Clinical effect of Virechana and Shamana Chikitsa in Tamaka Shwasa (Bronchial Asthma)

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Abstract

To evaluate comparative efficacy of Samshodhana and Samshamana Chikitsa, the current study is planned in 24 patients of Tamaka Shwasa. Thirteen patients (Group A) were treated with Samshodhana, particularly with Virechana Karma. The patients of this group received Abhyantara Snehana with Tila Taila followed by Bahya Snehana with Tila Taila and Saindhava Lavana. After observations of proper signs of Snehana; Virechana Karma was performed with Aragvadha Phala Majja. Samsarjana Krama was followed for five days. Subsequently all the patients were given the trial drug ( powder of Badara). The patients of group B, were treated only with the powder of dried ripe fruits of Badara. In both groups, the dose of Badara powder was 5 g, twice a day, with luke warm water, for a period of 60 days. In group A, maximum number of patients (61.45 %) showed good response, while in group B, 45.45 % patients showed good response. No side effects were observed during the clinical trial. Based on the observations, it was concluded that, group A is more effective than group B.

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Most cited references 18

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Prevalence and risk factors for bronchial asthma in Indian adults: a multicentre study.

A N Aggarwal, K Chaudhry, S Chhabra … (2015)

There is limited information on field epidemiology of bronchial asthma in Indian adults. To estimate prevalence of bronchial asthma in different regions of India and to define risk factors influencing disease prevalence. A field study was conducted at Chandigarh, Delhi, Kanpur and Bangalore through a two stage stratified (urban/ rural) sampling and uniform methodology using a previously validated questionnaire. Asthma was diagnosed if the respondent answered affirmatively both to (a) whistling sound from chest, or chest tightness, or breathlessness in morning, and (b) having suffered from asthma, or having an attack of asthma in the past 12 months, or using bronchodilators. Besides demographic data, information on smoking habits, domestic cooking fuel used, atopic symptoms, and family history suggestive of asthma was also collected. Univariate and multivariate logistic regression modelling was performed to calculate odds ratio of various potential risk factors. Data from 73605 respondents (37682 men, 35923 women) were analysed. One or more respiratory symptoms were present in 4.3-10.5% subjects. Asthma was diagnosed in 2.28%, 1.69%, 2.05 and 3.47% respondents respectively at Chandigarh, Delhi, Kanpur and Bangalore, with overall prevalence of 2.38%. Female sex, advancing age, usual residence in urban area, lower socio-economic status, history suggestive of atopy, history of asthma in a first degree relative, and all forms of tobacco smoking were associated with significantly higher odds of having asthma. Prevalence estimates of asthma in adults in this study, although lower than several previously reported figures, point to a high overall national burden of disease.

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Prevalence of asthma in adults in Busselton, Western Australia.

Helen J. Peat, Michelle Haby, A Woolcock … (1992)

To estimate whether the prevalence of asthma in adults increased over a nine year interval. Serial cross sectional studies of the population with a protocol that included both subjective and objective measurements. Busselton, Western Australia. A random sample of 553 subjects aged 18-55 years in 1981, and of 1028 subjects aged 18-55 years in 1990. Respiratory symptoms measured by self administered questionnaire, bronchial responsiveness measured by bronchial challenge with histamine, and allergy measured by skin prick tests. Symptoms with increased prevalence were those with significant association with allergy in this population. Recent wheeze increased from 17.5% to 28.8% (p < 0.001) and diagnosed asthma increased from 9.0% to 16.3% (p < 0.001). The increase was greatest in subjects less than 30 years old. The prevalence of shortness of breath coming on at rest and of hay fever also increased significantly, but the prevalence of shortness of breath on exertion, chronic cough, bronchial hyperresponsiveness, current asthma (defined as recent wheeze plus bronchial hyperresponsiveness), and allergy did not increase. The severity of bronchial responsiveness did not change significantly in any symptom group. Young adults showed a significant increase in reporting of symptoms related to allergy but not in the prevalence of current asthma. The increase in symptoms may be due to increased awareness of asthma in this community, to changed treatment patterns, or to increased exposures to allergens.

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Differences in airway responsiveness between children and adults living in the same environment: an epidemiological study in two regions of New South Wales.

Helen J. Peat, R. Gray, James Leeder … (1994)

The aim of the present study was to compare the severity of asthma in children and adults living in the same home environments. In winter 1991 and 1992, we studied two large random samples of children living in two different regions; and, three months later, we conducted a study of adults who lived with enrolled children. A total of 805 children and 814 adults attended in Lismore, and 850 children and 711 adults in Wagga Wagga. Questionnaires were used to measure symptom history, histamine inhalation challenge to measure airway hyperresponsiveness (AHR) and skin-prick tests to measure allergy. There was a higher prevalence of asthma in children than in adults: recent wheeze was 1.5 times higher; asthma medication use was 1.5 times higher; diagnosed asthma was 1.6 times higher; and AHR was two times higher. Current asthma (AHR and recent wheeze) was 9.5-11.3% in children and 5.4-5.6% in adults. These differences were statistically significant. In both regions, airway responsiveness was more severe in children who were sensitized to common allergens than in similarly sensitized adults. These results suggests that airways can develop protective mechanisms with age, or that recent environmental changes in factors such as allergen levels, diet or treatment practices have led to immunological changes and to increased airway responsiveness in this generation of children.

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Author and article information

Journal

Journal ID (nlm-ta): Ayu

Journal ID (iso-abbrev): Ayu

Journal ID (publisher-id): AYU

Title: Ayu

Publisher: Medknow Publications & Media Pvt Ltd (India )

ISSN (Print): 0974-8520

ISSN (Electronic): 0976-9382

Publication date (Print): Apr-Jun 2012

Volume: 33

Issue: 2

Pages: 238-242

Affiliations

[1]Ph.D. Scholar, Department of Kaya Chikitsa, Institute for Post Graduate Teaching and Research in Ayurveda, Gujarat Ayurved University, Jamnagar, Gujarat, India

[1 ]Head and Reader, Department of Kaya Chikitsa, Institute for Post Graduate Ayurveda Education and Research at Shyama Das Vaidya Shastrapith Hospital, Kolkata, West Bengal, India

Author notes

Address for correspondence: Dr. Kuntal A. Ghosh, Ph.D. Scholar, Department of Kaya Chikitsa, I.P.G.T. & R.A., Gujarat Ayurved University, Jamnagar - 361008, Gujarat, India. E-Mail: vaidyakuntal@ 123456gmail.com

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Publisher ID: AYU-33-238

DOI: 10.4103/0974-8520.105244

PMC ID: 3611644

PubMed ID: 23559796

SO-VID: 70c64542-7ea7-4c31-a984-3863e3f501df

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This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Clinical effect of Virechana and Shamana Chikitsa in Tamaka Shwasa (Bronchial Asthma)

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Most cited references 18

Prevalence and risk factors for bronchial asthma in Indian adults: a multicentre study.

Prevalence of asthma in adults in Busselton, Western Australia.

Differences in airway responsiveness between children and adults living in the same environment: an epidemiological study in two regions of New South Wales.

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