t ' s n o w a y e a r s i n c e S h r e e

Dhootapapeshwar Ltd. has been

publishing Arogyamandir Patrika in this

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Enthusiased by the response we have been

receiving,we are continuing the publication

of Arogyamandir Patrika

in the same style.

In response to the

expressed opinions

of many of our

revered patrons we

are discussing in

t h i s i s s u e t h e

`Pranavaha Srotas

Vikar`.

Wh i le e luc ida t ing the causes o f

`Janapadodhwansa', Charakacharyaji has

described Vayu only next to Kala. In this

Arogyamandir Patrika we are discussing

this. Vayu which can be the cause of many

diseases. So far we have tried to place

before you various aspects of Pachanvikar,

Sandhivikar, Twachavikar and Sthoulya

(Medoroga) through earlier issues of

Arogyamandir Patrika.

We hope to receive your feedback on this

issue of ours, just as we received your

feedback on the earlier issues.

You are also welcome to give your feedback

as well as the topics which you will like to

dealt with in the forthcoming issues of

Arogyamandir Patrika by the letters or by

mailing on .

Awaiting your valuable feedback,

Yours sincerely,

Vd. Shailesh Nadkarni

healthcare@sdlindia.com

Prana Vayu

Øekeâ<exCe Deefveefle Fefle ØeeCe: ~ Ûe.efÛe.28 / Ûe›eâheeefCeoòePrana, one of the five types of Vata, controls the functions of vital organs like heart, brain etc. It is for this reason that Prana is considered prime amongst all the types of Vata. Along with controlling the functions of the heart, it is also responsible for maintaining and sustaining the body functions.

Ùees JeeÙegJe&keä$emeÃeejer me ØeeCees veece osnOe=keâd ~meesÓVeb ØeJesMeÙelÙevle: ØeeCee§eehÙeJeuecyeles ~ØeeÙeMe: kegâ®les og<šes efnkeäkeâeÕeemeeefokeâeved ieoeved ~

meg.efve. 1/13

Function of PranavayuIt is mainly located in and around the Mukhapradesh existing from the mouth and throat up to the chest. It also controls the process of swallowing of the food and carrying it through the Annanalika to the stomach. Vitiation of Prana results in diseases such as Hikka, Shwasa and Pratishyaya.

veeefYemLe: ØeeCeheJeve: mhe=<šdJee ¢dokeâceuevlejced ~keâC"eod yeefnefJe&efveÙee&efle heelegb efJe<Cegheoece=leced ~heerlJee ÛeecyejheerÙet<eb hegvejeÙeeefle Jesiele: ~ØeerCeÙeved osnceefKeueb peerJeÙeÀe"jeveueced ~ Mee.meb.het.Ke. 5/90

It is generally assumed that in the process of respiration the air enters into the body through the nostrils. However, Sharangadharacharya in the Samhita named after him has clearly indicated that the Prana Vayu at the level of Nabhi is the one that starts the process moving all the way through Hrudaya (heart), Urahpadesh consisting of Hrudaya and lungs to the Kantha Pradesh and gets exhaled. This in turn takes oxygen denoted by the Ambarpiyush with it and re-enters the body as inhaled air which carry oxygen to the body.The Prana Vayu that enters the body gets mixed with the blood at level of the alveoli in the lungs and travels in the entire body through blood. The process of exhalation and inhalation that begins with the birth continues without any hindrance till the end of life.

efheòeb heÁg: keâheâ: heÁg: heÁJees ceueOeeleJe: ~JeeÙegvee Ùe$e veerÙevles le$e ieÛÚefvle cesIeJeled ~ Mee.meb. het 5/43

ata or Vayu is the most important Dosha amongst the Tridosha in the body. The other two Doshas as well as the Dhatus and Malas are immobile having no mobility of their own. Just as the clouds are carried from one place to the other by wind all the other

constituents of the body are carried from one place to the other by Vata. Its for this reason that all these constituents the Dhatus, the Malas as well as the two other Doshas viz. Pitta and Kapha are considered "Pangu" (lame).Vata Dosha i.e. Vayu that resides in the body is Sookshma, Sheeta, Ruksha, Chala and Laghu.Though Vata is a single entity in the body, based on the functions performed, it is classified into five types viz. Prana, Udana, Vyana, Samana and Apana, as explained by Devdatta, the revered commentator of Charak Samhita

`keâesÓefhe osJeoòees Ùeeb Ùeeb ef›eâÙeeb keâjesefle leovegmeejsCe meb%eeb ueYeles’

A R O G Y A M A N D I R P A T R I K A

EDITORIAL Vishayapravesh

V

July 2008

Pranavaha Srotas Vikar

The Srotas that acts as the channel for this transfer is denoted Atisrushta - increased respirationby the name "Pranavaha Srotas". Atibaddha - excessively obstructed & prolonged respiration, Pranavaha Srotas is one of the Bahirmukha Srotas. restricted shallow breathingBahirmukha Srotas are those Srotas which allow the

Kupitam & Alpalpa Abhiksham Prakupit & frequently substances outside the body to enter and get transformed to a

respiration state that can be useful for the body.

Sashabdashoolam - respiration with sound & pain œeesleebefme Keueg heefjCeece DeeheÅeceeveeveeb Oeeletveeb DeefYeJeenerefve YeJeefvle

Along with textual symptoms some other symptoms like DeÙeveeLexve ~ Ûe.efJe. 5/3 forward bending of the patient, frequent giddiness are also

observed. Srotas is the channel through which Parinam Apadyaman Diseases of Pranavaha Srotasconstituents those which are still undergoing transformation

get carried to their destination where they are in Sthira i.e. Kasa, Shwasa, Pratishyaya, Rajayakshma, Parshwashoola, stable Dhatus. The part that is still to be converted into Sthira SwarabhedaDhatu is also known as Poshya or Asthira Dhatu. General treatmentVata itself (and therefore its transformation) being in an

Treatment in Pranavaha Srotas vitiation is to be administered abstract form, the change that comes about in the body needs on the line of treatment of Shwasato be understood by the actions and effects seen on the body.Shodhan - Vamana It is most fruitful in certain stages of Due to pollution & improper dietary & lifestyle habits there is Kaphavikar when performed after Poorvakarma like Snehan & rise in diseases of Pranavaha Srotas. These commonly seen Swedandiseases are Pratishyaya, Kasa, Shwasa, Rajayakshma.

Shaman - Ushna, Vatanulomak, Vatakaphaghna and Causes of vitiation of Pranavaha Srotas Aushadhi DravyaDhatuksheenata, Regular intake of dry (non-oily) food item External Snehan (oleation) on chest with Narayan Taila Excessive exercise, Excessive fasting / dieting, Suppression Swedan (fomentation) Bashpa / Nadi Sweda or Upanahaof natural urges, As a result of vitiation of other Srotas

Rasayan Prayoga - After Shodhan Chikitsa in Pranavaha Srotas disorders, use of Rasayan is very effective for Symptoms of vitiation of Pranavaha Srotasprevention as well as to avoid recurrence of Kaphaja Vikar.

Deefleme=<šceefleyeOob kegâefheleceuheeuheceYeer#Ceb Jee The Rasayan Dravyas like; Pippali, Bhallatak, Amalaki and the meMeyoMetuecegÛÚdJemevleb Â<šdJee formulations prepared from them like; Chousashta Pippali,

Swamala Compound are beneficial.ØeeCeJenevÙemÙe œeesleebefme Øeog<šeefve Fefle efJeÅeeled ~ Ûe.efJe. 5/7

Pranavaha Srotas Pranavaha Srotas

Method of Chest Examination Method of Chest Examination

The organs related to Pranavaha Srotas are Nasa, Kantha, - With / without bad odour Hrudaya etc. Hence, for the purpose of differential as well as Sama Kaphastheevan (sputum) Durgandhi foul smell, thick, confirmed diagnosis, it is necessary to ask questions heavy(Prashna Pareeksha), Darshan (Inspection), Sparshan Niram Kaphastheevan (sputum) No specific smell, light, (Palpation), Akotan (percussion) of chest watery and other organs is also necessary.

B. Sparshan (Palpation)Pain & -Urahpradesh - Kasa, Shwasa,

Also the knowledge and examination of Tenderness (Chest region) Hrudroga

generalized symptoms should not be -Parshwa - Parshwashoola

excluded.-Kantha -

K a s a , P r a t i s h y a y a , A. Darshan (Inspection)

SwarabhedaNose - Nasal mucosa - Presence or

Tactile Vocal Fremitus absence of redness, inflammation When the patient talks the Kantha (Throat) - Redness, vibrations are felt on the chest inflammation (swelling), tonsillitis wall. This can be assessed by Urah (Chest) Shape - Pigeon placing the palm of each hand shaped chestat two comparable positions Nakha (Nails) - Clubbingon the pat ient 's chest Cyanosis- blue tinge (anteriorly & posteriorly). in nailsSound and subsequent Nasagata Sravavibrations are normally transmitted well in solid structures but (Nasal discharge) - Tanu / Picchil / Raktapoorly in air. This helps in understanding abnormality or - Watery / Mucoid / Blood tingeddiseases of lungs.- Less / Profuse

- Without any specific odour/smell- foul smell Similar vibrations felt on both sides of chest - normal lungsKapha Nishthivan - Fenayukta / Yellowish with blood tinge Vibrations are increased in either or both sides of chest -

- Less / More quantity Consolidation

Clubbing

Cyanosis

2

Tactile Vocal Fremitus

Method of Chest Examination Method of Chest Examination

Findings

White homogenous shadow - consolidation Scattered or diffused shadow in other lobe of lungsConsolidation or small lesion in any part of the lung

Ill defined consolidation as white 'cotton wool', fluffy ormottled areas usually in upper lobe

Cavity Advanced

Calcification in tuberculosis always means `healed'lesions. Fibrosis is also a part of healing process

X-ray Normal finding

Increased markings in both the lungs

Diseases

? Pneumonia, Pulmonary odema Lobar Pneumonia, Broncho PneumoniaTuberculosis

? Chronic Tuberculosis

? stage of Tuberculosis

?

? Bronchial Asthma

? Chronic Bronchitis

Bronchoscopy SpirometryBronchoscopy is a test performed to diagnose lung disease Spirometry is the test performed to determine the level of the such as Pneumonia, Cancer of lungs etc. It is performed by lung function. An x-ray chest tells about the gross structure obtaining a sample of deep lung mucous or lung tissue. and pathology of the lung, This test helps to identify whereas Spirometry determines problems causing inflammation its functioning capabilities.and bleeding also to see any wound or foreign object present. Spirometry can be performed by

any adult and children over 5-6 It is useful in following years of the age.conditions: Spirometer being expensive is 1. Profuse or repeated used in the clinic and hospital

haemoptysis settings for diagnosis and long 2.Frequent onset of cough with term monitoring or Asthma.

a little or more quantity of phlegm Spirometry should not be used in following conditions

3.Dyspnoea Haemoptysis4.Aspiration of foreign body Respiratory infection on the day of test5.Pneumonia Chest pain or pain induced/aggravated by testing6.Pleural effusion7.Bronchiectasis8.Cancer9.Severe chest trauma

???

Spirometer

Bronchoscopy

Miliary Tuberculosis

Lobar Pnuemonia

C. Akotan (Percussion) Ruksha Dhwani (Vata Dhwani) - Crepitations / Crackles / Rales Normal sound - Normal lungs orHigh pitched, discontinuous sounds similar to the sound bronchitisproduced by rubbing of hair between the fingersDull sound - ParshwashoolaVatapradhan Shwasa

No sound - JalaparshwaGhurghurvata / Rhonchi

Hyper - - Pneumothorax orDhwani - snoozing or

resonance emphysema gurgling sound

Pleural rub D. Respiratory rate The noise produced Normal - 14-18 per min when inflammed or

abnormal layers of Abnormal - more than 18 or less than 14pleura move over each other. It is similar to squeaking noise when walking in fresh

Auscultation of Respiratory sounds snow. Aardra Dhwani (Kapha Dhwani) - Wheezing

Many modern laboratory investigations and instruments are High pitched musical sound produced by passage of air been used for chest examination for diagnostic purpose such through narrow airways. as X-Rays, peak flow meter, AFB sputum, pleural tapping, It is also called as Stridor - Kaphapradhan Shwasa spirometry, bronchoscopy.

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•

Percussion

X-Ray examination is useful for diagnosing many diseases

33

Auscultation

Commonly seen diseases of Pranavaha Srotas and their characteristic symptomsCommonly seen diseases of Pranavaha Srotas and their characteristic symptoms

•Useful in Pratishyaya & Amavastha of Jwara

•Acts as Vedanashamak (pain reliever ) in body pain, Shirahshool (headache), Kanthashoola (pain in throat)

Amayik Prayog

Kaphapradhan Kasa -Sitopaladi Choorna + Kaphakuthar Rasa + Drakshasava

Rajayakshma - Sitopaladi Choorna + Suvarna Vasant Malati + Drakshovin Special

Parshwashoola - Sitopaladi Choorna + Tribhuvankeerti Rasa +Kumari Asava No.1

A-Flu-O-Cil-Forte

4

Sitopaladi Choorna

General Symptomskeâmeveeled keâeme GÛÙeles ~ Ûe.efÛe. 18/5The disease in which Vayu comes out forcefully from throat by MetkeâhetCe&ieueemÙelee keâC"s keâC[tßÛe YeespÙeeveeceJejesOe§e peeÙeles ~ making characteristic noise similar to that of a broken vessel of Ûe.efÛe. 18/5Kansya (Kansyapatra) which is known as ̀ Kasa'. •Itching sensation in throat •Pain in throat

•Difficulty in swallowing •Difficulty in speech

•Pain in chest, back and lateral sides of chest • LethargyGeneral Treatment

•Nidan Parivarjan

•Use of Sneha, Avaleha and Kanthya Dravyas in dry cough

•In Sakapha Kasa use of Kaphashoshak, Ruksha and Kanthya dravyas are advised

•Use of Balya i.e. tonics for throat and lungs are advised

•Gandusha, Dhoomapana

Vataj Pittaj Kaphaj Kshataja Kshayaj

Symptoms

•Pain in lateral sides of •Fever, Burning •Heaviness in the •First dry cough, •Dourbalyachest, cardiac region, sensation in chest body followed by sputum •Sputum, Purulent head & abdomen •Pain in throat, chest •Dryness or bitter •Headache, Vomiting, blood red coloured

and lateral sides of•Continuous coughing taste in mouth Sinusitis with foul smelchest•Less sputum/little •Piittayukta •Stickiness in mouth •Karshya

•Yellowish clotted, expectoration Kaphashtheevan •Excessive thick •Jwara (yellow sputum) blood tinged sputum•Swarabheda sputum (Fever)

(hoarseness of voice)

•Snigdha, Ushna •Sheeta, Madhur •Katu, Ruksha, UshnaDravya Dravya •Kaphashoshak •Madhur, Jeevaneeya

•Snehapana with •Avaleha made up of Nasya Dravya •Agnivardhak Vataghna Ghruta sheeta dravya like •Ruksha Dhoomapana •Milk, Ghee, Bruhan GhrutaKantakari Ghuta Chandan, Draksha, •Kavaldharan •Abhyanga •SuvarnakalpaPippalyadi Ghruta Amalaki, Kamal, •Gandusha Taila/Ghruta, •VasantakalpaTrushanadi Ghruta Madhu

•To control bleeding •Rasayan•Vataghna use Stambhak Tailabhangya, DravyasAvaleha - Kantakari,

Gandusha - Haridra Lavana Jala

Kalpa

•Taleesadi Choorna •Sitopaladi Choorna •Rasasindoor •Chyavanprash •Sitopaladi Choorna

•Yashtimadhu •Drakshasav •Abhrak Bhasma •Laxmivilas Rasa •Swamala CompoundChoorna •Mouktik Pishti •Chaturmukh Rasa •Vasant Kusumakar •Suvarna Vasant

•Sameerpannag Rasa Malati•Pravala Pishti •Khadiradi Vati•Dashamoolarishta •Laghumalini Vasant •Makardhwaja Gutika•Taleesadi Choorna

•Suvarna Vasant Malati

KasaKasa

Types of KasaThere are 5 types of Kasa as per doshas

Treatment

Chousashta Pippali Choorna

•Pippali Choorna prepared by giving Bhavana of Pippali Kwath for 64 Prahar i.e. 192 hours approximately

•Useful in Shwasa with Kaphaghna, Amapachak, Agnideepak,

Phuphusabalya properties

•Excellent Rasayan as well as Vyadhinashan Karya in disorders of Pranavaha Srotas like Jeerna Shwasa, Kasa, Rajayakshma

- -

Taleesadi Choorna

•Vatapradhan Kasa - Taleesadi Choorna Drakshasav +Pravala Bhasma

•Shwasa - Taleesadi Choorna + Shwasakasa Chintamani Rasa + Abhrak Bhasma

Tribhuvankeerti Rasa•Useful in Pratishyaya with action as Ushna,

Teekshna, Kaphashoshak

•Beneficial in Jwara, Cold, Cough, Shirahshoola

•Effective in Parshwashoola in condition with accumulation of fluid being Kaphashoshak

Mruduvirechan Vaman Vaman

5

ShwasaShwasa

Õeememleg YeefœekeâeOceevemece$eeleesOJe&ieeefcelee' ~ cee.efve. Samprapti

Normal respiratory rate is 16 to 18 per minute. It may vary Øeefleueesceb Ùeoe JeeÙeg: œeesleebefme ØeefleheÅeles ~according to an individual or age. In Shwasa Vyadhi there is «eerJeeb efMej§e mebie=nÙeßues<ceeCebmeceggoerÙe& Ûe ~difficulty in breathing with increased respiratory rate. Vayu

keâjesefle heervemeb lesve ®Ooes IegIeg&jkebâ leLee ~gets Urdhwagati i.e. upward direction. This Vayu comes out DeleerJe leer›eJesieb Ûe Õeemeb ØeeCeØeheer[keâced ~forcefully from throat with recurrent attacks, the way air is

coming from bellows. cee.efve. / Ûe.efÛe. 17/55This difficulty in inspiration as well as expiration shows the abnormality of Pranavaha Srotas due to obstruction.

Vayu changes its direction becomes Pratiloma (moves in upward direction) and enters in Pranavaha Srotas causing Root cause - Kledak Kapha in Amashayastiffness in head and neck. Vitiated kapha gets accumulated in Dosha - Kledak Kapha, Prana Vayulungs and develops Peenas. Kantha gets covered with kapha Srotas - Pranavaha Srotasdeveloping gargling sound. This causes obstruction in Origin - Udbhavasthana - Amashayacirculation of Pranavayu and develops Tamak Shwasa.Adhishthana - Pranavaha Srotas Tamak Shwasa is mainly divided into 2 stages. Vegavastha i.e. Status Asthmaticus or attacks and Avegavastha Ùeoe œeesleebefme meb®OÙe cee®le: keâheâhetJe&keâ: ~

efJe<Jei›epeefle meb®Oomleoe Õeemeeved keâjesefle me: ~~ cee.efve. 12 Ûe.efÛe. 17/45 Treatment

Ùeled efkeâefÃeled keâheâJeeleIveb G<Ceb Jeeleevegueesceveced ~Vitiated Pranavayu with vitiated Kapha causes obstruction in Pranavaha Srotas and circulates in the Respiratory system. Yes<epeb heeveceVeb Jee leod efnleb Õeemeefnefkeäkeâves ~~ Ûe.efÛe. 17/147This causes difficulty in breathing which develops into Shwasa Roga. •For Shaman Chikitsa i.e. palliative treatment for Shwasa There are 5 types of Shwasa , which are based on symptoms Vyadhi should be preferably Ushna, Kapha Vataghna, viz. Mahashwasa, Urdhwashwasa, Chhinnashwasa, Vatanulomak Aushadhi and AharaTamakshwasa, Kshudrashwasa •Abhyanga External oleation with oil+salt i.e. Narayan Taila Mahashwasa, Urdhwashwasa and Chhinnashwasa are or Til Taila + SaindhavAsadhya i.e. very serious conditions and incurable. •Swedan Nadisweda, Prastar Sweda or Sankar SwedaTamakshwasa i.e. Bronchial Asthma is Kashtasadhya i.e.

•Dhoomapana Yava, Ghee, Manahashiladidifficult to treat and Kshudrashwasa is Sadhya i.e. easily curable. Tamak Shwasa exhibits two distinct Avasthas or conditions - Generally the patients of Shwasa are mainly of Tamakshwasa Vegavastha & Avegavastha. In Avegavastha Pranavaha hence, it is appropriate to describe more about it. Srotas Balya Chikitsa is recommended.

•Anaha •Difficulty in breathing

•Increased respiration •Parshwashoola

•Kasa (cough) •Hrudpeeda (pain in heart region)

•Swedapravrutti (perspiration)

•Deemeervees ueYeles meewKÙeb~ MeÙeeve: Õeemeheeref[le:~

Patient gets relief while sitting & difficulty in breathing in sleeping or lying down position

•Rhonchi (gargling sound of respiration)

•Tamakshwasa increases in cloudy atmosphere, rainy

weather, cold air and due to intake of Kaphavardhak Ahara-Vihara

•Hot substances, climate and areas are advisable

Many times it was observed in patients with Asthma that difficulty in breathing or attack aggravates with dust, smoke, smell from body of animals, inhaling or contact with minute particles of substances like cotton, pollen grains or strong smell of certain substances. This is mainly due to allergy hence, called as Allergic Asthma.

efJe<eew<eefOeheg<heievOesve JeeÙegveesheveerlesvee›eâcÙeles Ùees osMemle$e~oes<eØeke=âlÙeefJeMess<esCe keâemeÕeemeJeceLeg ØeefleMÙeeÙe efMejes®ipJejw®helehÙevles~~ meg.met. 6/21

Symptoms of Tamak ShwasaSymptoms of Tamak Shwasa Vegavastha

Kaphapradhan Shwasa Vatapradhan Shwasa

Symptoms SymptomsKaphadosha is aggravated Vatadosha is aggravatedExpectoration more Less expectorationKasavega less Kasavega are moreSakapha Kasa Shushka Kasa (dry cough)(Cough with expectoration) Rukshadhwani VatadhwaniChest examination i.e. Crepitations / Ardradhwani i.e. wheezing Crackles or Rales

Treatment TreatmentVamana (In strong patients) Snehapan Tila taila/Ushna, Ruksha, Kaphaghna Narayan tailadravya fomentation Intake of Vatashamak External oleation Aushadhi, Yusha,

Mansarasa

Kalpa KalpaShwaskuthar SameerpannagSameerpannag Chousashta PippaliMallasindoor Taleesadi ChoornaShwasakasa Chintamani Rasa KanakasavaSitopaladi Choorna Kantakaryavaleha

Ghrutapana -Taleesadi GhrutaVasaghruta

6

Peak Expiratory Flow Rate (PEFR) PranayamaPeak Expiratory Flow Rate (PEFR) is the maximum rate at Pranayama is most useful in increasing capacity and which air can move through the airways during a forced efficiency of lungs. Pranayama is fourth part of Ashtanga expiration starting with fully inflated Yoga. Just as bath cleanses body from outside Pranayama lungs. helps cleanse the body from inside.

Pranayama - Prana + Aayama - expansion of longevity, life The instrument used to measure forcePEFR is known as ̀ Peak Flow Meter'. Peak Flow Meter is a small, portable, leefmceved meefleÕeemeØeÕeemeÙeesie&efleefJeÛÚso: ØeeCeeÙeece: ~ c o n v e n i e n t a n d e c o n o m i c a l heelebpeue Ùeesiemet$einstrument. As thermometer is useful to assess fever, PEFR provides an

Pranayama is a breathing technique for controlling the life objective assessment of Asthma force of Prana unabling the practitioner to develop an inward control.focus while living a full productive lifestyle.It helps the physician in assessing There are 3 parts of Pranayamacompliance with prophylactive therapy and to reduce or 1. Poorak - Taking inspiration or breathing inincrease the dose of medicines.2. Kumbhak - Holding the breath3. Rechak - Breathing outOther methods of treatmentsKumbhak is also of 2 types.

Modern devices used to administer medications in Asthma 1. Antahkumbhak- holding the breath while breathing in

like Inhaler or Rotahaler. 2. Bahyakumbhak - holding the breath after breathing outInhalation is most effective. It is used by keeping the mouth Ideal proportion of Poorak, Kumbhak and Rechak is 1:4:2.piece of the instrument into the mouth and inhaled. This Pranayama does Nadishuddhi i.e. it cleanses all nadis and enables the medicines to enter directly into the lungs. incorporates enthusiasm, thereby keeping the body healthy.Its action is faster and the dose required is less.

Benefits of Pranayama`Metered Dose Inhaler' is the other type of inhaler used. It is Stimulates Jatharagni i.e. metabolism and improves

also known as Spray Inhaler or Pump. appetiteIncreases efficiency of sensory organs/senses

Nebulizer Reduces mental irritation and increases concentrationNebulizer also called `Atomizer', is a Increases lung capacitydevice used to administer medications Helps in relieving breathing/respiratory disordersby pumping air or oxygen using a liquid Increases memory and longevitymedicine to turn into a vapour, which is =Regular practice of Pranayama increases spiritual

strengththen inhaled by the patient. It directly enters into lungs and respiratory system.Generally in patients of Asthma, inhalers are prescribed as they are cheaper, more portable and easy to carry and use.Nebulizers are reserved for serious cases of respiratory diseases or severe attacks.The medicines used are generally steroids. Hence, they are inhaled to limit their effect to the lungs and respiratory system only. If not, it could be toxic for other body parts.

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•

••

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=

=

=

=

=

Shwasakuthar

•̀jme: Õeemekegâ"ejesÓÙeb meJe&ÕeemeefveJeejCe: ~' as per

this Shloka important product of Shwasa Vyadhi

•Reducing obstruction in Pranavaha Srotas with Bronchodilator action

•Beneficial in Kaphapradhan Shwasa & Vegavastha of Shwasa

•Helpful in Shwasa developed in Varsha Rhutu, in cloudy atmosphere and cold season

Amayik PrayogVatapradhan Shwasa, Kasa - Shwasakuthar +

Taleesadi Choorna + DashamoolarishtaKaphapradhan Shwasa, Kasa - Shwasakuthar +

Sitopaladi Choorna + Kumari Asava No.1

Drakshovin Special

•Excellent restorative & health promotive yoga

•Agnivardhak, Ruchivardhak, Pachak, Balya, Rasayan, Dhatuposhak

•Beneficial in Shwasa, Kasa, Pratishyaya & Rajayakshma

ShwasaShwasa

Shwaskas Chintamani Rasa

•Excellent Rasayan & Balya action on Pranavaha Srotas due to ingredients like Suvarna Bhasma, Abhraka Bhasma

•Useful in Vegavastha & Avegavastha of Shwasa, Kasa, Rajayakshma

Amayik PrayogShwasa - Shwasakasa Chintamani Rasa + Taleesadi Choorna + Drakshovin SpecialKasa - Shwasakasa Chintamani Rasa + Sitopaladi Choorna + DrakshasavaRajayakshma - Shwasakasa Chintamani Rasa + Chyavanprash Special

7

Shotha - Phuphusavaran Shotha (Inflammation of Pleura)Deveskeâjesieevegielees yengjesiehegjesiece: ~Shwasakruchhrata (dyspnoea), On Auscultation air entry jepeÙe#cee #eÙe: Mees<ees jesiejeef[efle Ûe mce=le: ~ De.¢.efve. 5/1diminished (heaviness in lateral sides of chest), Pleural rub

Rajayakshma is the disease which is the result of many (vikrut dhwani) in Jalaparshwadiseases described earlier and it can also give rise to many Examination on Percussion diseases like Kasa, Raktapitta etc. It is known as `Rograt' or In accumulation of fluid, Manda dhwani (dull sound), Improper

vocal fremitus, Severe tenderness, Warm feeling‘Raja’, meaning king of all diseases. This is due to the Treatmentsimilarity in king having many people preceding him and Shushka Parshwa Jala Parshwafollowing him.Vataghna & Kaphanishkasak Vatakaphaghna, Ushna, Rajayakshma is ‘Gambheera Vyadhi’ and many times fatal, Dravyas Teekshna, Kaphashoshak which is characterized by Shosha (wasting) of all Sharir Pushkarmoola for relieving Dravyas, Teekshna Nasya,Dhatus and Kshaya (diminishing physical & mental activities).pain (Vedana Prashaman) Kavalgraha, Upanaha Sweda The main causes are Ativyavaya (excessive sexual

Atasi Upanaha, Tapa sweda indulgence) and Dhatukshaya i.e. excessive loss of body Arogyavardhani, Kumari constituents. Pranavaha and Rasavaha Srotas are the main Asava No.1, Tribhuvankeerti, Srotas that get vitiated.Rasasindoor, Mallasindoor

Symptoms In this disease many Vasanta Kalpas are advised to reduce Ekadasharoopa vitiation of Pranavaha Srotas such as Laghumalini Vasant, 1. Peenas (Pratishyaya), 2. Shwasa (Asthma), 3. Kasa Suvarna Vasant Malati. Choushtha Pippali Choorna is also (Cough), 4. Pain in shoulder & lateral sides of chest, advised to strengthen the Pranavaha Srotas.5. Shirogaurav (Heaviness in head), 6. Swarabheda In Jala Parshwa due to excessive accumulation of fluid the

condit ion becomes serious with symptoms l ike (Hoarseness of voice), 7. Aruchi (Anorexia), 8. Atisar breathlessness, heart attack and Moorchha (fainting). In such (Diarrhoea), 9. Chhardi (Vomiting), 10.Parshwashoola, case pleural tapping i.e. removal of fluid from lateral sides of 11.Jwara (Fever)chest is advised.

Chikitsa• Srotorodhanashak • Saptadhatuvardhak • Dhatvagnivardhak• Vasant Kalpa like; Suvarna Vasanta Malati, Laghumalini Vasant, Suvarna Bhasma, Ghruta etc.

AharaBrunhan, Agnipradeepak, Beneficial for heart, Vatadoshanashak, Supachya, old Shali rice, Wheat, Jau, Moonga, Goat milk, Ghee, Meat etc.

ParshwashoolaParshwashoola has not been mentioned as a separate disease by Charakacharya but has been mentioned as a symptom of Rajayakshma.

In Parshwashoola there is pain in chest on both the lateral sides of chest. This is chronic disorder and difficult to treat.Dosha - Vata, KaphaDushya - Rasa, Rakta, MansaAdhishthana - Phuphusavaran (Parshwa)Sanchar - Pranavaha Srotas

Types Vatapradhan KaphapradhanShushka Parshwa Jala Parshwa

SymptomsPain in lateral sides of chest like pricking of a needle Jwara, Kasa (fever associated with cough)

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