Shwas (dyspnoea)
Introduction
dysnopea is afatal disease as loss of life is very much possible inthis
ailment. It is not necessary that this disease arises from its root
cause in any person but can also arise as a compkication side effect of
some other ailment.
Hetu (causes)
- Increase of cough
- Diarrhoea due to indigestion
- Vomiting
- Poisons
- Anemia
- Fever
- Exposure to dust, smoke, breeze
- Injury to vital organs
- Drinking of very cold water
Following are the types of this disease
- Kshudra
- Tamaka
- Chinna
- Mahan
- Urdhva
Purvaroopa (premonitory signs)
- Pain in region of heart & flanks
- Upward movement of prana (respiration)
- Flatulence
- Splitting pain in the temples (sides of the forehead)
Roopa (clinical Features)
- Kshudra Shwasa
- When 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.
- Tamaka Shwasa
- Pain in head, neck, chest & flanks, cough accompanied
with cracking sound
- Delusion
- 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
- Chhinna Shwasa
- Patient breathes with interruptions
- Cutting pain in the vital organs
- Sweating
- Fainting
- Flatulence
- 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
- Maha Shwasa
- 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
- Chest constricted
- Obstruction of urine & feces
- Broken voice
- Dryness of throat
- Frequent delusions
- Severe pain in ears, temples & head
- Urdhva Shwasa
- 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.
Treatment
- Snehan - Svedana (Oleation and Sudation)
- Snehan (Sudation) anointing the body with oil mixed with
salt.
- After sudation, the patient should be made to eat ricemess,
mixed with ghee or with dadhi (curds). Then, a mild emesis
therapy should be given, especially for those who have cough,
vomiting, catching pain in the region of the heart and
diminution of voice, by using Pippali, Saindhava and honey,
which is not opposed to Vata (which does not aggravate vata).
- Rice-mess mixed with matulunga, amlavetasa, hingu, pilu and
bida should be consumed, this acts as anulomana (laxative).
- Next, a purgative drug mixed with saindhava and any sour
fruit followed by warm water should be administered to produce
purgation.
- It is advisable to have administration of purifactory therapy
of both the upper and lower parts of the body.
- If by the treatment the disease does not subside, the kapha
dosha adherent deep inside should be removed out by inhalation
of smoke (of drugs) after purifying the patient by emesis and
puragation therapies.
- Leaves of haridra, root of eranda, laksha, manasshila,
devadaru, elaa, and mansi , are made into a paste and a
cigarette prepared. It should be lubricated with ghee and
smoked; or smoke of yava mixed with ghee; or smoke of
madhucchista, sarjarasa and mixed with ghee; or smoke of aguru
or of chandana or guggulu, of manohva or of resin of sala,
sallaki, guggulu, aguru or padmaka-each one lubricated with
ghee.
- Svedana (sudation therapy)
- This is essential for those who are fit for it and even those
who are unfit, should be given sudation for a short duration
either by pouring warm milk mixed with sugar, or oil; or by
utkarika and upanaha (warm poultices) especially over the chest
and throat.
- Decoction of dashamula, shathi, raasana, bharangi, bilva,
riddhi, pushkara, tamalaki, amruta and nagara should be
consumed; after it is digested peya (thin gruel) processed by
the same drugs should be partaken.
- A mud pot smeared inside with ghee should be coated (inside)
with the paste of pippali, pippalimula, pathya, jantughna and
chitraka. After the paste dries up; the pot is filled with takra
(buttermilk) and kept undisturbed for a month; this is
carminative and cures dyspnoea and coughs.
- Jivanti, musta, surasa, tvak, eladvaya, pushkara, tamalaki,
aguru, bharangi, nagara, karkata, shathi, krishna, nagakeshara,
are made into nice powder and mixed with sugar, double its
quantity.
Commonly used drugs
- Churna
- Shatayadi Churna- Bhaishajya- Ratnavali Shwas Chikitsa
- Haridradi Churna- Bhaishajya Ratnavali Shwas Chikitsa
- Shrungyadi Churna- Bhaishajya Ratnavali Shwas Chikitsa
- Lauha
- Pippaladya Lauha- Bhaishajya Ratnavali- Shwas Chikitsa
- Rasa Kalpa
- Shwas Kuthar- Bhaishajya Ratnavali- Shwas Chikitsa
- Shwas Kaasa Chintamani Rasa- Bhaishajya Ratnavali - Shwas
Chikitsa
- Swarnavasant Malati- Bhaishajya Ratnavali
- Aasav
- Kanakasav- Bhaishajya Ratnavali- Shwas Chikitsa
- Ghrita
- Tejovatyadya Ghrita- Bhaishajya Ratnavali- Shwas Chikitsa
- Bhasma
- Abhrak- Ras Raj Sunder
- Raupya- Rasendra Saar Sangraha
- Shrung Bhrama- Ras Tarangini
- Suvarna Bhrama- Siddhayog Sangraha
- Moti Bharma- Ras Tarangini & Rasendra Saar Sangraha
- Arishtha
- Draksharishtha- Bharat Bhaishajya Ratnakar
- Pishthi
- Praval Pishthi- Ayurved Saar Sangraha
- Moti Pishthi- Ayurved Saar Sangraha
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