Monday, January 7, 2019

AyuCafe - Live chat - Breathlessness (Shvas-kashtata)


Views shared by several Ayurveda professionals and non-Ayurveda people in discussion group:
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AyuCafe - Live chat
Topic of discussion:Breathlessness (Shvas-kashtata)
Vd. Dhruti Kagrana: Some of diseases where dyspnea swasa kashtata is symptom asthma,  bronchitis,  pneumonia, pneumothorax,  anemia,  lung cancer anxiety,  COPD, congestive heart failure, arrhythmia,  allergic reaction, anaphylaxis, lung disease,  obesity tuberculosis, emphysema, pulmonary fibrosis, pulmonary artery hypertension,  pleurisy,  sarcoidosis, rib fracture, carbon monoxide poisoning, obesity please elaborate these conditions
Ayulink Ayurveda: Considering these many possibilities..we can't say blindfolded that shwas-kashta -> Virechana, or use of bronchodilators in all conditions.....it is always better to go for detailed history and proper diagnosis before we suggest any treatment....
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Vd. Dhruti Kagrana: Allergic reaction -When someone breath particular allergen / s , bronchial tree react on that allergen/ s & constrict some  part of bronchial tree → intake of O² ↓ → blood need ↑ O² →lung has to work ↑ → resulting → breathless ness.
Dr. Madhura Phadtare: Heamatogenic and psychiatric diseases also includes the symptom dyspnea
Vd. Dhruti Kagrana: If  Kapha accumulated in stomach, it could go to lungs and trachea. Kapha increased in respiratory system difficulties normal air flow. So first you have to find cause of K increased (heavy diet, winter season, dairy products, lack of exercise, etc.) and correct them. Then try have to return Kapha to stomach to eliminate it excess. and give some herbs to improve normal lungs function
Ayulink Ayurveda: Yes. I agree. And for that you can use purgative or laxative
Vd. Dhruti Kagrana: Udgar veg dharan -> Shwash Charak sutra 7/18
Ayulink Ayurveda: Disorders of the breath affect  Whether due to a common cold resulting in bronchitis or something more serious such as asthma or emphysema, difficulty  to breathing  (dyspnea) as “swasa”.kashtata The breath is disturbed when vata is obstructed by kapha. Vitiation is classically stated to occur in the pranavaha srota (respiratory system), the ambuvaha srota (water metabolism system) and the annavaha srota (stomach). Kapha is given the greatest role in the pathology. Vitiation of kapha results in obstruction to the movement of air in and out of the respiratory system. This condition has its origin in the stomach, the site of kapha. Hence, kapha accumulates and becomes aggravated in the stomach, overflows into circulation and relocates into the respiratory system where it obstructs the movement of vayu (air.)
Vd. Dhruti Kagrana: In today's stressful modern urbanized living, incidence of Asthma is considerably increasing. The rapid industrialization , excessive crowding , Increasing pollution are some of the factors responsible for this increase in incidence of Bronchial Asthma.
Ayulink Ayurveda: Five types of 'Swas Roga' are described in Ayurvedic texts
1]Maha-shwas
2]Urdhva-shwas
3]Chinna-shwas
4]Tamak-shwas
5]Kshudra-shwas
Vd. Dhruti Kagrana:
A] Factors related to diet:
Excessive indulgence in lablab beans ,black grams, raw milk, soar curd, excess salt, flesh of aquatic and wet land animals.
Excessive use of 'Ruksha'(dry) and 'Guru'(heavy) diet, excessive use of cold water and cold drinks.
Excessive use of 'Abhishandi'(Kapha producing) diet, Excessive use of not easily digestible and irritant food.
B] Factors related to work :
Excessive exposure to dust and smoke.
Excessive wind, cold, cold bath or excessive heat, sun bath.
Exhaustive exercise, walking, excessive sexual activities.
Supression of natural urges
Psychological factors
C] Other Factors :
Trauma to vital organs viz. - chest, throat
Asthma may be as a sequaelae in other diseases like -
Fever, Long standing common cold, Tuberculosis , Anaemia, Heart disease, Poisoning
Ayulink Ayurveda: Ajwain stem inhalation is helpful
Dr. Jigar Joshi: And lowered immunity, Ojakshay
Ayulink Ayurveda: please elaborate effect of diet, life stye; side effects of season, any medicine, or any other physical disease condition..and then treatment....
Vd. Dhruti Kagrana: Herbal tea made up of Trchyspermum, (Ajwain), Ocimum sanctum (Tulsi), pepper, and ginger is useful natural expectorant for it. Ginger , Clove, Black peeper, Camphor  are common herbs
92325: Whatever may be the etiology, it al results in Vaat dushti. Vaatanuloman is must in all types of shwas kashtata
Croatia Branko Markovic: Yashtimadhu as tea or in capsule form showed good results
Dr. Jigar Joshi: Yes.. vaat pradhan vyadhi
14929: Clinicaly divided can be divided  in to apana dusti karana nd udana.  In apana dushti mainly due to shakrut,  vayu vega dharana.  In udana dusti due excessive talking udgara  etc can be taken. Foods like oily foods cold drinks deep fried foods etc.  Exposure to dust.
92325: Basti, followed by appropriate medication according to associated dosh-prabalya and symptoms gives desired result.
14929: Beetal leaf with maricha nd honey,.  Tulsi swrasa with honey. Small onion with khanda sarkara.In vata pittanu bhand Gandarvahsadtadi ksh abhayarishta dhanvantara vati lavangadi churna,  e/a gandharvahastadi taila Or plain castor oil can be used.  In kapha pradhanya vasakarushta kanaka kalpana dashamoolarishta nayopayam kashayam,  saindavadi taila. Can be given.  For anulomana nd deepana vaishvanara churna dadimadi churna triphala churna can be done
92325: Ras kalp like Mallasindur, Samirpannag in Aatyayik awastha
69576: Use of trikatu.
60735: Haritaki is hot and has special action on the lungs and the heart
14929: Agastya rasayana
60735: Ginger powder and jaggery in equal quantity is good for asthma
Dr.Satish Panda: Apamarga and navasadar fume usually used as bronchodilator
60735: If bronchitis or allergic rhinitis are not treated,then it may leads to asthma,
Vd. Manhar Prajapati: Yatkinchit kaph vatgna usna vatanuloman...best warm water diet and vihar also
60735: Remove constipation and stomach should be corrected,bowels should be clear, obstructions in the channels of circulations have to be cleared
Vd. Manhar Prajapati: First indentify amajirna most case noted so first clear that than go for classical vaman followed by virechan if needed
60735: Treatment should always begin by correcting the stomach
 Dr Venkata swamy: Dasamula is very good results
Dr Venkata swamy: Gives
Vd. Manhar Prajapati: Allergic case simple cows ghee nasya can help
14929: In chornic condition shodhana is best
 60735: 4 teaspoon of turmeric powder with one teaspoon of butter and add a little jaggery or sugar powder, should take 4 time's a day for acute attack. Ginger juice with honey will melt phlegm
 Vd. Ekta D. Patel: Ajwain & jirak given 1 tsp 4 time in a day is good for pranavaha stroto dusti
14929: Hot water for daily use also helps in Prevention
60735: Peacock feather bhasma is a wonderful one for asthma
14929: Anybody having any experience of using manashiladi dhuma in swasha
60735: No, clarify pls
14929: Anybody have used manashiladi dhuma in their practice..
 Vd. Vishal Rajparia: How to make and how to use
14929: Please share Rasaoushadis can be used in this cibtext
Vd. Sachin Kadlag: was dealing with the case of paediatric asthma ....  bal shwasa. It was first follow up. Good results in one week. Case was of female pt , aged 5 and half years  old , having shwasa since 2 years. it starts always on season change with kasa , followed by urakaphapurnata , followed by shwas kruchhata i.e. breathlessness. patient was on modern rx mainly inhalers ... bhronchdilators ... and also on steroid inhalers. First main thing I advised to have early dinner witout rice , which I advise to all shwasa patients. And also to avoid all types of liquids like water , juices , milk , icecream etc.after dinner .if thirst is there then warm water in small quantity was advised. I started 7 days before Chyawanprash  1/2 teaspoonful two times a day .. morning empty stomach and evening after dinner
 19722: Sir can u explain d exact method ....wen n how to give d inhalation
 Vd. Sachin Kadlag: Yashti kantakari pippali amruta   freshly prepared kwatha after dinner. morning ... sitopaladi yashti and praval panchamruta with honey. In last 7 days , no shwas krucchata , not any inhaler required.
Dr.Satish Panda: Just like dhuma kalpna usually used after vaman
 Vd. Sachin Kadlag: Now , from tomorrow patient is going on holiday tour in south India for more than 2 weeks ... so 3 weeks medicine is given    ..just krumikuthar is added to morning dose .... and Kanakasav /Somasava is advised 10 ml od /bd if required. After 3 weeks planning to give Vardhamaan Pippali ksheerpaak .
Vd. Dipak Upadhyay: Tumeric Lozenges helps as a co- prescription. France Lata Luxmee: Interesting.
Dr Sandeep Madaan: In presence of thick mucus and bronchospasm  sameerpannag rasa 60mg twice a day with honey prove effective
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Compiled by - Dr. Dhruti Kagrana


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