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Tamaka sawasa adetail description
Review of

iÉqÉMü
µÉÉxÉ

Presenter:
DR. VIDHU B. MAHESHWARI
2nd PG Scholar
Dept of kayachikitsa
D.G.M.A.M.C.P.G.S. & RC, GADAG
Introduction
mÉëÉhÉÉmÉÉhÉÉæ ÌlÉqÉãwrÉɱç
eÉÏuÉlÉqÉç qÉlÉxÉÉã aÉÌiÉ:|
CÎlSìrÉÉliÉU xÉgcÉÉUÉ: mÉëãUhÉqÉç
kÉÉUhÉqÉç cÉ rÉãiÉ||
(cÉ. vÉÉ.
1/70)
The following is the proof of the existence of the Absolute
soul:
Inspiration and expiration
Twinkling of eye
Prana and apana or to say breathing in is the si-ne
qua phenomenon of life. To and fro movement of air
through the pranavaha srotas is the vital sign of Prana .The
normalcy of which suggests health. The abnormality of
respiration indicates diseases and its cessation marks
death. This unique sign of life is affected in the disease of
Tamaka swasa. This abnormality of breathing as indicative
of forthcoming death. This organ of breathing producer of
the vital sign of life turns into a musical box. It produces all
sorts of music, which is never Melodious, rather it is the cry
of the organ heading towards complete failure for want of
air.
Derivation
In shabda kalpadruma the word shwasa is
derived from swas dhatu by applying „ghanj‟
pratyaya.
Definition
‘µÉÉxÉiuÉÇ

uÉãaÉuÉSÕkuÉïuÉÉiÉiuÉÇ’||
(qÉÉ.ÌlÉ.qÉkÉÑMüÉåvÉ)
Due to obstruction in the pranavaha
srotas when the person has to breath many
times and the breathing is difficult it is called
shwasa.
Types
qÉWûÉ µÉÉxÉ
EkuÉï µÉÉxÉ
ÍNû³É µÉÉxÉ
iÉqÉMü µÉÉxÉ
¤ÉÑSì µÉÉxÉ
Tamaka sawasa adetail description
Nirukti
 The word iÉqÉMü µÉÉxÉ composed of two
conjoint words. They are iÉqÉMü and µÉÉxÉ . The
word iÉqÉMü is derived from the Dhatu “Tamaka
glanou” with Kwip Pratyaya. It suggests to
choke, darkness, be suffocated.

 It is also defined as “Tamayati iti Tamaka”.
 “iÉqÉ eva iÉqÉMü ” in Shabdha Kalpa dhruma.
It means where “iÉqÉ” occurs that is iÉqÉMü .
• „Shwasathi iti Shwasa‟. It means to
breath, by which respiratory movements
takes place.
The word Tamaka Shwasa is formed
by Karmadhareya Samasa as “Tamakaccha
Aska Shwasacha Tamaka Shwasa‟. It
means difficulty in breathing which occurs
mainly during night hours.
Paribhasha
 Susruta: Defines “

:”
( : :

/ )

It means the attack of Shwasa with tamapravesha which occurs
especially during “Durdhina”.
The meaning of durdhina is not explained in this context. But in
Charaka Samhita it is stated that symptoms
aggravated during cloudy
days.
 Vijaya Rakshita: Explains Tamaka Shwasa as:
It is a disease where in the expiration of air produces
a sound similar to the sound of bellow of blacksmith.
Hetu
UeÉxÉÉ kÉÔqÉuÉÉiÉÉprÉÉÇ
vÉÏiÉxjÉÉlÉÉqoÉÑxÉåuÉlÉÉiÉç|
urÉÉrÉÉqÉÉSè
aÉëÉqrÉkÉqÉÉïkuÉäÉɳÉÌuÉwÉqÉÉvÉlÉÉ
iÉç|
AÉqÉmÉëSÉåwÉÉSÉlÉÉWûÉSìÉæ¤rÉÉ
SirÉmÉiÉmÉïhÉÉiÉç|
SÉæoÉïsrÉÉlqÉqÉïhÉÉå bÉÉiÉÉSè
²l²ÉcNÒûkSrÉÌiÉrÉÉåaÉiÉ:||
Exposure to dust, smoke and wind
Residing in a cold space and use of cold water
Exercise sexual intercourse and long walk
beyond one‟s capacity
Intake of food, deficient or excessive in
quantity, and before or long after the meal time
Vitiation by ama
Constipation associated with flatulence
Dryness of body
Fasting in excess
Weakness and injury to vital organs
Use of mutually contradictory ingredients
Excessive administration of elimination
therapies
Purvroopa
mÉëÉaÉëÔmÉÇ iÉxrÉ WØûimÉÏQûÉ
vÉÔsÉqÉÉkqÉÉlÉqÉåuÉ cÉ|
AÉlÉÉWûÉå uÉY§ÉuÉæUxrÉÇ
vÉXçZÉÌlÉxiÉÉåSqÉåuÉ cÉ ||
Discomfort in the heart(chest), pain in
chest, distention in chest, constipation(with
flatulence), anorexia, and pain in the temporal
region are the of Purvroopa swasa roga.
Roopa
mÉëÌiÉsÉÉãqÉÇ rÉSÉ uÉÉrÉÑ:
xÉëÉãiÉÉÇÍxÉ mÉëÌiÉmɱiÉã|
aÉëÏuÉÉÇ ÍvÉU¶É xÉÇaÉ×½ vsÉãwqÉÉhÉÇ
xÉqÉÑSÏrÉï cÉ||
MüUÉãÌiÉ mÉÏlÉxÉÇ iÉãlÉç ®Éã
bÉÑbÉÑïUMüÇ iÉjÉÉ|
AiÉÏuÉ iÉÏuÉëuÉãaÉÇ µÉÉxÉÇ
mÉëÉhÉmÉëmÉÏQûMüqÉç|
mÉëiÉÉqrÉirÉÌiÉuÉãaÉÉccÉ MüÉxÉiÉã
xÉ̳ÉÂkrÉiÉã|
mÉëqÉÉãWûÇ MüÉxÉqÉÉlÉ¶É xÉ aÉcNûÌiÉ
Roopa
Aachrya CHARKA explains that vata moving
in the reverse order pervades the channels, afflicts
the neck and head, and stimulates kapha to cause
rhinitis. This vata, thus obstructed, produces the
following signs and symptoms:
Ghurghuraka (wheezing sound)
Dyspnoea of exceedingly deep velocity
Because of acute spasm, the patient gets
tremors and coughs, and become motionless
He faints again and again while coughing
Since the kapha does not come out, he becomes
all the more restless
He is relieved for sometime soon after the kapha
comes out
His throat is choked because of which he is
unable to speak freely
 He does not get sleep. While lying down, he gets
dyspnoea because the sides of chest in that
position get afflicted by vata. But he is relived of
this discomfort in sitting position
He develops special liking for hot things
His eyeballs become prominent
Too much of sweating appears in his forehead
and he becomes restless
His mouth becomes dry frequently
He gets frequent episodes of dyspnoea
The attack gets aggravated when clouds appear
in sky, when he is exposed to water, and cold
when the easterly wind blows, and when he
resorts to kapha aggravating food and regimens
Upasaya and Anupasaya
Upasaya
Factors relieving the severity of disease
 Asino labhate saukhyam (sitting posture
gives relief).
 Shleshma vimokshe sukham (expectoration
of kapha gives relief).
 Ushnabhinandati (liking toward hot things).
Anupasaya
Factors aggravating the severity of the
disease
 Sheeta pana (cold drinks).
 Sheeta vata (cold weather).
 Guru bhojana (heavy eatables).
 Vyayama (exercise).
 Shayane shwasavriddhi (sleeping or lying
down intensify swasa).
Samnya Samprapti
qÉÉÂiÉ: mÉëÉhÉuÉÉÌWûÌlÉ
xÉëÉãiÉÉÇxrÉÉÌuÉvrÉ MÑümrÉÌiÉ|
EU:xjÉ: MüTüqÉÑ®ÕrÉ
ÌWûYMüɵÉÉxÉÉlMüUÉãÌiÉ xÉ:||
( cÉ.ÍcÉ. 17/17)
Vata located in the chest after afflicting the channels
(pranavaha srotas), gets aggravated and stimulates kapha.
This leads to the causation of two deadly diseases, viz.,
HICCA and SAWASA
Vishtha Samprapti
rÉSÉ xÉëÉãiÉÉÇÍxÉ xÉÇÂkrÉ
qÉÉÂiÉ:MüTümÉÔuÉïMü:|
ÌuÉwuÉauÉëeÉÌiÉ xÉÇ®xiÉSÉ
µÉÉxÉÉlMüUÉãÌiÉ xÉ:||
(cÉ.ÍcÉ 17/45)
If vata, predominantly associated with
kapha, obstructs the channels of circulation all
over the body, then being itself obstructed(in the
circulatory course), this aggravated vata causes
SWASA
iÉqÉMü µÉÉxÉ Samprapti
MüTüÉåmÉÂkSaÉqÉlÉ: mÉuÉlÉÉå
ÌuɵÉaÉÉÎxjÉiÉ:|
mÉëÉhÉÉåSMüɳÉuÉÉWûÏÌlÉ SÒ·:
xÉëÉåiÉÉÇÍxÉ SÕwÉrÉlÉ||
EU:xjÉ MÑüÂiÉå
µÉÉxÉqÉÉqÉÉvÉrÉxÉqÉÑ°uÉqÉç||
(A.WØû.ÌlÉ
4/3)
Vata obstructed in its movement by kapha,
NIDANA SEVANA
AGNIMANDYA

DOSHA DUSHTI ( VATA & KAPHA
DUSHTI)

AMARASOTPATTI
MALAROOPA KAPHA
PARIBHRAMANA

PRATILOMAGATI OF VATA

PRANAVAHA SROTOGAMANA
KAPHA makes AVARANA to PRANA VAYU
PRANA

try to overcome the

AVARANA

SHWASA (shwasavarodha, shwasativriddhi, Ghurghurkam etc.)
Samprapti Ghataka
Dosha

Dushya
Agni
Aama
Srotas
Srotodushti Lakshana
Udbhava Sthana
Adhishthana
Sanchara
Vyakta Sthana
Rogamarga
Roga Swabhava

Vata (Prana, Udana, Samana), Kapha
(Avalambaka, Kledaka).
Rasa.
Mandagni, Vishamagni.
Jatharagnimandyajanya,
Rasadhatwagnimandyajanya.
Pranavaha, Annavaha, Udakavaha,
Sanga, Vimargagamana.
Aamashaya
Pranavaha Srotas.
Pranavaha Srotas (Hrudaya, Uraha
Pradesha), Koshta (Fuffusa).
Aasya, Griva, Kantha, Parshva,Urasa,Fuffusa
Abhyantara.
Chirakari
Types of iÉqÉMü µÉÉxÉ
mÉëiÉqÉM xÉÇiÉqÉM µÉÉxÉ
euÉUqÉÔcNûÉïmÉUÏiÉxrÉ ÌuɱÉiÉç
mÉëiÉqÉMüÇ iÉÑ iÉqÉç|
ESÉuÉiÉïUeÉÉåÅeÉÏhÉÉïÎYsɳÉ
MüÉrÉÌlÉUÉåkÉeÉ|
iÉqÉxÉÉ uÉkÉïiÉåÅirÉjÉïÇ
vÉÏiÉæµÉÉvÉÑ mÉëvÉÉqrÉÌiÉ |
qÉeeÉiÉxiÉqÉxÉÏuÉÉxrÉ ÌuɱÉiÉç
xÉÇiÉqÉMüÇ iÉÑ iÉqÉç||
If the patient suffering from Tamaka swasa
gets afflicted with fever and fainting, the condition
is called as PRATAMAKA SWASA. This is caused
by UDAVARTA(upward movement of vata in
abdomen), dust, indigestion, humidity (kleda) and
suppression of the natural urge (kaya nirodha). It
gets aggravated in darkness (TAMA) and gets
alleviated by cooling regimens
Cont….
Santamaka is further variant of Pratamaka
according to Aachrya CHAKRAPANI.
GANGADHARA considered it as an Upadrava of
Pratamaka.
If a patient of Pratamaka Shwasa feel darkness
around him or sinks into unconsciousness due to
Tamadosha of Manas, it is considered as Santamaka.
In both these conditions though Kapha and Vata
are involved the Pittadosha also has main role in the
pathogenesis of the disease. Hence it will get relieved
by Sheetopachara.
Arista Laxana
The patient presenting with Deergha
Uchwasa, Nishwasa. The patient passing Gratitha
Mootra, Pureesha associated with Agnimandya.
The Shwasa complicated with Atisara, Jwara,
Hikka, Chardi.
Sadyasadhyata
Aachrya CHARAKA mentions that Tamaka
Shwasa becomes sadhya if it is treated in early
stages, even though it is stated as Yapya Vyadhi.
Aachrya DALHANA mentions that it also
becomes Asadhya if it is associated with Jwara
and Murcha.
Aachrya VAGBHATA mentions that
Tamaka Shwasa is Yapya, but can be Sadhya if it
is treated in the beginning and if it occurs in a
strong person.
Chikitsa Sutra
ÌWûYMüɵÉÉxÉÉÌSïiÉÇ
ÎxlÉakÉæUÉSÉæ
xuÉãSæÂmÉÉcÉUãiÉç|
AÉ£üÇ sÉuÉhÉiÉæsÉãlÉ
lÉÉÌQûmÉëxiÉUxÉÇMüUæ:||
iÉæUxrÉ aÉëÍjÉiÉ: vsÉãwqÉÉ
xÉëÉãiÉ: xuÉÍpÉÌuÉsÉÏrÉiÉã|
ZÉÉÌlÉ qÉÉSïuÉqÉÉrÉÉÎliÉ iÉiÉÉã
uÉÉiÉÉlÉÑsÉÉãqÉiÉÉ||
Pranavilomta is a pathological event during
an episode of tamaka shwasa and is said to be
due to the vikrath kapha obstructing the passage
of prana vayu. Bringing it out by liquifying the
sputum is the principle and first treatment of this
condition. This can be achieved by abhyanga and
swedana over the chest there by allowing the free
passage of prana vayu. Acharya CHARAKA has
prescribed application of oil added with rock salt
over the chest followed by sudation in the form of
nadi prastara or sankara sweda.
uÉÉiÉM×ü²É MüTüWûUÇ MüTüM×ü²É
AÌlÉsÉÉmÉWûqÉç|
MüÉrÉï lÉ LMüÉÎliÉMüÇ iÉÉprÉÉ
mÉëÉrÉ: ´ÉårÉÉåÅÌlÉsÉÉmÉWûqÉç||
(cÉ.ÍcÉ 17/148)
Ingredients, which exclusively alleviate
kapha but aggravate vata or which exclusively
alleviate vata but aggravate kapha must never be
used in the treatment of HIKKA and SAWSA.
Between these categories of treatment, however,
the latter category, i.e. the administration of
ingredients which alleviate vata but may aggravate
kapha can, if necessary, be used in exceptional
circumstances.
Chikitsa
ÌlÉSÉlÉ mÉËUuÉeÉïlÉ
ÌWûYMüɵÉÉxÉÌuÉMüÉUÉhÉÉÇ
ÌlÉSÉlÉÇ rÉiÉ mÉëMüÐÌiÉïiÉqÉç|
uÉerÉïqÉÉUÉåarÉMüÉqÉæxiÉSè
ÌWûYMüɵÉÉxÉÌuÉMüÉËUÍpÉ:||
(cÉ.ÍcÉ. 17/138)
The etiological factors described to be
responsible for the manifestation of HIKKA and
SWASA should be eschewed by the patients
suffering from these diseases, if they wanna good
Treatment of tamaka shwasa differs
both during the attack (vegavastha) and in
between the attacks (Avegavastha)
Vegavastha
LiÉå ÌWû MüTüxÉÇÂkSaÉÌiÉ
mÉëÉhÉmÉëMüÉåmÉeÉÉ:|
iÉxqÉɨÉlqÉÉaÉïvÉÑkSrÉjÉïqÉÔkuÉ
ÉïkÉ: vÉÉåkÉlÉÇ ÌWûiÉqÉç||
ESÏrÉïiÉå pÉ×vÉiÉUÇ
qÉÉaÉïUÉåkÉÉuSWûeeÉsÉqÉç|
rÉjÉÉ iÉjÉÉÅÌlÉsÉxiÉxrÉ
qÉÉaÉïqÉxqÉÉ̲vÉÉåkÉrÉåiÉ||
(A.¾û.ÍcÉ4/8,9)
Since the SWASA is born from the
obstruction of the passage of Prana vata by
kapha, it is beneficial to clear the passage by
administration of purifactory therapy of both the
upper and lower parts of the body. By the
obstruction of the passage the internal fluid
becomes greatly increased, so also vata also
obstruct the passage hence its passage should be
cleared.
Avegavastha
rÉÎiMüÇÍcÉiÉMüTüuÉÉiÉblÉqÉÑwhÉÇ
uÉÉiÉÉlÉÑsÉÉãqÉlÉqÉç|
pÉãwÉeÉÇ mÉÉlÉqɳÉÇ uÉÉ iÉSè
ÌWûiÉÇ µÉÉxÉÌWûÎYMülÉÉæ||
(cÉ.ÍcÉ 17/147)
Ingredients which cause alleviation of vata
and kapha, which are hot in potency, and which
cause downward movement of vata are useful as
medicines, drinks and food preparations for the
patients suffering from SWASA
uÉqÉlÉ
ÎxuɳÉÇ ¥ÉÉiuÉÉ iÉiÉxiÉÔhÉïÇ
pÉÉãeÉrÉãiÉç ÎxlÉakÉqÉÉãSlÉqÉç|
qÉixrÉÉlÉÉÇ vÉÔMüUÉhÉÉÇ uÉÉ
UxÉæSïkrÉѨÉUãhÉ uÉÉ||
iÉiÉ: vsÉãwqÉÍhÉ xÉÇuÉ×®ã uÉqÉlÉÇ
mÉÉrÉrÉã¨ÉÑ iÉqÉç|
ÌmÉmmÉsÉÏxÉælkÉuɤÉÉæSìærÉÑï£
üÇ uÉÉiÉÉÌuÉUÉãÍkÉ rÉiÉç||
(cÉ.ÍcÉ 17/74-75)
After ascertaining that the patient is properly
fomented, the patient should be given rice mixed
with ghee, or the soup of the fish or pork, followed
by the cream of curd(sara of dahdi) to eat. This
causes aggravation of kapha. The patient, should,
then be given emetic therapy, mixed with pippali,
saindhava and honey. Care should be taken to
ensure that no vata aggravating ingredients are
added to the recipe.
kÉÔqÉmÉÉlÉ
sÉÏlɶÉã¬ÉãwÉvÉãwÉ: xrÉÉSè
kÉÔqÉxiÉÇ ÌlÉWïûUãSè oÉÑkÉ:|
WûËUSìÉ mɧÉÇ LUhQûqÉÔsÉÇ
sÉɤÉÉÇ qÉlÉ:ÍvÉsÉÉqÉç|
xÉSãuÉSÉuÉïsÉÇ qÉÉÇxÉÏ ÌmÉwOèuÉÉ
uÉÌiÉï mÉëMüsmÉrÉãiÉç|
iÉÉÇ bÉ×iÉÉiMüÉÇ ÌmÉoÉãSè kÉÔqÉÇ
rÉuÉæuÉÉï bÉ×iÉ xÉÇrÉÑiÉæ:||
This is another procedure aimed at
eliminating the kapha dosha from the srotas.
Dhoomapana is advised after the vamana karma
and it eliminates some amount of kapha dosha
that is still left out after the vamana karma.
Dhoomapana may be performed alone without
prior vamana karma. Further in debilitated
patients, where purifactory procedure is not
possible. Added to this the drugs used in
dhoomapana also reduces spasm or stiffness of
pranavaha srotas bringing about srotomardavata
that ensures free passage of vata dosha.
lÉxrÉ
sÉvÉÑlÉxrÉ mÉsÉÉhQûÉåuÉÉï
qÉÔsÉÇ aÉ×geÉlÉüxrÉ uÉÉ|
lÉÉuÉrÉåccÉlSlÉÇ uÉÉÅÌmÉ
lÉÉUϤÉÏUåhÉ xÉÇrÉÑiÉqÉç||
(cÉ.ÍcÉ 17/131)
Mixed with the breast milk of woman
lausuna, palandu, root of gunjana or chandan can
be administered as inhalation therapy.
ÌuÉUåcÉlÉ
MüÉÍxÉlÉã cNûSïlÉÇ S±ÉiÉç
xuÉUpÉXçaÉã cÉ oÉÑ̬qÉÉlÉç |
uÉÉiÉvsÉãwqÉWûUærÉÑï£üÇ
iÉqÉMãü iÉÑ ÌuÉUãcÉlÉqÉç||
(cÉ.ÍcÉ.17/121)
If the patient suffering from shwasa gets
afflicted with hoarseness of voice then they should
be given vamana. Patient suffering from tamaka
type of shwasa he should be given virechana. The
Abnormal response of patient for simple
factors like dust is said to be due to khavaigunyata
of the pranavaha srotas and this is described as
hypersensitivity or allergy of the respiratory
system. This may be said as khavaigunyata or
else called as asatmyata or even may be named
as faulty vyadhikshmatva.The answer for such a
nature of illness is virechana karma and Rasayana
chikitsa.Charaka pronounced this as
„TAMAKETU VIRECHANA’
kqÉÉlÉÉãSÉuÉiÉïiÉqÉMãü
qÉÉiÉÑsÉÑXçaÉÉqsÉuÉãiÉxÉæ:||
ÌWûÇaÉÑÌmÉmmÉÍsÉÌoÉQæûrÉÑï£üq
ɳÉÇ xrÉÉSlÉÑsÉÉãqÉlÉqÉç|
xÉxÉælkÉuÉÇ TüsÉÉqsÉÇ uÉÉ
MüÉãwhÉÇ S±É̲UãcÉlÉqÉç||
(A.¾è 4/6,7)
If there is flatulence, upward movement of
vata and tamaka, rice mixed with
matulunga, amlavetasa, hingu, pilu and bida
should be consumed this acts as anulomana. Next
a purgative drug mixed with saindhava and any
After shodhna karma samsarjana karma is
advised. Immediately after the shodhna karma as
the digestive power is very weak only liquid food is
advisable. As the digestion power shows a gradual
increase the food is also slowly changed to solid or
to regular foods.
vÉqÉlÉ ÍcÉÌMüixÉÉ
xÉuÉãïwÉÉÇ oÉ×ÇWûhÉã ½smÉ:
vÉYrÉ¶É mÉëÉrÉvÉÉã pÉuÉãiÉç|
lÉÉirÉjÉïÇ vÉqÉlÉãÅmÉÉrÉÉã
pÉÚvÉÉãÅvÉYrÉ¶É MüvÉïlÉã|
vÉqÉlÉæoÉ×ÇWûhÉæ¶ÉÉiÉÉå
pÉÔÌrÉ¸Ç iÉÉlÉÑmÉÉcÉUåiÉç||
(A.¾û 4/58-59)
The patient suffering from shwasa can be
given nourishing therapy and its adverse effects
will be minimal and curable. Shamana for such
patients are free from any adverse effects. But the
administration of depletion therapy is likely to
produce serious adverse effects which is difficult to
cure. Therefore the patient should generally be
treated with brumhana or shamana therapy.
Preparations
ASAVA
Kanakasava
ARISHTA
Punarnavadirishta
Babularishta
AVALEHA
Chavyanprash
Vasadi avaleha
Chitrak haritaki avaleha

GHRITA
Panchgavya ghrita
Dasmuladi ghrita
CHURNA
Shatyadi churna
Muktadi churna
RASAKALPA
Shwaskasachintamani
rasa
Shwasakuthar rasa

KWATHA
Dashmula kwatha
Punarnavadi kwatha
UxÉÉrÉlÉ
To avoid recurrence of the disease.
To give strength to the respiratory channel
rasayana treatment is useful.
ÌmÉmmÉÍsÉ uÉkÉïqÉÉlÉ UxÉÉrÉlÉ

mɶÉÉ·Éæ xÉmiÉ SvÉ uÉÉ
ÌmÉmmÉÍsÉqÉkÉÑxÉÌmÉïwÉÉ|
UxÉÉrÉlÉaÉÑhÉÉluÉåwÉÏ
xÉqÉÉqÉåMüÉÇ mÉërÉÉåeÉrÉåiÉç||
ÌiÉx§ÉÉÎxiÉx§ÉxiÉÑ mÉÔuÉÉï¾åû
pÉÑYiuÉÉÅaÉëå pÉÉåeÉlÉxrÉ cÉ |
ÌmÉmmÉsrÉ:
ÌMüÇvÉÑMü¤ÉÉUpÉÉÌuÉiÉÉ bÉ×iÉpÉÎeÉïiÉÉ||
mÉërÉÉåerÉÉ qÉkÉÑxÉÇÍqÉ´ÉÉ
Cont….

¢üqÉuÉ×kSrÉÉ SvÉÉWûÉÌlÉ
SvÉÉmÉæmmÉÉÍsÉMüÇ ÌSlÉqÉç |
uÉkÉïrÉåiÉç mÉrÉxÉÉ xÉÉkÉïÇ
iÉjÉæuÉÉmÉlÉrÉåiÉç mÉÑlÉ:||
eÉÏhÉãï eÉÏhÉåï cÉ pÉÑgeÉÏiÉ
wÉÌ·MüÇ ¤ÉÏUxÉÌmÉïwÉÉ|
ÌmÉmmÉsÉÏlÉÉÇ xÉWûx§ÉxrÉ
mÉërÉÉåaÉÉÅrÉÇ UxÉÉrÉlÉqÉç ||
Depending upon the nature of the dosha and
the disease the pippali should be taken. Pippali
should be taken along with milk by gradually
increasing at the rate of 10 pippali per day. After
10 days this should be gradually decreased. Thus
in total the person should take one thousand
pippali for the purpose of rejuvenation. After
digestion take sastika type of rice along with milk
and ghee.
MANASA DOSHA CHIKITSA
Patients expression of anxiety may not be in
the eyes face or their activity but it may be through
the pranavaha srotas in the form of shwasa. The
absolute cause is related to the mind but its
reflection is through the pranavaha srotas. In such
clinical presentation addition of manasa dosha
chikitsa are more beneficial.
Pathyapathya
Pathya –
Ahara
• Shuka varga – purana yava, godhooma, shashtika
dhanya, rakta shali
• Shami dhanya – kulattha.
• Mamsa varga – tittira, shuka, dvija (birds), daksha
(kukkuta).
• Shaka varga – patola, tanduliya, vastuka, vartaka.
• Phala varga –
dadima, jambira, draksha, amalaki, bimbiphala, bilva.
• Madya varga – sura.
• Ahara upayogi varga – purana ghritam, madhu, mamsa
rasa, pippali, hingu, kanji, rasona.
• Jala varga – ushna jala of pokhara.

Vihara –
Vamana karma, virechana karma, swedana and
dhoomapana.
Apathya –
Ahara
• Shaka varga – sarshapa.
• Phala varga – kanda
• Jala varga - dushita jala, Sheeta jala(cold drinks).
• Kritanna varga – ruksha anna & pana, shitala & guru
padartha.
Vihara
Purva vata sevana, vegavarodha, dhooma and
gramyadharma etc.
Tamaka sawasa adetail description

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Tamaka sawasa adetail description

  • 2. Review of iÉqÉMü µÉÉxÉ Presenter: DR. VIDHU B. MAHESHWARI 2nd PG Scholar Dept of kayachikitsa D.G.M.A.M.C.P.G.S. & RC, GADAG
  • 3. Introduction mÉëÉhÉÉmÉÉhÉÉæ ÌlÉqÉãwrÉɱç eÉÏuÉlÉqÉç qÉlÉxÉÉã aÉÌiÉ:| CÎlSìrÉÉliÉU xÉgcÉÉUÉ: mÉëãUhÉqÉç kÉÉUhÉqÉç cÉ rÉãiÉ|| (cÉ. vÉÉ. 1/70) The following is the proof of the existence of the Absolute soul: Inspiration and expiration Twinkling of eye
  • 4. Prana and apana or to say breathing in is the si-ne qua phenomenon of life. To and fro movement of air through the pranavaha srotas is the vital sign of Prana .The normalcy of which suggests health. The abnormality of respiration indicates diseases and its cessation marks death. This unique sign of life is affected in the disease of Tamaka swasa. This abnormality of breathing as indicative of forthcoming death. This organ of breathing producer of the vital sign of life turns into a musical box. It produces all sorts of music, which is never Melodious, rather it is the cry of the organ heading towards complete failure for want of air.
  • 5. Derivation In shabda kalpadruma the word shwasa is derived from swas dhatu by applying „ghanj‟ pratyaya.
  • 6. Definition ‘µÉÉxÉiuÉÇ uÉãaÉuÉSÕkuÉïuÉÉiÉiuÉÇ’|| (qÉÉ.ÌlÉ.qÉkÉÑMüÉåvÉ) Due to obstruction in the pranavaha srotas when the person has to breath many times and the breathing is difficult it is called shwasa.
  • 7. Types qÉWûÉ µÉÉxÉ EkuÉï µÉÉxÉ ÍNû³É µÉÉxÉ iÉqÉMü µÉÉxÉ ¤ÉÑSì µÉÉxÉ
  • 9. Nirukti  The word iÉqÉMü µÉÉxÉ composed of two conjoint words. They are iÉqÉMü and µÉÉxÉ . The word iÉqÉMü is derived from the Dhatu “Tamaka glanou” with Kwip Pratyaya. It suggests to choke, darkness, be suffocated.  It is also defined as “Tamayati iti Tamaka”.  “iÉqÉ eva iÉqÉMü ” in Shabdha Kalpa dhruma. It means where “iÉqÉ” occurs that is iÉqÉMü .
  • 10. • „Shwasathi iti Shwasa‟. It means to breath, by which respiratory movements takes place. The word Tamaka Shwasa is formed by Karmadhareya Samasa as “Tamakaccha Aska Shwasacha Tamaka Shwasa‟. It means difficulty in breathing which occurs mainly during night hours.
  • 11. Paribhasha  Susruta: Defines “ :” ( : : / ) It means the attack of Shwasa with tamapravesha which occurs especially during “Durdhina”. The meaning of durdhina is not explained in this context. But in Charaka Samhita it is stated that symptoms aggravated during cloudy days.  Vijaya Rakshita: Explains Tamaka Shwasa as: It is a disease where in the expiration of air produces a sound similar to the sound of bellow of blacksmith.
  • 13. Exposure to dust, smoke and wind Residing in a cold space and use of cold water Exercise sexual intercourse and long walk beyond one‟s capacity Intake of food, deficient or excessive in quantity, and before or long after the meal time Vitiation by ama
  • 14. Constipation associated with flatulence Dryness of body Fasting in excess Weakness and injury to vital organs Use of mutually contradictory ingredients Excessive administration of elimination therapies
  • 15. Purvroopa mÉëÉaÉëÔmÉÇ iÉxrÉ WØûimÉÏQûÉ vÉÔsÉqÉÉkqÉÉlÉqÉåuÉ cÉ| AÉlÉÉWûÉå uÉY§ÉuÉæUxrÉÇ vÉXçZÉÌlÉxiÉÉåSqÉåuÉ cÉ || Discomfort in the heart(chest), pain in chest, distention in chest, constipation(with flatulence), anorexia, and pain in the temporal region are the of Purvroopa swasa roga.
  • 16. Roopa mÉëÌiÉsÉÉãqÉÇ rÉSÉ uÉÉrÉÑ: xÉëÉãiÉÉÇÍxÉ mÉëÌiÉmɱiÉã| aÉëÏuÉÉÇ ÍvÉU¶É xÉÇaÉ×½ vsÉãwqÉÉhÉÇ xÉqÉÑSÏrÉï cÉ|| MüUÉãÌiÉ mÉÏlÉxÉÇ iÉãlÉç ®Éã bÉÑbÉÑïUMüÇ iÉjÉÉ| AiÉÏuÉ iÉÏuÉëuÉãaÉÇ µÉÉxÉÇ mÉëÉhÉmÉëmÉÏQûMüqÉç| mÉëiÉÉqrÉirÉÌiÉuÉãaÉÉccÉ MüÉxÉiÉã xÉ̳ÉÂkrÉiÉã| mÉëqÉÉãWûÇ MüÉxÉqÉÉlÉ¶É xÉ aÉcNûÌiÉ
  • 17. Roopa Aachrya CHARKA explains that vata moving in the reverse order pervades the channels, afflicts the neck and head, and stimulates kapha to cause rhinitis. This vata, thus obstructed, produces the following signs and symptoms: Ghurghuraka (wheezing sound) Dyspnoea of exceedingly deep velocity Because of acute spasm, the patient gets tremors and coughs, and become motionless
  • 18. He faints again and again while coughing Since the kapha does not come out, he becomes all the more restless He is relieved for sometime soon after the kapha comes out His throat is choked because of which he is unable to speak freely  He does not get sleep. While lying down, he gets dyspnoea because the sides of chest in that position get afflicted by vata. But he is relived of this discomfort in sitting position
  • 19. He develops special liking for hot things His eyeballs become prominent Too much of sweating appears in his forehead and he becomes restless His mouth becomes dry frequently He gets frequent episodes of dyspnoea The attack gets aggravated when clouds appear in sky, when he is exposed to water, and cold when the easterly wind blows, and when he resorts to kapha aggravating food and regimens
  • 20. Upasaya and Anupasaya Upasaya Factors relieving the severity of disease  Asino labhate saukhyam (sitting posture gives relief).  Shleshma vimokshe sukham (expectoration of kapha gives relief).  Ushnabhinandati (liking toward hot things).
  • 21. Anupasaya Factors aggravating the severity of the disease  Sheeta pana (cold drinks).  Sheeta vata (cold weather).  Guru bhojana (heavy eatables).  Vyayama (exercise).  Shayane shwasavriddhi (sleeping or lying down intensify swasa).
  • 22. Samnya Samprapti qÉÉÂiÉ: mÉëÉhÉuÉÉÌWûÌlÉ xÉëÉãiÉÉÇxrÉÉÌuÉvrÉ MÑümrÉÌiÉ| EU:xjÉ: MüTüqÉÑ®ÕrÉ ÌWûYMüɵÉÉxÉÉlMüUÉãÌiÉ xÉ:|| ( cÉ.ÍcÉ. 17/17) Vata located in the chest after afflicting the channels (pranavaha srotas), gets aggravated and stimulates kapha. This leads to the causation of two deadly diseases, viz., HICCA and SAWASA
  • 23. Vishtha Samprapti rÉSÉ xÉëÉãiÉÉÇÍxÉ xÉÇÂkrÉ qÉÉÂiÉ:MüTümÉÔuÉïMü:| ÌuÉwuÉauÉëeÉÌiÉ xÉÇ®xiÉSÉ µÉÉxÉÉlMüUÉãÌiÉ xÉ:|| (cÉ.ÍcÉ 17/45) If vata, predominantly associated with kapha, obstructs the channels of circulation all over the body, then being itself obstructed(in the circulatory course), this aggravated vata causes SWASA
  • 24. iÉqÉMü µÉÉxÉ Samprapti MüTüÉåmÉÂkSaÉqÉlÉ: mÉuÉlÉÉå ÌuɵÉaÉÉÎxjÉiÉ:| mÉëÉhÉÉåSMüɳÉuÉÉWûÏÌlÉ SÒ·: xÉëÉåiÉÉÇÍxÉ SÕwÉrÉlÉ|| EU:xjÉ MÑüÂiÉå µÉÉxÉqÉÉqÉÉvÉrÉxÉqÉÑ°uÉqÉç|| (A.WØû.ÌlÉ 4/3) Vata obstructed in its movement by kapha,
  • 25. NIDANA SEVANA AGNIMANDYA DOSHA DUSHTI ( VATA & KAPHA DUSHTI) AMARASOTPATTI MALAROOPA KAPHA PARIBHRAMANA PRATILOMAGATI OF VATA PRANAVAHA SROTOGAMANA KAPHA makes AVARANA to PRANA VAYU PRANA try to overcome the AVARANA SHWASA (shwasavarodha, shwasativriddhi, Ghurghurkam etc.)
  • 26. Samprapti Ghataka Dosha Dushya Agni Aama Srotas Srotodushti Lakshana Udbhava Sthana Adhishthana Sanchara Vyakta Sthana Rogamarga Roga Swabhava Vata (Prana, Udana, Samana), Kapha (Avalambaka, Kledaka). Rasa. Mandagni, Vishamagni. Jatharagnimandyajanya, Rasadhatwagnimandyajanya. Pranavaha, Annavaha, Udakavaha, Sanga, Vimargagamana. Aamashaya Pranavaha Srotas. Pranavaha Srotas (Hrudaya, Uraha Pradesha), Koshta (Fuffusa). Aasya, Griva, Kantha, Parshva,Urasa,Fuffusa Abhyantara. Chirakari
  • 27. Types of iÉqÉMü µÉÉxÉ mÉëiÉqÉM xÉÇiÉqÉM µÉÉxÉ euÉUqÉÔcNûÉïmÉUÏiÉxrÉ ÌuɱÉiÉç mÉëiÉqÉMüÇ iÉÑ iÉqÉç| ESÉuÉiÉïUeÉÉåÅeÉÏhÉÉïÎYsÉ³É MüÉrÉÌlÉUÉåkÉeÉ| iÉqÉxÉÉ uÉkÉïiÉåÅirÉjÉïÇ vÉÏiÉæµÉÉvÉÑ mÉëvÉÉqrÉÌiÉ | qÉeeÉiÉxiÉqÉxÉÏuÉÉxrÉ ÌuɱÉiÉç xÉÇiÉqÉMüÇ iÉÑ iÉqÉç||
  • 28. If the patient suffering from Tamaka swasa gets afflicted with fever and fainting, the condition is called as PRATAMAKA SWASA. This is caused by UDAVARTA(upward movement of vata in abdomen), dust, indigestion, humidity (kleda) and suppression of the natural urge (kaya nirodha). It gets aggravated in darkness (TAMA) and gets alleviated by cooling regimens
  • 29. Cont…. Santamaka is further variant of Pratamaka according to Aachrya CHAKRAPANI. GANGADHARA considered it as an Upadrava of Pratamaka. If a patient of Pratamaka Shwasa feel darkness around him or sinks into unconsciousness due to Tamadosha of Manas, it is considered as Santamaka. In both these conditions though Kapha and Vata are involved the Pittadosha also has main role in the pathogenesis of the disease. Hence it will get relieved by Sheetopachara.
  • 30. Arista Laxana The patient presenting with Deergha Uchwasa, Nishwasa. The patient passing Gratitha Mootra, Pureesha associated with Agnimandya. The Shwasa complicated with Atisara, Jwara, Hikka, Chardi.
  • 31. Sadyasadhyata Aachrya CHARAKA mentions that Tamaka Shwasa becomes sadhya if it is treated in early stages, even though it is stated as Yapya Vyadhi. Aachrya DALHANA mentions that it also becomes Asadhya if it is associated with Jwara and Murcha. Aachrya VAGBHATA mentions that Tamaka Shwasa is Yapya, but can be Sadhya if it is treated in the beginning and if it occurs in a strong person.
  • 32. Chikitsa Sutra ÌWûYMüɵÉÉxÉÉÌSïiÉÇ ÎxlÉakÉæUÉSÉæ xuÉãSæÂmÉÉcÉUãiÉç| AÉ£üÇ sÉuÉhÉiÉæsÉãlÉ lÉÉÌQûmÉëxiÉUxÉÇMüUæ:|| iÉæUxrÉ aÉëÍjÉiÉ: vsÉãwqÉÉ xÉëÉãiÉ: xuÉÍpÉÌuÉsÉÏrÉiÉã| ZÉÉÌlÉ qÉÉSïuÉqÉÉrÉÉÎliÉ iÉiÉÉã uÉÉiÉÉlÉÑsÉÉãqÉiÉÉ||
  • 33. Pranavilomta is a pathological event during an episode of tamaka shwasa and is said to be due to the vikrath kapha obstructing the passage of prana vayu. Bringing it out by liquifying the sputum is the principle and first treatment of this condition. This can be achieved by abhyanga and swedana over the chest there by allowing the free passage of prana vayu. Acharya CHARAKA has prescribed application of oil added with rock salt over the chest followed by sudation in the form of nadi prastara or sankara sweda.
  • 34. uÉÉiÉM×ü²É MüTüWûUÇ MüTüM×ü²É AÌlÉsÉÉmÉWûqÉç| MüÉrÉï lÉ LMüÉÎliÉMüÇ iÉÉprÉÉ mÉëÉrÉ: ´ÉårÉÉåÅÌlÉsÉÉmÉWûqÉç|| (cÉ.ÍcÉ 17/148) Ingredients, which exclusively alleviate kapha but aggravate vata or which exclusively alleviate vata but aggravate kapha must never be used in the treatment of HIKKA and SAWSA. Between these categories of treatment, however, the latter category, i.e. the administration of ingredients which alleviate vata but may aggravate kapha can, if necessary, be used in exceptional circumstances.
  • 35. Chikitsa ÌlÉSÉlÉ mÉËUuÉeÉïlÉ ÌWûYMüɵÉÉxÉÌuÉMüÉUÉhÉÉÇ ÌlÉSÉlÉÇ rÉiÉ mÉëMüÐÌiÉïiÉqÉç| uÉerÉïqÉÉUÉåarÉMüÉqÉæxiÉSè ÌWûYMüɵÉÉxÉÌuÉMüÉËUÍpÉ:|| (cÉ.ÍcÉ. 17/138) The etiological factors described to be responsible for the manifestation of HIKKA and SWASA should be eschewed by the patients suffering from these diseases, if they wanna good
  • 36. Treatment of tamaka shwasa differs both during the attack (vegavastha) and in between the attacks (Avegavastha)
  • 37. Vegavastha LiÉå ÌWû MüTüxÉÇÂkSaÉÌiÉ mÉëÉhÉmÉëMüÉåmÉeÉÉ:| iÉxqÉɨÉlqÉÉaÉïvÉÑkSrÉjÉïqÉÔkuÉ ÉïkÉ: vÉÉåkÉlÉÇ ÌWûiÉqÉç|| ESÏrÉïiÉå pÉ×vÉiÉUÇ qÉÉaÉïUÉåkÉÉuSWûeeÉsÉqÉç| rÉjÉÉ iÉjÉÉÅÌlÉsÉxiÉxrÉ qÉÉaÉïqÉxqÉÉ̲vÉÉåkÉrÉåiÉ|| (A.¾û.ÍcÉ4/8,9)
  • 38. Since the SWASA is born from the obstruction of the passage of Prana vata by kapha, it is beneficial to clear the passage by administration of purifactory therapy of both the upper and lower parts of the body. By the obstruction of the passage the internal fluid becomes greatly increased, so also vata also obstruct the passage hence its passage should be cleared.
  • 39. Avegavastha rÉÎiMüÇÍcÉiÉMüTüuÉÉiÉblÉqÉÑwhÉÇ uÉÉiÉÉlÉÑsÉÉãqÉlÉqÉç| pÉãwÉeÉÇ mÉÉlÉqɳÉÇ uÉÉ iÉSè ÌWûiÉÇ µÉÉxÉÌWûÎYMülÉÉæ|| (cÉ.ÍcÉ 17/147) Ingredients which cause alleviation of vata and kapha, which are hot in potency, and which cause downward movement of vata are useful as medicines, drinks and food preparations for the patients suffering from SWASA
  • 40. uÉqÉlÉ ÎxuɳÉÇ ¥ÉÉiuÉÉ iÉiÉxiÉÔhÉïÇ pÉÉãeÉrÉãiÉç ÎxlÉakÉqÉÉãSlÉqÉç| qÉixrÉÉlÉÉÇ vÉÔMüUÉhÉÉÇ uÉÉ UxÉæSïkrÉѨÉUãhÉ uÉÉ|| iÉiÉ: vsÉãwqÉÍhÉ xÉÇuÉ×®ã uÉqÉlÉÇ mÉÉrÉrÉã¨ÉÑ iÉqÉç| ÌmÉmmÉsÉÏxÉælkÉuɤÉÉæSìærÉÑï£ üÇ uÉÉiÉÉÌuÉUÉãÍkÉ rÉiÉç|| (cÉ.ÍcÉ 17/74-75)
  • 41. After ascertaining that the patient is properly fomented, the patient should be given rice mixed with ghee, or the soup of the fish or pork, followed by the cream of curd(sara of dahdi) to eat. This causes aggravation of kapha. The patient, should, then be given emetic therapy, mixed with pippali, saindhava and honey. Care should be taken to ensure that no vata aggravating ingredients are added to the recipe.
  • 42. kÉÔqÉmÉÉlÉ sÉÏlɶÉã¬ÉãwÉvÉãwÉ: xrÉÉSè kÉÔqÉxiÉÇ ÌlÉWïûUãSè oÉÑkÉ:| WûËUSìÉ mɧÉÇ LUhQûqÉÔsÉÇ sÉɤÉÉÇ qÉlÉ:ÍvÉsÉÉqÉç| xÉSãuÉSÉuÉïsÉÇ qÉÉÇxÉÏ ÌmÉwOèuÉÉ uÉÌiÉï mÉëMüsmÉrÉãiÉç| iÉÉÇ bÉ×iÉÉiMüÉÇ ÌmÉoÉãSè kÉÔqÉÇ rÉuÉæuÉÉï bÉ×iÉ xÉÇrÉÑiÉæ:||
  • 43. This is another procedure aimed at eliminating the kapha dosha from the srotas. Dhoomapana is advised after the vamana karma and it eliminates some amount of kapha dosha that is still left out after the vamana karma. Dhoomapana may be performed alone without prior vamana karma. Further in debilitated patients, where purifactory procedure is not possible. Added to this the drugs used in dhoomapana also reduces spasm or stiffness of pranavaha srotas bringing about srotomardavata that ensures free passage of vata dosha.
  • 44. lÉxrÉ sÉvÉÑlÉxrÉ mÉsÉÉhQûÉåuÉÉï qÉÔsÉÇ aÉ×geÉlÉüxrÉ uÉÉ| lÉÉuÉrÉåccÉlSlÉÇ uÉÉÅÌmÉ lÉÉUϤÉÏUåhÉ xÉÇrÉÑiÉqÉç|| (cÉ.ÍcÉ 17/131) Mixed with the breast milk of woman lausuna, palandu, root of gunjana or chandan can be administered as inhalation therapy.
  • 45. ÌuÉUåcÉlÉ MüÉÍxÉlÉã cNûSïlÉÇ S±ÉiÉç xuÉUpÉXçaÉã cÉ oÉÑ̬qÉÉlÉç | uÉÉiÉvsÉãwqÉWûUærÉÑï£üÇ iÉqÉMãü iÉÑ ÌuÉUãcÉlÉqÉç|| (cÉ.ÍcÉ.17/121) If the patient suffering from shwasa gets afflicted with hoarseness of voice then they should be given vamana. Patient suffering from tamaka type of shwasa he should be given virechana. The
  • 46. Abnormal response of patient for simple factors like dust is said to be due to khavaigunyata of the pranavaha srotas and this is described as hypersensitivity or allergy of the respiratory system. This may be said as khavaigunyata or else called as asatmyata or even may be named as faulty vyadhikshmatva.The answer for such a nature of illness is virechana karma and Rasayana chikitsa.Charaka pronounced this as „TAMAKETU VIRECHANA’
  • 47. kqÉÉlÉÉãSÉuÉiÉïiÉqÉMãü qÉÉiÉÑsÉÑXçaÉÉqsÉuÉãiÉxÉæ:|| ÌWûÇaÉÑÌmÉmmÉÍsÉÌoÉQæûrÉÑï£üq ɳÉÇ xrÉÉSlÉÑsÉÉãqÉlÉqÉç| xÉxÉælkÉuÉÇ TüsÉÉqsÉÇ uÉÉ MüÉãwhÉÇ S±É̲UãcÉlÉqÉç|| (A.¾è 4/6,7) If there is flatulence, upward movement of vata and tamaka, rice mixed with matulunga, amlavetasa, hingu, pilu and bida should be consumed this acts as anulomana. Next a purgative drug mixed with saindhava and any
  • 48. After shodhna karma samsarjana karma is advised. Immediately after the shodhna karma as the digestive power is very weak only liquid food is advisable. As the digestion power shows a gradual increase the food is also slowly changed to solid or to regular foods.
  • 49. vÉqÉlÉ ÍcÉÌMüixÉÉ xÉuÉãïwÉÉÇ oÉ×ÇWûhÉã ½smÉ: vÉYrÉ¶É mÉëÉrÉvÉÉã pÉuÉãiÉç| lÉÉirÉjÉïÇ vÉqÉlÉãÅmÉÉrÉÉã pÉÚvÉÉãÅvÉYrÉ¶É MüvÉïlÉã| vÉqÉlÉæoÉ×ÇWûhÉæ¶ÉÉiÉÉå pÉÔÌrÉ¸Ç iÉÉlÉÑmÉÉcÉUåiÉç|| (A.¾û 4/58-59)
  • 50. The patient suffering from shwasa can be given nourishing therapy and its adverse effects will be minimal and curable. Shamana for such patients are free from any adverse effects. But the administration of depletion therapy is likely to produce serious adverse effects which is difficult to cure. Therefore the patient should generally be treated with brumhana or shamana therapy.
  • 51. Preparations ASAVA Kanakasava ARISHTA Punarnavadirishta Babularishta AVALEHA Chavyanprash Vasadi avaleha Chitrak haritaki avaleha GHRITA Panchgavya ghrita Dasmuladi ghrita CHURNA Shatyadi churna Muktadi churna
  • 53. UxÉÉrÉlÉ To avoid recurrence of the disease. To give strength to the respiratory channel rasayana treatment is useful.
  • 54. ÌmÉmmÉÍsÉ uÉkÉïqÉÉlÉ UxÉÉrÉlÉ mɶÉÉ·Éæ xÉmiÉ SvÉ uÉÉ ÌmÉmmÉÍsÉqÉkÉÑxÉÌmÉïwÉÉ| UxÉÉrÉlÉaÉÑhÉÉluÉåwÉÏ xÉqÉÉqÉåMüÉÇ mÉërÉÉåeÉrÉåiÉç|| ÌiÉx§ÉÉÎxiÉx§ÉxiÉÑ mÉÔuÉÉï¾åû pÉÑYiuÉÉÅaÉëå pÉÉåeÉlÉxrÉ cÉ | ÌmÉmmÉsrÉ: ÌMüÇvÉÑMü¤ÉÉUpÉÉÌuÉiÉÉ bÉ×iÉpÉÎeÉïiÉÉ|| mÉërÉÉåerÉÉ qÉkÉÑxÉÇÍqÉ´ÉÉ
  • 55. Cont…. ¢üqÉuÉ×kSrÉÉ SvÉÉWûÉÌlÉ SvÉÉmÉæmmÉÉÍsÉMüÇ ÌSlÉqÉç | uÉkÉïrÉåiÉç mÉrÉxÉÉ xÉÉkÉïÇ iÉjÉæuÉÉmÉlÉrÉåiÉç mÉÑlÉ:|| eÉÏhÉãï eÉÏhÉåï cÉ pÉÑgeÉÏiÉ wÉÌ·MüÇ ¤ÉÏUxÉÌmÉïwÉÉ| ÌmÉmmÉsÉÏlÉÉÇ xÉWûx§ÉxrÉ mÉërÉÉåaÉÉÅrÉÇ UxÉÉrÉlÉqÉç ||
  • 56. Depending upon the nature of the dosha and the disease the pippali should be taken. Pippali should be taken along with milk by gradually increasing at the rate of 10 pippali per day. After 10 days this should be gradually decreased. Thus in total the person should take one thousand pippali for the purpose of rejuvenation. After digestion take sastika type of rice along with milk and ghee.
  • 57. MANASA DOSHA CHIKITSA Patients expression of anxiety may not be in the eyes face or their activity but it may be through the pranavaha srotas in the form of shwasa. The absolute cause is related to the mind but its reflection is through the pranavaha srotas. In such clinical presentation addition of manasa dosha chikitsa are more beneficial.
  • 58. Pathyapathya Pathya – Ahara • Shuka varga – purana yava, godhooma, shashtika dhanya, rakta shali • Shami dhanya – kulattha. • Mamsa varga – tittira, shuka, dvija (birds), daksha (kukkuta). • Shaka varga – patola, tanduliya, vastuka, vartaka. • Phala varga – dadima, jambira, draksha, amalaki, bimbiphala, bilva. • Madya varga – sura.
  • 59. • Ahara upayogi varga – purana ghritam, madhu, mamsa rasa, pippali, hingu, kanji, rasona. • Jala varga – ushna jala of pokhara. Vihara – Vamana karma, virechana karma, swedana and dhoomapana.
  • 60. Apathya – Ahara • Shaka varga – sarshapa. • Phala varga – kanda • Jala varga - dushita jala, Sheeta jala(cold drinks). • Kritanna varga – ruksha anna & pana, shitala & guru padartha. Vihara Purva vata sevana, vegavarodha, dhooma and gramyadharma etc.