DYSPNOEA AND AYURVED

·         Dysponea is called as Svasam in ayurvedic classics.

·         Whenever we see shortness  of breath, we should differentiate whether it is from

·         Cardiac origin,

·         Respiratory origin or

DYSPNOEA

Cardiac causes

·         Shortness of breath is commonly seen in heart failure.

·         It is seen in pulmonary oedema also.

·         Orthopnoea is a condition where there is shortness of breath when the patient lies down and is relieved by sitting up.

·         Pulmonary oedema is diagnosed by X-ray , echo, and clinical features.

·         Paroxysmal (Sudden), nocturnal (night ) dyspnoea is seen in heart failure.

·         Exertional dyspnoea is very common in coronary artery disease.

·         It is aggravated by physical activities.

      Lung causes

·         Restrictive and obstructive lung disorders can produce dyspnoea.

·         Bronchitis, asthma and emphysema can produce dyspnoea

·         Pulmonary fibrosis is one of the commonly seen respiratory lung discorders.

       Other causes

·         In fever, breathing is faster

·         Breath increases after exercise and in high altitude.

·         In anemia there will be dyspnoea.

·         In scoliosis there is dyspnoea

·         Hyper ventilation syndrome, (Psychological causes) are produced by anxiety.

·         It is produced by fear and they tend to believe that they have heart attack.

·         In extreme form of renal causes like uremia there will be dyspnoea.

According to Ayurveda

         Svasam

·         It is one of the disorder where the disease is classified based

·         It is classified on the basis of its awastha.

·         Mahasvasam, china svasam, urdvasvasam denotes various avastas.

·         Mahasvasam, probably is a dyspnoea of higher center origin.

·         China svasam may be an injury  in the respiratory centre producing a bleed, that is why haemorrhage in one eye is mentioned.

·         Tamakasvasam denotes bronchial asthma.

·         Ksudrasvasam denotes hyper ventilation.

·         How we can manage the condition of cardiac asthama is discussed here

·         Except “ acute pulmonary oedema “ many forms of cardiac presentations can be managed by a skillful and trained Vaidya.

     Cardiac Asthma

It has to be visualized like  vatasopham. Sophahara, hrdya, Vatanulomana, Mutrala

Following medicines are very effective

         Kasayam

·         Bharangyadikasayam –

·         Arjunaksirapakam –

·         Punarnavadikasayam-

·         Pathyapunarnavadikasayam – With pippalicurnam

·         Mutravirecaniyaganam is highly useful.

·         Paniyam with hrdyamganam of Caraka is useful.

·         Mahadhanvantaravati

·         Pravalapanchamruta

·         Shrungavati

·         Swarnasutshekhar

·         Dasamulahartaki –

·         Dasamularasayanam

·         Bhrammarasayanam

·         Agasthyarasayanam

·         Cyavanaprasam

·         Arjunaristam

·         Abhayaristam

·         dasamularistam–

         Bhasmam

·         Srngabhasmam

·         Svarnabhasmam

·         Reduce salt

·         Reduce vigorous activities