THERAPEUTIC POTENTIAL OF PIPPALI AS VAMANOPAGA AND RASAYANA IN THE MANAGEMENT OF TAMAKA SWASA: A CASE REPORT
DOI:
https://doi.org/10.55718/kja.333Keywords:
Tamaka swasa, Pippali, Vamana, Rasayana, Bronchodialator, AyurvedaAbstract
Tamaka Swasa, commonly referred to as bronchial asthma, is a chronic respiratory condition characterized by recurrent episodes of breathlessness, wheezing, and chest tightness. In Ayurveda, it is classified as a Swasa Roga and primarily involves the vitiation of Vata and Kapha doshas. The condition is often triggered by internal imbalances of dosas and external stimuli such as allergens, seasonal changes, and stress. Ayurvedic management focuses on addressing the root cause through a holistic approach that include medicines, dietary modifications and lifestyle changes. Pippali (Piper longum) which is kapha vata samana and a rasayana has mucolytic and bronchodilator properties.It is also agni deepana and has anti-inflamatory property.Panchakarma procedures such as Vamana and Virechana help in eliminating the vitiated dosas and reduces the frequency of occurrence.Along with this Pranayama enhance respiratory function and mental well-being.
This article is a case report on Tamaka swasa where the patient has frequent attack of swasa for the past 6 months post H1N1 infection.Patient tried conventional treatment methodologies which gave the patient temporary relief but the quality of life gradually got highly compromise.To reduce the frequency of exacerbating episodes and impart strength to the respitory organs patient opted Ayurvedic management.Here patient was advised with agnideepana,rukshana,snehapana,swedana,vamana,dhoomapana,virechana and rasayana modalities of treatment were adopted.The symptoms were assessed usingZeicester cough Questionare andSt.George Respiratory Questionare before and after the treatment.This would provide data regarding the changes in symptoms as well as quality of life.After the treatment patient showed significant improvement in the symptoms and quality of life.In addition a focal periosteal lesion which was noted in the previous HRCT was found reduced in the CT taken after the treatment. Removal of kapha from Vayumarga, by the application of Swasaroga chikitsa principle has been recognized in this case experience.
References
Arun PR, M.k.s V, K.v V. Understanding of Pranavaha Sroto Moola in the purview of modern physiology. Journal of Ayurveda and Integrated Medical Sciences. 2024 Jun 15;9(4):110–7.
Bhagavan Dash, R K Sharma. Swasa chikitsa. In: Charaka Samhita -Chikitsa sthana. Chowkhamba Sanskrit Series Office Varanasi;
(PDF) A CONCEPTUAL REVIEW OF LITERATURE OF TAMAKA SHWASA WITH SPECIAL REFERENCE TO AYURVEDA [Internet]. [cited 2024 Dec 1]. Available from: https://www.researchgate.net/publication/375697688_A_CONCEPTUAL_REVIEW_OF_LITERATURE_OF_TAMAKA_SHWASA_WITH_SPECIAL_REFERENCE_TO_AYURVEDA
Bhagavan Dash, R K Sharma. Swasa chikitsa. In: Charaka Samhita -Chikitsa sthana. Chowkhamba Sanskrit Series Office Varanasi;
Cleveland Clinic [Internet]. [cited 2024 Dec 1]. Asthma: Types, Causes, Symptoms, Diagnosis & Treatment. Available from: https://my.clevelandclinic.org/health/diseases/6424-asthma
Gong H. Wheezing and Asthma. In: Walker HK, Hall WD, Hurst JW, editors. Clinical Methods: The History, Physical, and Laboratory Examinations [Internet]. 3rd ed. Boston: Butterworths; 1990 [cited 2024 Dec 1]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK358/
Singh S, Salvi S, Mangal DK, Singh M, Awasthi S, Mahesh PA, et al. Prevalence, time trends and treatment practices of asthma in India: the Global Asthma Network study. ERJ Open Res. 2022 May 30;8(2):00528–2021.
Bronchodilators: Asthma, Purpose, Types & Side Effects [Internet]. [cited 2024 Dec 1]. Available from: https://my.clevelandclinic.org/health/treatments/17575-bronchodilator
[cited 2024 Dec 1]. Available from: https://www.ncbi.nlm.nih.gov/projects/gap/cgi-bin/document.cgi?study_id=phs000179.v3.p2&phd=3584
Development of a symptom specific health status measure for patients with chronic cough: Leicester Cough Questionnaire (LCQ) | Thorax [Internet]. [cited 2024 Dec 1]. Available from: https://thorax.bmj.com/content/58/4/339
Kharaba Z, Feghali E, El Husseini F, Sacre H, Abou Selwan C, Saadeh S, et al. An Assessment of Quality of Life in Patients With Asthma Through Physical, Emotional, Social, and Occupational Aspects. A Cross-Sectional Study. Front Public Health. 2022 Sep 1;10:883784.
Holgate ST, Wenzel S, Postma DS, Weiss ST, Renz H, Sly PD. Asthma. Nat Rev Dis Primers. 2015;1(1):15025.
Bhagavan Dash, R K Sharma. Swasa chikitsa. In: Charaka Samhita -Chikitsa sthana. Chowkhamba Sanskrit Series Office Varanasi;
Sushruta. Sushruta Samhita with Nibandha Sangraha Teeka of Shri Dalhanacharya, and Nyaya Chandrika Panjika of Shri Gayadasacharya, edited by Yadavji Trikamji Acharya. 4th edition. Varanasi: Chaukambha
Srikanthamurthy K.R editor.Ashtanga Hrdaya of Vagbhata Chikitsa sthana 8th ed.Varanasi.Chaukhambha Krishnadas Academy;2011.
Srikanthamurthy K.R editor.Ashtanga Hrdaya of Vagbhata Chikitsa sthana 8th ed.Varanasi.Chaukhambha Krishnadas Academy;2011.
Bhagavan Dash, R K Sharma. Karaprachitiyaadhyaya. In: Charaka Samhita -Chikitsa sthana. Chowkhamba Sanskrit Series Office Varanasi;
