DYSPNOEA AND AYURVED

• Dysponea is called as Svasam in ayurvedic classics.
• Whenever we see shortness of breath, we should differentiate whether it is from

Cardiac origin,

• Respiratory origin or

Cardiac causes

• Shortness of breath is commonly seen in heart failure.
• It is seen in pulmonary oedema also.
• Orthopnoea is a condition where there is shortness of breath when the patient lies down and is relieved by sitting up.
• Pulmonary oedema is diagnosed by X-ray , echo, and clinical features.
• Paroxysmal (Sudden), nocturnal (night ) dyspnoea is seen in heart failure.
• Exertional dyspnoea is very common in coronary artery disease.
• It is aggravated by physical activities.

Lung causes

• Restrictive and obstructive lung disorders can produce dyspnoea.
• Bronchitis, asthma and emphysema can produce dyspnoea
• Pulmonary fibrosis is one of the commonly seen respiratory lung discorders.

Other causes

• In fever, breathing is faster
• Breath increases after exercise and in high altitude.
• In anemia there will be dyspnoea.
• In scoliosis there is dyspnoea
• Hyper ventilation syndrome, (Psychological causes) are produced by anxiety.
• It is produced by fear and they tend to believe that they have heart attack.
• In extreme form of renal causes like uremia there will be dyspnoea.

Cardiac origin

According to Ayurveda

Svasam

• It is one of the disorder where the disease is classified based
• It is classified on the basis of its awastha.
• Mahasvasam, china svasam, urdvasvasam denotes various avastas.
• Mahasvasam, probably is a dyspnoea of higher center origin.
• China svasam may be an injury in the respiratory centre producing a bleed, that is why haemorrhage in one eye is mentioned.
• Tamakasvasam denotes bronchial asthma.
• Ksudrasvasam denotes hyperventilation.
• How we can manage the condition of cardiac asthama is discussed here
• Except " acute pulmonary oedema " many forms of cardiac presentations can be managed by a skillful and trained Vaidya.

Cardiac Asthma

It has to be visualized like vatasopham. Sophahara, hrdya, Vatanulomana, Mutrala

Following medicines are very effective

Kasayam

• Bharangyadikasayam -
• Arjunaksirapakam -
• Punarnavadikasayam-
• Pathyapunarnavadikasayam - With pippalicurnam
• Mutravirecaniyaganam is highly useful.
• Paniyam with hrdyamganam of Caraka is useful.
• Mahadhanvantaravati
• Pravalapanchamruta
• Shrungavati
• Swarnasutshekhar
• Dasamulahartaki -
• Dasamularasayanam
• Bhrammarasayanam
• Agasthyarasayanam
• Cyavanaprasam
• Arjunaristam
• Abhayaristam
• dasamularistam-

Bhasmam

• Srngabhasmam
• Svarnabhasmam
• Reduce salt
• Reduce vigorous activities