Patient’s information
A 65-year-old male patient presented to OPD no. 4 (PG Kayachikitsa Department) at Govt. Akhandanand Ayurveda College and Hospital, Ahmedabad, with the following symptoms…
1. Shushka
Kasa
(Dry coughing) since 3 year
2. Shwasa
Kruchhata (Breathlessness) since 4 year
3. Kanth
Pradeshe Kapha Anubhuti since 1 year
4. Urah
Shoola (Pain in chest) since 1 year
General physical examination
Pulse-
62/min
Respiratory
rate- 20/min
BP-
140/74 mmHg
Built-
Medium
Dhashavidha
Pariksha
Prakruti-
Vata-Kapha
Vikruti- Mahat
Hetu Linga Bala - Cotton particles, constant severe
coughing
Sara-
Rasa-Rakta Madhyama Sara
Samhanan-
Madhyam
Praman-
Madhyama
Satmya-
Shad Rasa Satmya
Ahara
Shakti- Madhyama
Vyayam
Shakti- Alpa
Vaya-
Vruddha Avastha
Therapeutic intervention(IPD)
|
|
Medicine |
Duration |
Anupana |
|
28/08/24-
02/09/24 |
1)Shivakshar
Pachan Churna 6gm +Lauha Bhasma
125 mg |
BD before meal |
1 tsp Goghrita |
|
2)Shankha Vati
2tab |
2 BD After meal |
Water |
|
|
3)Talishadi
Churna 5gm +Tankana Bhasma
125 mg + Sphatika
Bhasma 125 mg + Abhraka Bhasma
125 mg |
TDS Empty stomach |
Kantakari
Avaleha |
|
|
4)Kanakasav 4tsp |
BD |
water |
|
|
03/09/24-
10/09/24 |
1,2,3,4 5)Arogyavardhini
Vati 4tab |
BD |
Warm water |
|
Date |
Procedure |
|
|
28/08/24-
10/09/24 |
1)Sthanika
Abhyanga and Nadi Swedana (Urah evam
Prustha Pradeshe) |
Nirgundi Taila |
|
2)Matra Basti
(50 ml) |
Mahanarayan
Taila |
OPD Follow Up
|
|
Medicine |
Duration/Time |
Anupana |
|
10/09/24-
24/09/24 |
1)Dashamoola
Kwatha 10 gm +
Bharangyadi Kwatha 10 gm |
Bd Empty
stomach |
|
|
2)Kantakari
Ghruta 20 ml |
Suryodaya
Kala |
Warm
water |
|
|
24/09/24 |
3) Talishadi
Churna 5gm +Tankana Bhasma
125 mg + Sphatika
Bhasma 125 mg +
Abhraka Bhasma 125 mg |
TDS Empty stomach |
|
|
|
4) Avipattikar
Churna 6gm |
BD Before food |
Go
ghrita |
|
|
5) Tab Dekofcyn
(Alarsin) 2 tab |
BD After
food |
|
Before treatment report
Patient
was well diagnosed case of bronchial Asthma since 4 Year. The patient works in
Cotton manufacturing factory since many years. On consultation with the physician, he was advised
for X-ray chest (13/03/23) and that showed both lung fields to show prominent
broncho-vascular markings. The patient had availed conventional allopathic treatment for
2 years. However, due to unresolved and persistent symptoms, the patient sought
Ayurveda treatment. After the Ayurvedic treatment X-ray become normal.
After treatment report
Discussion
Patient exposed to cotton particle as a part of profession for many years, but symptoms started 4 years back when naturally his body immunity decreased because of aging phenomenon and continue residing in hot humid environment of Ahmedabad, Gujarat.
So as per principle
इह खलु निदानदोषदूष्यविशेषेभ्यो विकारविघातभावाभाव प्रतिविशेषा भवन्ति| (Ch.ni 4/4),
all 3 Nidana,
Dosha, Dushya combined together in the presence of compromised immunity and
sign and symptoms occurred accordingly.
The patient had migrated from UP to Gujarat. Compared to Uttar Pradesh,
Gujarat's climate is hotter, and moister, which put impact on health.
The patient's regular dietary and daily regimen, appropriate Bala-Mamsa-Satva-Satmya Sampad etc. kept the pathology localized. Chronic constant dry coughing because of cotton dust particles, exertion due to the coughing process and progressive generalized and localized Rukshatva/dryness along with no relief from allopathic medications, exhausted and depressed the patient so much that he had accepted that there is no cure for his disease.
As per Ayurveda disease manifestation process
is very simple as stated by both Acharya Charaka and Acharya रजसा धूमवाताभ्यां शीतस्थानाम्बुसेवनात्…. and that constant Kshobha/ irritation caused
by cotton particles in Pranavaha Strotas lead to Rasa Rakta Prakopa locally and Pratiloma Vayu generally.
As patient was unable to do Nidana Parivarjana because it is an inseparable
part of his Job so, he was advised to use nasal mask.
We aimed to manage the patient by administrating Snehana, Swedana,
Dipana, Pachana, Anuloman procedures to install the strength in the body
along with Dosha-Vyadhi Pratyanika medications.
So, the efforts were made to break the vicious pathogenesis of the disease, and it showed the efficacy as route cause eradication.
Following Samprapti Ghatakas has been framed/ identified.
Samprapti Ghatak
Dosha-
Vata Pradhan Tridosha
Dushya-
Rasa, Rakta
Strotas-
Pranavaha, Rasavaha, Raktavaha
Stroto Dusti Prakar-
Sanga, Atipravruti,
Adhisthan- Sharira,
Mana
Udbhavsthan- Pakwashaya
Vyaktisthan-
Urah Pradesha/ Phupphusa
Roga Marga- Madhyama
(Kostha)
Agni- Mandagni,
Vishamagni
Sama/Niram- Niram
Vyadhi Prakar- Chirakari
Sadhyaasadhyata- Kruccha Sadhya
The patient was so exhausted, depressed, fade up and hopeless with his complains that in his first visit he agreed for IPD admission and management started as per his condition. Initially Dipan, Pachan, vatanuloman, Started with Shivakshara Pachana Churna combination with Shapana, Go ghrita in Apana Kala.
Shankha Vati and Kanakasav was given after meal Uttara Bhakta
for Dipana, Pachana, Strotosodhana and anti-spasmodic action.
Talishadi combination given
as Vyadhi Pratyanika with Sahapan Kantakari Avaleha to counter
the dryness/ Rukshata in empty stomach condition.
Additionally, Sthanika Abhyanga and Swedana to the Uraha and Prustha Pradesha was administered as per the principle of line of treatment of Tamaka Shwasa.
There was excessive condition of dryness / Rukshata in the body and the on-going Vata Prakopa Kala/ rainy season Virechana Karma was not planned and Matra Basti was selected to administer. Matra Basti helped a lot in installing Snehana Guna in the body. Patient used to hold Matra Basti initially 24 hours and later on the duration was reduced along with increase in Sneha Gunas in the body. Matra Basti also acted and showed vary good Vata-nulomana effect. Aarogyavardhiin vati was added after 7 days in high dose to induce mild 'pitta-virechan' effect.
This treatment protocol
was given for 13 days, and patient was discharged on his request after achieving
80% relief in symptom.
In follow up treatment
Matra Basti was replaced with oral use of Kanatakari Ghrita 20 ml in
Rasayana Kala (Sunrise time). Additionally, Tab. dekofcyn (Alarsin)
was prescribed 2 TDS.
Shivakshara Pachan Churna
replaced
with Avipattakar Churna as per availability in Govt. OPD dispensary and because starting of Sharad Ritu. Now patient has got 100% relief.
Conclusion
It can be concluded that if a patient has
appropriate immunity, good-built Pravar Satva, Satmya with a regulated
daily regimen, and appropriate 4 qualities of Atura, then chronic bronchial
asthma case with the dominant feature of coughing (Byssinosis) can be cured
successfully with the Ayurvedic principle of Tamaka Swasa.
Patient's video
Presented by-
Dr. Urvashi Makhesana
P G Final year Scholar
P G Kayachikitsa Department
Government Akhandanand Ayurved College, Ahmedabad, Gujarat, India
E-mail- urvashipatel294@gmail.com
Guided by-
Prof. Surendra A. Soni
H.O.D.
P G Kayachikitsa Department
Government Akhandanand Ayurved College, Ahmedabad, Gujarat, India
E-mail- kayachikitsagau@gmail.com
Jai ayurveda
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