A clinical study of Tamak Shwas W.S.R to Bronchial Asthma, with trail drug Vasa Swaras Bhavit Vardhman Pippali a single group clinical trial

According to Ayurveda Shwasaroga is a chronic disease of Pranavahastrotas. In Ayurveda “Prana” word refers to ‘Prana Vayu’(oxygen) or ‘Life’. Acharya Charak has described 5 types of Shwasa roga, Tamaka Shwasa is one of them. As per Acharya Charaka the roots of PranavahaSrotas are located in Hridaya & Mahasrotasa. Tamaka Shwasa is caused by vitiated Vata and Kapha mainly and designated as PittasthanaSamudhbhavaVydahi. The classical features of Tamaka Shwasa are Shwasakruchcchata, Ghurghurkama, Kasa, Asamyaka nidra, Asinolabhate saukhyama etc. Tamak Shwasa comprises mainly two Avasthas ,Vegkalin(Status Asthmaticus) and Vegottarkalin Avastha (Post Paroxysmal Condition). Both this Avashtha has different treatment modalities. In Vegkalin avastha ,Doshghna And Vatanulomak treatment is given while in Vegottarkalin Avastha, Deepan, Pachan, Shodhan/Strotoprasadan, Anuloman and Rasayan Chikitsa is taken into consideration.

Tamaka Shwas is Pittasthansamudbhav vyadhi. It is caused by vitiated Vata and Kaph doshamainly. Due to vitiated doshas there is agni dushti , ama and strotoavrodhjanya symptoms.Ayurveda has complete approach to root eradication of disease i.e.moolvyadhi nirakaranthrough Apunarbhav Chikitsa.Therefore Ayurvedic management of Tamak Shwas is done insuch a way that it works on root cause of the vyadhi i.e it improves status of agni ,reducesama, treat strotoavrodh and provide strength not only to Pranavah strotas but whole bodyby Rasayan proparties.

As per ayurvedic classics,therapeutic principle of Vegottarkalin Shwas Roga,the food anddrugs having kapha vatashamak, Vatanulomak, strotoshodhak properties are useful intreatment of Tamak Shwasa.Pippali Vardhaman Rasayan instructed in Rasayanv Pad 3 has been specially indicated forShwas Kas Roga. Pippali has viDeepan ,Rasayan, Katu, Laghu, Vatshleshmahar AndStrotoshodhak, Yogavahi properties. Its active ingredients like viiPiperine, Periongumine,Dihydro Stigmasterol promote respiratory health. So by this ingredient action, Pippali actsas decongestant, bronchodilator and expectorant. Vasa is also viiikaphanashak and swashar.It is an important drug acting on Pranavah Strotas, specifically as expectorant andbronchodialator. Its active ingredient Bromhexine has mucolytic property. So it is plannedand assumed that Pippali if processed in Vasa Swaras , then the efficacy of Pippali Rasayancould be higher and the Ushna Tikshna Guna of Pippali could neutralized in Vasa processing,as Vasa is Sheet Veerya drug.