TREATMENT OF TAMAKA SWASA BY DHUMPANA(INHALATION THERAPY)

2.  Tamaka shwasa is major disease.
 Shwasa krichruta and kasa are major symptoms.
The predominant morbidity of vata and kapha
dosha,stemming out from pittasthana, affecting
rasadhatu,disturbing the functioning of pranvaha
sroto.
Dhumpana in ‘Tamaka shwasa’

3. Samprapti
Nidan sevan
Pitta sthana dosa
prakopa
(vata& kapha)
Kaphen avaruddha vayu
vayu-pratiloma
pranavahasrotoprapti
Shwasa vega
Shwasa roga

4. Purva rupa
 Anaha
 Parsvasula
 Hrudya pida
 Pratiloma vayu

5. Rupa
 Ghurghurkiam
 Ativativra vega shwasa
 Pratamayati ativega
 Kaste sanniruddityate
 Kasate muhur muhur pramoham
 Slesmani vimoksante muhurtam
sukham
 Kruchrat bhasitam
 Asinolabhate saukhyam
 Nachapi nidra labhate sayana
pidita
 Parshva tasyavagrhyate
sayansyu samiranaha.
 Usnaabhinanditi
 Meghambu sita pragavate
slesmaischabhi vardhyate
 Urah pida
 vishuskasyata

6.  Dhumpana is among the important measures during
episode of the Tamaka shwasa.
 Dhumpana administer after administering vaman therapy
but it can also be given independently in case where there
is less aggravation of dosas.
Dhumpana (inhalation therapy)
“जत्रूर्ध्वे कफवातोत्थ ववकाराणामजन्मने।
उच्छेदाय च जातानाां विबेर्ध्दूमां सदात्मवान ्॥“
(A.H.21/1)

7. Cont..
 In Dhumpana chikitsa smoke of medicinal herbs &
minerals is made to inhale in a specially told methodology
& administered to fit patients who genuinely need the
therapy after proper examination,
 Inhalation of medicinal smoke is one of the primitive forms
of aerosol therapy.
 Dhumpana has been specially indicated for kapha &vata
dosa origin.
 Dhumpana is one of the independent sodhana procedure by
itself.

8. Types of Dhumpana
Charka
(ca.si.9/91)
Susruta
(su.ci.40/3)
Vagabhata
(a.hr.su.21/2)
Sarngadhara
(sa.u.kha.9/1-2)
1. Prayogic or
samana.
2. Vairechanika
3. Snaihika
1. Prayogic or
samana.
2. Snaihika
3 Vairechanika
4. Kasaghna
5. vamaniya
1. Snigdha dhuma
2. Madhyama
dhuma
3. Tiksna dhuma
1. Samna dhuma
2. Brmhana
dhuma
3. Rechna dhuma
4. Kasahara
dhuma
5. Vamana dhuma

9. Prayogic
Snaihika
Vairechanika
Vamaniya
Kasaghna
Inhalation route

10.  The person undergoing “Dhumpana” has to sit straight on
comfortable chair.
 With full of concentration on the treatment the patient which is
about to take.
 The patient is given the ‘Dhuma varti’ which ignited at the distal
end.
 First has to inhale and exhale the smoke through mouth. Later
patient advised inhalation through nose and exhalation through
mouth.
Method of administration of
‘Dhumpana’

12. Dhumpana
Act on
Tamaka
Shwasa
Bhedanakarma, Usna,
Vatakapara properties
Helps in cleansing
marga avarana and
providing easy
movement of vayu
Mode of action of ‘Dhumpana’

13. Other benefits
 Prevent&cured
Urdhvajatrugata
particularly kapha & vata
origin.
 Prasannatmendriya
 Prasanna vaka
 Prasanna mana
 Mukhvaisadyakara
 visada
 It very effective in discharge
from nose ear, and eyes,
 It exerts soothing action on
the sense organs,

14. Antitussive
Antibacterial
Bronchodilator
& Expectorant
Antihistamine
Properties of drug of ‘Dhumpana’

15. ’
vairechanika
snaihikaPrayogic
3-4times
inhalation
Inhaled until eyes
start watering
Taken until dosa-
nirharan
Harenuka,
Priyangu,
Prithavika
etc.
Haratal,manahshila,
Jyotismati.
Swetaprajita etc.
Vasa
Ghrita
Madhuchhishta
Guggula
Tila etc.
Doses of ‘Dhumpana

16. ‘Dhumpana’ yogya
 Urdhvajatrugata vikara,
 urasa vikara
 Kasa
 shwasa
 Hikka
 peenasa
 Siroaguravata
 Karnasoola etc.

17. ‘Dhumpana’ Nishedhama
 Pregnant ladies
 People with head injuries
 Timir roga
 Pandu
 After virechana
 Moorcha
 Trishna
 Madatyaya
 In the case of poisoning
 The people who are
emotionally disturbed
 Pittaj vikara etc.

18. Treatment of Tamaka Shwasa disease
can be divided into two types
Vegakalika
chikitsa(treatment
during attack
Avegakalika
chikitsa(treatment during
attack free period
Aim Aim
2. To do sroto
suddhi i.e.
reversing bronchi
constriction
caused by vata.
1. Removal of
srotorodha(obs
truct-ion of
respiratory
passage)by
elimination of
kapha.
During absence of attack
is to give prophylactic
treatment so that there is
no aggravation of kapha
&vata dosa

19. Ingredients for ‘Dhumpana’
 Haridra
 Tejpatra
 Erandmula
 Manahshila
 Devdaru
 Haratala
 Jatamanshi
 Laksha
 Trikatu
 Sankh bhasm
 Tankada
 Arjuna etc.

20. Preparation for ‘Dhumpana’ in
Shwasa roga
Manahashiladi dhuma. (B.R kasachikitsa 15/39-40)
Arkadi dhuma(B.R kasachikitsa 15/42-43)
Marichadi dhuma (B.R kasachikitsa 15/42-44)
Madhavadi Dhuma (B.R balarogadhika-71/30)
Dhattura-pancangula dhuma (B.R 16/23)
Prapondrikadi Dhuma( Ch.Chi.18/71,72)

21. Cont..
 1.Yava churna + Ghruta.
 2.madhuchhishta+ Sarja rasa+ Ghruta.
 3.Mdhuchhishta+cow horn or hair or Sanayu+ Ghruta.
 4. Syonaka, Dry stem of varadhamana+Ghruta.
 5. Guggula+ Padmakastha+ Loha+ Sallaki+ Ghruta.
(Charka Chi. Hikkaswasachikitsa 17/77,78.79.80)
 6. Mahashila+haratal+sunthi+pippali+ Ghruta
 7.manahshila+ela+maricha+yavakshaar+sonpatha+hartala+rohit
trina+alaktaka+vanslekhana+ghruta( Cha.Chi 18/73/74/75)

22. Conclusion
 Dhumpana is scientific, rational& logical approach in the drug
delivery system specially in respiratory system.
 By Dhumpana the drug reaches the desired site of action
directly& thus incites as immediate action.
 In Dhumpana volatile oils when administered orally or inhaled
with steam increase the respiratory secretion probably by direct
stimulation.
 Dhumpana act like- Expectorant, Protection of mucosa,
Liquefy the increasing secretion etc.