DIPLOMA Ayurvedic Practitioners Course - PowerPoint Presentation

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DIPLOMA

Ayurvedic Practitioners CourseModule 23rd & 4th November 2018

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Asthma (

Svasa Roga)&Kasa (Cough)

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Svasa

Roga (asthma)The Allopathic perspective

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Svasa

Roga (asthma)The Allopathic perspectiveCommon lung condition causes occasional breathing difficultiesAffects people of all ages

O

ften

starts in

childhood

Currently

no

cure

T

reatments to keep

the symptoms under control

Flu jab recommended if someone has asthma

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Symptoms

wheezing (a whistling sound when breathing)breathlessnessa tight chestcoughingThe symptoms can sometimes get temporarily worse. This is known as an asthma attack.

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Asthma

attacksCan happen suddenly, or gradually over a few days.Signs include:wheezing, coughing and chest tightness becoming severe and constantbeing too breathless to eat, speak or sleep

breathing faster

a fast heartbeat

drowsiness, confusion, exhaustion or dizziness

blue lips or fingers

fainting

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Causes

swelling (inflammation) of the tubes that carry air in and out of the lungs tubes become highly sensitive & temporarily narrowCan be random or after exposure to a triggerCommon asthma triggers include:infections like colds or flu

allergies – such as to pollen, dust mites, animal fur or feathers

smoke, fumes and pollution

medicines – particularly anti-inflammatory painkillers like ibuprofen and aspirin

emotions, including stress, or laughter

weather – such as sudden changes in temperature, cold air, wind, thunderstorms, heat and humidity

mould or

damp

exercise

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Cause of asthma

The exact cause of asthma is unknownGenetics, pollution and modern hygiene standards have been suggested as causes, but there's not currently enough evidence to know if any of these do cause asthma. Who's at risk?Those with allergy-related condition, such as eczema, a food allergy or

 hay fever 

(atopic conditions)

family

history of asthma or atopic conditions

bronchiolitis

 – a common childhood lung infection

exposure to tobacco smoke as a child

mother

 smoking during pregnancy 

born

prematurely (before 37 weeks)

/

low

birthweight

Work related asthma

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Tests for asthma

FeNO testbreathe into a machine that measures the level of nitric oxide in your breath, which is a sign of inflammation in your lungsSpirometryblow into a machine that measures how fast you can breathe out and how much air you can hold in your lungspeak flow testblow

into a handheld device that measures how fast you can breathe

out

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Complications

feeling tired all the timestress, anxiety or depressionlung infections (pneumonia)delays in growth or puberty in childrenrisk of severe asthma attacks, which can be life-threatening

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Treatments

There's currently no cure for asthma, Inhalers:reliever inhalers (blue)used when needed to quickly relieve asthma symptoms for a short timecan sometimes cause shaking or a fast heartbeat for a few minutes after they're used.preventer inhalers

used

every day to prevent asthma symptoms

occurring

contain

 steroid medicine.

Can cause

 fungal infection

(

oral thrush

) / hoarse voice / sore throat

Combination

inhalers

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Tablets

Leukotriene receptor antagonists (LTRAs)LTRAs are the main tablets used for asthma. They also come in syrup and powder form – taken every day. Possible side effect include tummy aches and headaches. TheophyllineTaken every day to stop your symptoms occurring if needed. Possible side effects include headaches and feeling sick.Steroid tabletsSteroid tablets may be recommended if other treatments aren't helping. They can be taken either:

Side effects:

increased

appetite, leading to weight

gain

easy bruising

mood changes

fragile

bones (

osteoporosis)

high

blood pressure

Injections

For some people with severe asthma, injections given every few weeks can help control the symptoms.

omalizumab

(

Xolair

)

mepolizumab

(

Nucala

)

reslizumab

(

Cinqaero

)

 

Surgery

B

ronchial

thermoplasty

Thin,

flexible tube

into the

throat

and lungs and heat used on muscles

around the airways to

stop

them

narrowing

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Complementary therapies

breathing exercises – Papworth method and the Buteyko methodTCMacupunctureionisers – devices that use an electric current to charge molecules of airmanual therapies – such as chiropractic

homeopathy

dietary supplements

There's

little evidence to suggest many of these treatments help.

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Svasa

Roga (asthma)The Ayurvedic perspective

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Svasa

Roga (asthma)The Ayurvedic perspective5 types of ‘asthma’ in Ayurveda:Maha svasaUrdhva svasa

Chinna

svasa

Tamaka

svasa

Ksudra

svasa

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Samprapti

(pathogenesis)Consumption one or more causative factors Kapha & vata

doshas

are aggravated

Creates

ama

Ama

thickens and deposited in

prana

vaha

srotas

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Maha

svasa (Great or serious asthma) Signs and symptoms: pain & discomfort when

breathing

cannot

achieve satisfaction with deep

breathing

feels

like they are lacking oxygen

can

be loss of

consciousness

e

yes

move from side to

side

Unable to

close

mouth

obstructed

passages of urine and

stool

unable

to

speak

entire

respiration can be completely arrested within a short period of

time

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Urdhva

svasa (Upwards asthma) Signs and symptoms: can exhale, but cannot inhale properly

lack

of oxygen to the heart and

brain

e

yes directed

upwards

eyes

roll here and

there

patient

does not want to live or do

anything

feel

like the life force has been taken away,

fearful causing

them to grasp

for air

d

izziness

and fainting can also

occur

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Chinna

svasa (Broken asthma) Signs and symptoms: broken respiration which suddenly stops

excruciating

pain in the

chest

distension

of the abdomen (

tympanitis

) from accumulation of

gas

Emaciation

vascularization (

bleeding

in

the eyes

)

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Tamaka

svasa (Allergic asthma) Signs and symptoms: udana vata goes up

- head

and neck

stiff

rhinitis

, beginning like an attack of

cold

“

gharghar

” sound

excruciating

pain in the head and

chest

l

oss of conscious

dry

cough

when

phlegm is thrown out the patient feels

relief

Sore throat

Unable to sleep, especially on their back

desire

for hot things (fomentation

drinks

If pitta is involved with

kapha

and

vata

present there is burning sensation,

fainting and

food is not

properly digested

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Ksudra

svasa (Minor type of asthma): Due to excessive consumption of unctuous food and suppression of natural urges, this minor type of asthma may result. It is easily cured.

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Chikitsa

Hic-cups, bronchitis and asthma have almost identical treatmentIf bronchitis or allergic rhinitis is not treated, the condition may lead to asthma.Premonitory signs are always: pain in the cardiac region, constipation, everything connected with the stomach and vata - Prana vayu and Udana vayu

get obstructed by

kapha

.

Balancing

kapha

and

vata

is the main method

treatment

To

alleviate

kapha

and

vata

the “three pungent drugs” are

useful

In

chronic stages we give piper

longum

(long pepper

)

Simultaneously

to promote strength, honey is useful since it acts against

kapha

Hinguwashataka

reduces

vata

Correct the

agni

and

reduce

kapha

. Agni deepana and samana

vata must be balanced. At the same time attention should be given to reducing the excess kapha. For this, ama pachana can be used.

Vomiting is useful to break the pathogenesis. If the stomach is stimulated (

vagus

nerve and parasympathetic) there is a sympathetic reflex in the lungs and mucous comes out. Obstructions in channels of circulation have to be cleared.

Next r

emove

constipation

by

purgative

or a laxative or enema, even if the patient does not feel

constipated

light

food and avoid

indigestion

regulate

bowel movements to be a little more frequent than

normal

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Special

medicines Powder to be taken at night: three parts haritaki, to one part rock salt to clear the bowelsIf there is more phlegm: mix haritaki and old jaggery (one year old or more) in equal quantity, take at bedtime and in the

morning

If

kapha

is

aggravated:

prescribe ginger powder and

jaggery

in equal

quantity

Jaggery

by itself is good for

asthma

For bronchial

asthma caused by allergy: fry 4-5 teaspoons of turmeric with one teaspoon of butter, add a little

jaggery

or sugar powder, give 3-5 times for acute

attack

Chayawanprash

is good for

asthma

Ginger juice will melt

phlegm

Vasarista

+

dhatura

: two teaspoons of this relieves, but has a very drying effect on the

bodyasava

with

dhatura

if there is dry cough, but only

vasarista

Vasa leaves +

dhatura (leaves or seeds) made into an asthma cigarette, or burnt in a vessel and thus inhaled gives temporary reliefCandramrta

(moon nectar) will make the phlegm come

out

 

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Diet for

asthma Sweet or sour will aggravate kapha, therefore it is of no usePungent bitter and astringent properties should be given to the patientThe channels of circulation must not be obstructed, therefore avoid yoghurt, sour fruits and their juices and also bananas.Sweet thing that do not aggravate

kapha

can be given in small quantities : Sugar, rice and chick peas.

Wheat is best for asthma patients.

Cows milk is good but goats milk is better in this case.

Avoid cold foods and favour plenty of freshly prepared food.

Buttermilk can be given as it has the reverse effect of yoghurt.

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Kasa

(cough)The Allopathic perspective

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Kasa

(cough)The Allopathic perspective How you can treat a cough yourselfMost coughs go away on their own within 3 weeks. You should:restdrink plenty of fluidsdrink hot lemon with honey (not suitable for babies & has

a similar effect as cough

medicines)

 

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Pharmacist advice

cough syrups and lozengesGP advice if:cough for more than 3 weeks (persistent cough)very bad or quickly gets worse, eg. hacking cough or can't stop coughingchest

pain

Unexplained weight loss

swollen glands

hard

to breathe

weakened

immune system,

eg

. after chemotherapy

or diabetes

coughing

up

blood

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Causes

Mostly by cold or flusmokingheartburn (acid reflux)allergies – eg. hay feverinfections like bronchitismucus dripping down the throat from the back of the nose

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Kasa

(cough)The Ayurvedic perspective

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Kasa

(cough)The Ayurvedic perspectiveNidana Dhumopaghatath rasatath tathayva-vyayama

rukshaana

nishavanacha

Vimargaathvacha

hi

bojanasya-vegaarvarodhat

shayvathus

tathayva

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Smoking &

dustexcessive exercises rough foodentrance of food into the wrong pathwaysuppression of natural urgesgagging

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Samprapti

Prano hrdhayanughata pradhushto-nerathi vacktrath shasha shadoshaSa bhinna kansya svana

thulya

ghosho-manishibhi

kasa

ithi

pradhistha

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Because

of the above causes vitiates the prana vayu and udana vayuproduces sound like a cracked pot (sound from the mouth with explosive force

 

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Purvarupa

 Poorvarupan bhavath theshan-shukapoorna ghalasyathaKhante khanducha bhojhana-mavarodasthcha

jayathe

Throat feels irritated like hair inside

itching sensation of the throat

throat feels obstructed by the food

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Kasa

has five types:  1. Vata2. Pitta 3. Kapha.4. Ksataja (caused by injury)5. Ksayja

(produced by loss, reduction)

Types

4 and 5 are produced by aggravation of all the 3

doshas

.

 

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Vata

type symptoms:Cardiac painpain in chesttired look in faceloss of strengthpatient cannot speakfrequent

urge

to cough

dry cough

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Pitta type

symptoms:Burning sensation in the chestdry mouthdesire to drink watersometimes vomiting yellow materialpatient looks paleburning sensation in the body

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Kapha

type symptoms:sticky mouthheadachebody is feeling heavy as if full of phlegmitchinganorexianot many attacks of

cough

a

lot of phlegm comes

out

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Ksataja

:excessive sexcarrying heavy weightsbecause breath is held during these activities,continuous coughingblood spittingpain in finger jointsthirstvoice like a

pigeon

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Ksayaya

(ksaya-reduction):unwholesome foodinsufficient exercisesuppression of natural urgeshateful dispositionpain all over the bodyreduction of muscle tissuespits blood and pus

this

is the borderline of

tuberculosis

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Treatment

No fasting or taking of gruel in VP & VK type kasa (meat soups instead)In the case of diseases originating in the stomach emetic therapy can be givenIn case of kasa, 2 days after origin, emetic therapy is carried out, particularly effective in kapha types of

kasa

Emetic

therapy is not carried out in the case of

ksataja

type of

kasa

(because of lung

injuries)

Not desirable

in

ksayaja

kasa

cases

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Diet

  No yoghurt, sour fruits or fruit juiceinstead give sweet fruit juice, milk and oat gruelCheese, bread and milkBoiled water boiled

, cold or

lukewarm

Water boiled

with

ginger, black

pepper or long

pepper

Vata

type:

medicated ghee with long pepper,

ginger

Pitta type:

medicated

butter

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Chikitsa

ExternalMahanarayana oil apply warm on chest area and back, costal areaMassage gentlyTap slightly using pads of fingers

OR

Half a teaspoon of

Mahanarayana

oil with 1 cup of hot

water

drink

in the morning or when necessary, after meals

Sweda

(steam)

inhale

the steam of 1 teaspoon of

Sarshapadee

oil /

Mahanarayana

oil / Eucalyptus oil in boiling water

Pinda

sweda

Pinda

sweda

on chest area

After applying warm oil use steamed rice pouches / poultices

Rub on back of chest (not front)

 

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Internal

Vata anu lomana treatment (to increase the downward action of vata)Long pepper choorna with honey, ground liquorice root & grated fresh ginger in equal parts, mixed with hot water Formulated choorna

Thalisadi

choorna

(1/2 to 1 teaspoon twice a day after meal with ginger, lime and honey mixture)

Dhatri

choorna

at night (1 teaspoon)

Triphala

choorna

at night (1 teaspoon)

Amahara

or

Paaka

choorna

(before or after meals, twice a day, half a teaspoon – depends on the patient

)

Draksha

preparations

Raisins, fresh grated ginger, mint leaves, long pepper in equal parts. Grind into a thin paste. Quarter teaspoon of paste with hot water or honey, twice a day after meals.

Dry ginger, black pepper, raisins, lime juice and honey in equal parts. Grind into a thin paste. Quarter teaspoon of paste with hot water or honey, twice a day after meals.

 

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Other treatments

 Dry grapes (raisins) and alcoholic drinks made from them - draksha asava. To this are added pepper, black pepper etc. In kapha treatments: lakshmi

vilasa

and

naradiya

lakshmi

vilasa

, or

maha

laksmi

vilasa

which also contain gold in

bhasma

form.

In the case of

vata

pitta

types:

ordinary

laksmi

vilasa

, acacia catechu together with a little camphor, very effective as lozenges. For sweeter taste a little liquorice may be added.

Sitopaladi

churna

:

powder

16 parts, bamboo salt 8

parts, long

pepper 4 parts, cinnamon 2 parts, cardamom seed 1

part. Powder the ingredients then mix: for VP

type with honey and ghee; for K type with honey aloneIn types 4 and 5 (VP and VK) with honey and ghee ( do not take this powder dry)

Take

for six or seven

days

Turmeric

powder is also good for

kasa