Respiratory distress or breathlessness is known as swasa roga.
CAUSES OF SWASA ROGA
According to Ayurveda causes of Swasa rog are.
1. Vata propak(vitiating) aahar (diet) vihar(activities)
Ruksha(dry),guru(heavy) diet,excessive intake of cold water and cold drinks,intake of meals much more than the digesting capacity, exposure to dust,smoke and cold air ,living in cold areas,excess of sex,having bath with cold water.
2. Kapha prakopak(vitiating) Aahar(diet) Vihar(activities)
Diet including urad (black grams),til,guru(heavy),abhishandi(kapha producing) food,living in cold areas, exposure to cold air,bathing with cold water.
3. Internal reasons
Suppression of urges,weakness,respiratory disease,inflammation of respiratiory system,lung disorders.
4. External reasons
Injury of throat or chest,residing in dust and smoke,excess of sex and journey.
5. Localised reasons
Inflammation of upper part of trachea,inflammation of any organ of chest.
SAMPRAPTI(PATHOLOGY) OF SWASA ROG
According to Ayurveda the vitiated Pranvayu combines with deranged kapha dosha in the lungs causing obstruction in the pranavaha srotasa(respiratory tract).This results in gasping, labored breathing and respiratory distress.This condition is called Swasa roga.
TYPES OF SWASA ROGA
In Ayurveda five types of Swasa Roga have been described:
1. Pain in region of heart
2.Pain in region of flanks
3.Upward movement of prana(respiration)
5.Sweetless taste of mouth
6.Splitting pain in the temples(sides of the forehead)
· MAHA SWASA
· Heavy breathing
· Helplessness (unable to withstand the trouble)
· Respiration is accompanied with sounds resembling those of high pitch sounds from the nose, resembling that of a bull in heat
· Common sense & intelligence are lost
· Eyes & face are unsteady
· Obstruction of urine & faeces
· Broken voice
· Dryness of throat
· Frequent delusions
· Severe pain in ears, temples & head
· Prolonged upward breathings (expiration) but difficult respiration
· Obstructed movement of vata
· An upward gaze
· Rolling eye balls
· Terrified look
· Severe pain as though his vital organs are being cut
· Speech choked
· Patient breathes with interruptions
· Cutting pain in the vital organs
· Burning sensation
· Obstruction in the urinary bladder
· Eyes are unsteady ( full of tears)
· Delusion (or coma)
· One eye is angry - (red in colour)
· Dryness of mouth
· Irrelevant talks
· Feeling of helplessness (inability to do anything)
· Loss of chhaya (complexion)
· Loss of conciousness
· Pain in head, neck, chest & flanks, cough accompanied with cracking sound
· Loss of taste, appetite
· Running nose
· Thirst, Forceful bouts of respiration
· Feeling of going into darkness (i.e.losing conciouseness of the surrounding) momentary comfort after expectoration
· Inability to breathe on lying
· Comfortable on sitting
· Eyes wide open
· Perspiration on forehead
· Dry mouth
· Desire for hot comforts
· Maruta (Vata) on being aggravated by exertion & overeating, produces Kshudra Shwasa which subsides by itself (without any medication) i.e. heavy breathing on exertion, passes of soon by rest & is thus not very troublesome.
TREATABLE OR NOT
According to Ayurveda out of five types first three are not curable. ‘Tamak-swasa is yapya’(Controllable) and is difficult to cure. The last one(KSHUDRA SWASA) is curable. More than 75% of the cases of swasa roga belong to last two catagories.
TREATMENT OF SWASA ROGA
All types of swasa roga are not described according to doshas infact they have been differentiated according to symptoms.All types of swasa roga are vatakaphaj so all of them are treated in same manner.
1. Find reasons and eliminate them
2. Diet, liquids and medicines should have properties of reducing vataj and kaphaj doshas.
3. If patient is healthy then sodhan chikitsa should be done with vaman, virechan and then sham chikitsa should be done with advised diet and medicines.
4. In weak and lean patients vata nashak Ayurvedic preprations should be given with suitable anupan.
5. In healthy patients sanehan and swedan(oleation and sudation)should be done.
Commonly used drugs
· Shatayadi Choorna
· Haridradi Choorna
· Shrungyadi Choorna
· Talisadi choorna
· Pippaladya Lauha
· Mahaswasari lauha
· Lauha bhasam
· Shwas Kuthar
· Shwas Kaasa Chintamani Rasa
· Swarnavasant Malati
· Shankh bhasam
· Tamar bhasam
· Raupya bhasam
· Shring bhasam
· Swaran bhasam
· Moti bhasam
Aasav and Arisht
· Tejovatyadya Ghrita