluation of Shatyadi Churna and Virechana Karma in the Management of Tamaka Shwasa w.s.r to Bronchial Asthma

Background-Tamaka Shawasa is said to be “Yapya vyadhi” i.e not only curable but managed by medicine, but can be cured if it is of acute origin as said by Ayurvedya Charak. Materials and methods- It was done on 30 Patients of Tamaka Shwasha. They were treated on the principle of Ayurveda & evaluation of Virechanakarma & Shatyadi churna. Results-Overall effect is that in 33.33% i.e 1 out of 30 patients cases complete remission is seen, 26.66% cases shown marked improvement, 53.33% cases shown moderate improvement, 16.66% cases reported mild improvement & 0.00% cases were having no change in their symptoms. Conclusion- Ayurveda treatment not only cure the root cause of disease but prevent the disease in future recurrence by boosting the immunity against the infection and treating allergic reactions. This article proves clinical evaluation of Shatyal Churana And Virechana Karma in management of Tamaka Shwasa w.s.r “ Bronchial Asthma”.

Therapeutic Potential of Sameera pannaga rasa (An Arsenical Compound Formulation): A Versatile Kupipakva rasayana

Kupipakwa Rasayanas are unique, widely prescribed, and highly therapeutic pharmaceutical preparations in ayurvedic therapeutics prepared in Kachkupi (glass bottle). Sameera Pannaga Rasa (SPR) is one such an arsenical compound formulation first cited in Rasa Chandanshu classic. It contains Parada (Hg), Gandhaka (S), Somala (As2O3), Haratala (As2S3), and Manahshila (As2S2) as integral components. Much diversity was seen in Rasa classics regarding its ingredients and duration of heating required for its preparation. Considering this, many studies have been carried out at different centers of India. The aim of the present study was to compile such available research works and relevant information from different Rasa classics and published literature from different databases to provide brief information about pharmaceutical, analytical, pharmacological, and clinical studies. Screening of literature revealed that Manahshila is not an ingredient of SPR in Rasa Chandanshu but added in recent treatises such as Ayurveda Aushadhi Guna Dharma Shastra and Ayurvedic Formulary of India. Totally seven references are found pertaining preparation of Sameer Pannaga Rasa in ayurvedic classics. It is recommended in the management of Tamaka Shwasa (bronchial asthma), Sandhivata (osteoarthritis), Amavata (rheumatoid arthritis), neurological disorders, etc.

EFFECT OF KUNJAL KRIYA AND AGASTYA HARITKI RASAYANA IN TAMAKA SHWASA W.S.R BRONCHIAL ASTHMA: A CASE STUDY

Tamaka Shwasa (Bronchial asthma) is one of the stressful medical conditions of today's era and is well known for its episodic and chronic course which affects the whole human race. Tamaka shwasa is a disease in which the pa- tient experiences severe symptoms of respiratory distress with extreme weakness, fatigue and mental glooming. Tamaka Shwasa can be correlated with the disease Bronchial Asthma based on its features & etiopathogenesis. Here the sincere effort has been made using Kunjal kriya a shodhana chikitsa and Agastya Haritaki as Rasayana. Rasayana plays an important role in the rejuvenation of body tissues and providing strength to patients. A male patient of Age 40 years with a history of Tamaka shwasa from last 5 years. The Patient has all classical symptoms like Shwasakashtata, Kasa, Kaphashteevan, Aruchi, Parshvashula, Asino Labhate Saukhyam, Ghurghuraka comes at O.P.D of Govt. Ayurvedic Hospital Model Gram Ludhiana, On Auscultation of chest wheezing present bilater- ally in lungs. The patient was using short-acting Bronchodilator puffs almost 3-4 puffs in a day. So, this case of Tamaka shwasa is treated with Kunjal Kriya a Yogic Shodhana Karma once a week followed by Rasayana for four weeks. All this was done after examination of Bala of the Patient. In this case, it was observed patient got good relief in all cardinal symptoms of Tamaka shwasa. Keywords: Rasayana, Kunjal Kriya, Tamaka Shwasa

TO ESTABLISH TREATMENT MODALITIES IN SEASONAL NON-COMMUNICABLE CHRONIC DISORDERS W. S. R. TO “TAMAKA SHWASA” AS PRANAVAHA PRADOSHAJA VIKARA

Ayurveda is not only the science of life but also the philosophy of life. Srotasa which represent the internal transport system includes a series of channels through which Rasa-Raktaadi Dhatu is propelled to all parts of the body. The concept of Pranavaha Srotodushti & its explanation matches entirely with the pathogenesis mechanism symptoms of Asthma. Taking this aspect in the mind, the clinical study was planned to establishment of the func- tional utility of Srotomoola in the management of the disease Tamaka Shwasa. AIM & OBJECTIVES: To estab- lish the role and function utility of Srotomoola. To study the aetiopathogenesis and treatment of Pranavaha- Pradoshaja Vikara. To assess the efficacy of Shwashar Yoga, Hridya Yoga, and Deepaniya Yoga. MATERIALS AND METHODS: For the clinical study 30 clinically diagnosed patients of Tamaka Shwasa (Bronchial Asthma) were registered for present clinical. They were treated in three groups randomly each containing 10 patients with- in the age group of 20-70 years. Group 1 has been treated with Shwashar Yoga 5gm three times a day for 2 months. Group 2 have given Hridya Yoga 5gm three times a day for 2 months. Group 3 have given Deepaniya Yoga 5gm three times a day for 2 months. 30 clinically diagnosed patients of Tamaka Shwasa (Bronchial Asthma) were registered for the present clinical study in 3 divided groups. RESULTS: After the complete intervention the overall improvement in the patient of group I was found to be 77.27%, in Group II was found to be 63.64% and in group III was found to be 31.50% which was a mild improvement symptomatically but statistically it was highly significant. DISCUSSION AND CONCLUSION: It was observed that most drug ingredients in Shwashar Yoga, Hridya Yoga, Deepaniya Yoga have Laghu, Ruksha, Tikshna Guna, Tikta, Katu Rasa, Katu & Madhura Vipaka & Kapha Vatashamaka Prabha- va. Considering these factors, the selected drugs as well comprises Kapha Vatashamaka action, moreover, should contain a strong affinity to perform on Pranavaha Srotas. It shows signs of Srotoshodhaka properties which may assist to eliminate sluggish Dosha in the Srotas. Keywords: Srotasa, Srotomoola, Tamaka Shwasa, Kapha Vatashamaka.

MANAGEMENT OF TAMAKA SHWASA WITH GHRITA BHRISHTA HARIDRA

Shwasa is a chronic condition that developed as a result of Pranavaha sroto dushti, here the shwasa roga is developed due to two types of srodo dushti i.e. sangha (Due to kapha avarodha) and vimarga gamana (of the udana vata). Asthma is a condition that affects the quality of life of an individual. Especially this condition aggravates and worsens in the cold season. Depending on the sign and symptoms Shwasa roga can be compared with Asthma. Asthma is a chronic inflammatory disease that affects the airway of lungs and leads to narrowing of air passage, it is an episodic disease manifested clinically by paroxysms of dyspnoea, tightness of chest along with wheezing sound and coughing usually more at night or early morning. Asthma rapidly increasing in India due to pollution, Among India’s 1.31 billion people, about 6% of children and 2% of adults are suffering from asthma.[1] Tamaka shwasa is one among the Shwasaroga and it is predominantly Vatakaphajavyadhi. This disease is maintainable by giving proper medication like shodhana (Vmana, Virechana, etc...) and shamana chikitsa (Swasa kutara rasa, swasamrita etc...), if the proper treatment is not given to the patient is proper time, then this condition gets worse and become life-threatening. So, the following case study is explaining about the management of Swasa roga of 8 years history with Ayurvedic medications. Keywords: Tamaka Shwasa, Deppana, Paachana, Shodhana, Shamana.

ROLE OF SHODHANOTTARA GUDA TAILA PRAYOGA IN THE MANAGEMENT OF TAMAKA SHWASA

Tamaka Shwasa is tridoshaja vatakapha pradhana avaranajanya Yapya vyadhi and requires Samhita based evidence-based scientific approach with current standards. Tamaka Shwasa is nearer to bronchial asthma identified with airway obstruction, inflammation, producing extra mucus making it difficult in breathing with a prevalence rate of 2.05% of 18 million asthmatics in the nation leading to reduced quality of life along with socioeconomic burden. The contemporary steroidal research has not yielded satisfactory outcomes and is a threat to safety. A case of Tamaka Shwasa from the OPD of TGAMC&H, c/o Shwasa Krichrata, Kasa etc. with PEF-250 Lt/min, AEC-970cells/cumm. has been taken for the present case study. After the diagnosis of Tamaka shwasa by Pratyatma lakshanas and relevant investigations, managed with Sadhyovamana, virechana and shaman aushadhi like guda taila yoga. Improvements were noticed in Kasa Shwasa Krichrata, Gurgurata, asino labhate sukham, parshwashula. Also, improvements were observed in Spirometry taken before and after treatment. The combined effect of shodhana followed by shaman acts as deepana, pachana, Srotoshodhaka, kaphahara, vatanulomana, Rasayana, brahmana, shwasahara. Shodhanottara guda taila prayoga showed significant improvements in both subjective and objective parameters taken in the study.

Role of Amritadi Kwath in Tamaka Shwasa (Bronchial Asthma)

Tamaka Shwasa is one of the chronic disorders of Pranavaha srotos which occurs by Pratiloma gati of Vata due to obstructed Kapha. Tamaka Shwasa is often correlated with Bronchial Asthma in modern medicine. Asthma is a disease of airways that is characterised by increased responsiveness of the tracheobronchial tree to a variety of stimuli. Keeping these points in view, the clinical study entitled as “Role of Amritadi Kwath in Tamaka Shwasa (Bronchial Asthma)” was been selected. For this 27 patients of Tamaka Shwasa were randomly selected on the basis of inclusion and exclusion criteria from Kayachikitsa O.P.D of Rishikul Campus, UAU, Haridwar. The drug chosen was Amritadi Kwath (with Pippali churna as Anupan) from Chakradatta which was given in a dose of 40 ml twice daily for 45 days. Assessment was done at the interval of 7 days during this period, along with a follow up of 15 days after the completion of trial on the basis of subjective and objective parameters. Appropriate statistical tests were used for obtaining the results. The effect of trial was considered on the basis of percentage relief in the above parameters. Maximum improvement were noted in Sleshma vimokshante labhate sukham (92.31%), Kapha nishtivana (88.46%) and Ushnabhinanditi (84.91%). In overall response, marked improvement was found in 56% patients, moderate improvement in 28% patients, mild improvement in 8% patients and no change in 8% patients. As per the data collected, Amritadi Kwath when given in Tamaka Shwasa was effective in relieving the symptoms in the patients.

The study of therapeutic effect of Rasagutika in the management of Tamaka shwasa (Bronchial Asthma) – A case study.

Tamaka shwasa is made by two words ‘Tamaka’ and ‘Shwasa’. The ‘Tamaka’ word came from ‘tama’ means experience of darkness; And ‘Shwasa’ means respiration or breathing process ; but as concern to this disease it means increased rate of respiration or difficulty in breathing process. Acharya Charaka quoted that Shwasa and Hicca are two diseases, which are fatal to life amongst all other diseases[1].Tamaka Shwasavyadhi comes under Shwasa vyadhi. On the basis of severity; Shwasa roga is classified into five types. Kshudra shwasa can be seen as asymptoms in many diseases and is self limiting. Chhinna, Urdhwa, Maha shwasa are the terminal stages and have extremely bad prognosis. And Tamaka shwasa having its own etiology, pathology and management. It is mentioned as yapya vyadhi[2] . In this disease Vayu is vitiated and blocked by Kapha. So, vayu moves upward instead of its normal flow.Bronchial asthma in modern medicine closely resembles with Tamaka shwasa. Ayurvedic drugs including the respiratory tonics and naturally occurring bronchodilators and immunomodulators can be a potential and effective alternative for the treatment of Bronchial asthma. Aim: To evaluate the effect of Rasagutika[3] in the management of Tamaka Shwasa w. s. r. to Bronchial asthma. Materials and methods:In this study , a patient of Asthma managed by an Ayurvedic formulation Rasagutika in dose of 250mg with kantakari kwatha administered orally three times a day after food for the period of 8 weeks.

Role of Haridradi Avaleha in the Management of Tamaka Shwasa (Childhood Bronchial Asthma) – A Single Case Study

The word Shwasa is derived from the root ‘Shwasa Prinane’– which actually means difficulty in the entry of prana in the pranavaha srotas. Shwasa word indicates both physiological and pathological state of respiration. Tamaka Shwasa is one of the five types of disease shwasa. It is a disease of mainly pranavaha srotas. The sign and Symptoms and etiopathogenesis of Tamaka Shwasa explained in Ayurvedic literature have lot of similarities with the disease entity Bronchial Asthma. The goal of this study is to determine the efficacy of the formulation, Haridradi Avaleha in reducing the sign and symptoms of Childhood asthma. A 13 years old boy male Hindu patient from Limda village, Vadodara presented in the OPD of Kaumarbhritya department, Parul Ayurved Hospital, Parul University who presented clinical features of Tamaka Shwasa was treated by internal Ayurvedic formulation, Haridradi Avaleha showed marked improvement in the subjective parameters like breathlessness, cough, corzya, awakening in night etc and in objective parameters like ACT(Asthma Control Test), PEFR(Peak Expiratory Flow Rate) some hematological parameters viz. AEC (Absolute Eosinophil Count), ESR (Erythrocyte Sedimentation Rate), WBC Lymphocyte, Neutrophil, discussed here. All subjective and objective parameters were examined during 60 days of follow up-visits, and no instances of the above complaints were reported.

A REVIEW ON TAMAKA SHWASA (BRONCHIAL ASTHMA)

Tamaka Shwasa (Bronchial Asthma) is considered basically a disorder of Pranavaha Srotasa in which other Srotasa are also involved. In this condition, there is vitiation of Vayu from its normal state due to obstruction of Srotasa because of Kapha. Vitiation of Vayu leads to severe episodes of breathlessness and the patient feels darkness all around. As “Breathlessness” is the predominant symptom along with feeling of darkness, hence this disease is named so. There are similarities in the etiopathogenesis, signs and symptoms of Tamaka Shwasa (Bronchial Asthma) and Bronchial asthma. Clinically Tamaka Shwasa (Bronchial Asthma) is most important among different types of Shwasa described in Ayurveda. This paper emphasizes about the Ayurvedic view of Shwasa especially Tamaka Shwasa (Bronchial Asthma) along with modern perspective and establishes the strong resemblances between them.

A RANDOMIZED COMPARATIVE CLINICAL EVALUATION OF HARIDRADI LEHA AND VASADI KASHAYA IN THE MANAGEMENT OF TAMAKA SHWASA (BRONCHIAL ASTHMA)

Tamaka Shwasa in Ayurveda is analogous to Bronchial Asthma due to similarity in causative and precipitating factors, onset, pathogenesis and symptoms. An estimated 300 million people worldwide suffer from asthma, with 250,000 annual deaths attributed to the disease. The Objective is to evaluate and compare the efficacy of Haridradi Leha with and without Vasadi Kashaya in the management of Tamaka Shwasa. Total 30 patients were registered for the present study. The patients of group A were administered Haridradi Leha in a dose of 20 grams BD (Bis in die i.e., twice daily) in empty stomach orally with lukewarm water for 21 days. The patients of group B were administered Haridradi Leha (20 grams BD) and Vasadi Kashaya (50 ml BD) with Anupana (co-administers with medicine) of honey orally for 21 days. There are highly significant results (p value: p<0.01, p<0.001) in breathlessness, cough, body position, wheezing in a day, wheezing in night, heart rate in both group but quantity of sputum, respiratory rate, use of accessory muscle and mental status shows highly significant result only in Group B. Both groups have highly significant result in peak expiratory flow rate (PEFR) and forced expiratory volume in one second (FEV1). Both the Haridradi Leha and Vasadi Kashaya are highly effective in the management of Tamaka Shwasa. Haridradi Leha along with Vasadi Kashaya provided better relief than Haridradi Leha alone in most of the sign and symptom of the disease at significant level.

A Drug Review of Drakshadi Churna in Tamaka Shwasa

Respiration is one of the feature of life which is carried out by Prana vayu. This sole sign of life is affected in this disease Tamaka Shwasa, causing an impediment to the Respiratory function. Shwasa word indicates both physiological and pathological state of respiration. Ayurvedic texts have mentioned Tamaka Shwasa under the various types of Shwasa roga. Disease Tamaka Shwasa can be correlated with the disease Bronchial Asthma on the basis of its features & etiopathogenesis signs and symptoms. Tamaka Shwasa is considered as Yapya (palliable) because this type of Shwasa roga is not only difficult to treat but also has a repetitive nature. Bronchial Asthma calls the attention of Medical world due to significant burden in terms of healthcare costs as well as lost productivity and reduced participation in family life. The Science of Life – Ayurveda is the best way to effectively & safely manage the condition without inducing any drug dependency where various Shodhana procedures and use of internal medication not only detoxifies the body but also provides nutrition & increases the functioning capacity of lung tissue & develops natural immunity of the body thus decreasing episodic recurrence of the disease and providing long term relief to the patient.

MANAGEMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE THROUGH AYURVEDA AND YOGA – A REVIEW

Chronic Obstructive Pulmonary Disease (COPD) which includes chronic bronchitis and emphysema, is the third leading cause of death and over the last 20 years, its prevalence has gradually increased. The key explanation may be rapid socio-economic growth, resulting in a transition from traditional to modern lifestyles. From Ayurveda point of view, COPD can be compared with Pranavaha Srotas disease, as the etiological factors and clinical characteris- tics mentioned in Ayurvedic classics for Pranavaha Srotodushti are almost identical to those for COPD and usually occur in Tamaka Shwasa. Risk factors include exposure to air pollution, second-hand smoke and occupational dusts and chemicals, smoking, cold weather etc. which are also mentioned in Ayurvedic classics “Rajasa Dhoomvatabhyam Shitathanambusevanam Rukshanna Vishmashana”. Identification, reduction, and control of risk factors to prevent the onset of COPD are important steps towards developing strategies for prevention of COPD. References regarding lifestyle modification along with treatment principle & formulations mentioned in Ayurveda can be adopted for the prevention and management of COPD. Keywords: COPD, Yogic procedures, Tamaka Shwasa, Pranavaha Srotasa

CLINICAL STUDY OF KANTKARI AVLEHA AND VASA AVLEHA IN THE MANAGEMENT OF TAMAK SHWASA W.S.R TO BRONCHIAL ASTHMA

Asthma is a chronic inflammatory disease which causes the lining of the airways to become swollen and inflamed, which further leads to production of thick, sticky mucous. These changes further cause the airways to become narrow, making it difficult for the patient to breathe properly. In this study, efficacy of formulations like Vasavaleha and Kantakari Avaleha are studied in the patients of Tamaka Shwasa w.s.r to bronchial asthma. Tamaka Shwasa is a Yapya Vyadhi. The etiopathogenesis, signs, and symptoms of Tamaka Shwasa may be correlated with Bronchial Asthma. Each patient reacts differently to the factors that trigger asthma and are treated symptomatically. Asthma is the most common chronic allergic disorder in childhood and third leading cause of hospitalization under the age of 15 years. As it is a Kapha-Vata predominant disorder, Ayurvedic medicine may help to decrease the recurrence, improve immunity, and check symptoms naturally. With this aim, a clinical study was undertaken on two groups for a duration of 6 weeks. The Kantakari Avaleha and Vasa Avaleha were given orally, separately in both the groups. All the patients were kept under strict dietary control during the treatment. The observation on the effect of therapy was encouraging and showed less recurrence.

CRITICAL REVIEW OF TAMAKA SHAWASA (ASTHMA) CHIKITSA

Asthma is known as reactive airway disease. This hyperresponsiveness manifests itself as bronchoconstriction following exercise, on natural exposure to strong as irritant fumes such as sulphur dioxide, tobacco smoke or cold air and an intentional exposure in the laboratory to inhalations of histamine or parasympathamimetic agent such as methacholine. In Ayurveda it can be correlated with Tamaka Shwasa. Tamaka Shwasa is one of the diseases where Nidana parivarjana and samprati vighatana plays an important role. The detailed study of Nidana panchaka is helpful in better understanding of the disease and for the proper treatment. As Kapha and Vata are the pre-dominant Doshas, so the medicines and the dietetic regimen which controls the Kapha and Vata due to their Ushna guna and are Vata- anulomaka in action must be utilized in the treatment of Shwasa roga. While The patient with Kapha and Vata dominance and of strong build should be given Samshodhan therapy i.e. vaman & Virechana.
 Keywords: Tamaka Shwasa, Shwasa roga, Samshodhana, Asthma.

REVIEW OF EVIDENCE BASED STUDY ON VYAGHRI HARITAKI AVALEHA WITH SPECIAL REFERENCE TO CERTAIN RESPIRATORY DISORDERS.

ABSTRACT
 BACKGROUND
 Respiratory disorders are leading cause of morbidity and mortality that induces an economic and social burden worldwide. In today’s world, finding preventive methods and cure from these enormous challenges should be one of the priorities in the global health sector. Vyaghri haritaki avaleha is a potential Ayurveda polyherb formulation used for treating Kasa, Shwasa, Rajyakshma, Peenasa and its Rasayana properties ensures better quality of life of the patient.
 AIM AND OBJECTIVE
 Overview on Vyaghri haritaki avaleha
 To conduct a review on evidence-based study of Vyaghri haritaki avaleha in the management of symptoms of respiratory disorders.
 METHODS
 To conduct this study, Ayurveda research articles were obtained from Google Scholar. Total 6 studies were yielded, which included only Clinical and Pre-Clinical studies.
 RESULT
 
 Out of the 6 articles found (n=6), 1 article was an In-Vivo study and other 5 articles were Clinical studies on Vyaghri haritaki avaleha.
 Among the 5 Clinical studies, 1 study was found to be a comparative analysis between Vyaghri haritaki avaleha and Ashtang avaleha.1 study was found, where Anu taila Nasya was used as an adjuvant along with Vyaghri haritaki avaleha.
 Out of the 5 Clinical studies on Vyaghri haritaki avaleha, 3 studies were conducted on children.
 
 CONCLUSION
 This review on Vyaghri haritaki avaleha provides a better understanding of this formulation and showcases its effectiveness in treating all types of Kasa roga, Tamaka shwasa, Chronic bronchitis and Dusht Pratishaya. This review throws light on extensive use of Vyaghri haritaki avaleha in children for treating the symptoms of respiratory disorders.
 KEYWORDS 
 Vyaghri haritaki avaleha, In Vivo, Clinical study, Respiratory disorders, Immunomodulatory activity, Tamaka Shwasa, Chronic Bronchitis.

Study on the Effectiveness Of Abhaya Sunthi Churna and Snehana Swedana in Tamaka Shwasa

Background: In Ayurveda Shwasa is a disease of Pranvha srotasa which is explained by all the Acharya indetail. The disease, Tamaka Shwasa in the contemporary system of medicine resembles the clinical featuresof Bronchial Asthma such as dyspnea, cough and chest discomfort. The etiological factors like exposureto smoke, dust, seasonal variation and exposure to cold are also similar in both the condition. A roughestimation in India shows 10-15% of Bronchial Asthma in the age group of 5-11 year old children.Aim: present study is entitled to study the effect of Abhaya Sunthi Churna and Snehana, Swedana inmanagement of Tamaka Shwasa. Material & Methods: The present study was designed as the comparativeparallel group, interventional study, in which minimum of 30 patients were enrolled. The selected participantswere assigned to the two observational groups. Each interventional group participants were administeredwith Abhaya sunthi churna for 14 days in both the groups A and B. Also in Group A there were additionalSnehana and Swedana procedures for 7 days and in Group B consist of Churna with Conventional therapy.Results: In comparison significant results were seen only in Kasa in group A whereas other parametersshowed insignificant difference between the groups. The parameters such as Peenasa, Ghurghurkatwa,Kaphanishtivana, Asinolabhatesaukhyam and Shwasakrichrrata showed reduction individually. Thecomparative result of both the groups on Adventitious Sound, Significant result was noted on the 14th dayin group A who received Abhaya Shunthi Churna with Snehan Swedana after treatment in comparison withgroup B. Conclusion: we can conclude that the Symptoms of Tamaka Shwasa were reduced in both thegroups (A and B) but the effect of the Abhaya sunthi churna with Snehana, Swedana i.e Group A was moresignificant than Group B.