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→Vidhi Vimarsha (Applied Inferences )
The etiological factors of shwasa can be classified as:
The etiological factors of shwasa can be classified as:
Exogenous factors:
'''Exogenous factors:'''
Pollen and air pollutants (raja), fumes (dhuma), exposure to wind (prag-vata sevan), injury to vital organs (marmaghata), injury to throat, chest (kantha uras pratighat), staying at cold place (sheeta sthana sevana)
Endogenous factors:
'''Endogenous factors:'''
#Vata vitiating causes: food with dry properties (ruksha aahara), cold water and drinks (sheeta ambu sevan), exercise (vyayama), excess walking (adhva sevana)
#Vata vitiating causes: food with dry properties (ruksha aahara), cold water and drinks (sheeta ambu sevan), exercise (vyayama), excess walking (adhva sevana)
''Matta rishabha eva nisha'' explains the nasal flares. Nasal flaring is when the nostrils widen while a person is breathing. It is a sign that the person is having difficulty breathing. It is most commonly seen in children and infants; in those cases nasal flaring can indicate respiratory distress. Respiratory distress occurs in connection with various physical ailments, such as acute respiratory distress syndrome, a serious reaction to various forms of injuries to the lung, and infant respiratory distress syndrome, a syndrome in premature infants caused by developmental insufficiency of surfactant production and structural immaturity in the lungs.
''Matta rishabha eva nisha'' explains the nasal flares. Nasal flaring is when the nostrils widen while a person is breathing. It is a sign that the person is having difficulty breathing. It is most commonly seen in children and infants; in those cases nasal flaring can indicate respiratory distress. Respiratory distress occurs in connection with various physical ailments, such as acute respiratory distress syndrome, a serious reaction to various forms of injuries to the lung, and infant respiratory distress syndrome, a syndrome in premature infants caused by developmental insufficiency of surfactant production and structural immaturity in the lungs.
Complications:
Shwasa results due to chronicity/complication of [[kasa]]. (A.H.NI.4/1)
=== Management ===
=== Management ===
The management protocol for ''hikka'' and ''shwasa'' includes following:
The management protocol for ''hikka'' and ''shwasa'' includes following:
#''Snehana'' (local massage on chest region)with hot sesame oil or ''mahanarayana'' oil mixed with rock salt
#''Snehana'' (local massage on chest region including ventral, both lateral and dorsal side of chest)with hot sesame oil or ''mahanarayana'' oil mixed with rock salt
#''Swedana'' (sudation) with ''dashamula kwatha'' or ''erandamula kwatha'' vapors by means of ''bashpa'' (steam) or ''nadi'' (through tube) on chest
#''Swedana'' (sudation) with ''dashamula kwatha'' or ''erandamula kwatha'' vapors by means of ''bashpa'' (steam) or ''nadi'' (through tube) on chest
#''Vamana'' (therapeutic emesis) with mixture of ''pippali'', rock salt and honey, decoction of ''yasthtimadhu'' and ''madanaphala'' are also used.
#''Vamana'' (therapeutic emesis) with mixture of ''pippali'', rock salt and honey, decoction of ''yasthtimadhu'' and ''madanaphala'' are also used.
##''Abhraka''
##''Abhraka''
##''Maricha''
##''Maricha''
#Decoctions: ''Dashamula kwatha, Bharangyadi kwatha''
##Vasa
#Powder formulations: ''Sitopaladi churna, talisadi churna, karpuradi churna''
##Yashtimadhu
#Other formulations: ''Shvasakuthara rasa, Suvarna malini vasanta rasa, laghu malini vasanta''.
#Decoctions: ''Dashamula kwatha, Bharangyadi kwatha'', Yastimadhu decoction, Dashamula katutrayadi kashayam
#Powder formulations: ''Sitopaladi churna, talisadi churna, karpuradi churna'',Chausashta prahar pippali, Tankana
#Other formulations: ''Shvasakuthara rasa, Suvarna malini vasanta rasa, laghu malini vasanta'',Lakshmivilas rasa, Kumarkalyan rasa (in children).
#''Asava-arishta'': ''Kanakasava, dashamularishta, draksharishta, vasavaleha.''
#''Asava-arishta'': ''Kanakasava, dashamularishta, draksharishta, vasavaleha.''
===Experience based views===
In chronic cases of Shwasa internal administration of unctuous substance (snehapana) in pure form or medicates formulation like dashamula ghrita is useful to control vata dosha. This reduces dryness (kharatva) of respiratory tract (pranavah srotas) and pacifies movement of vata (vatanulomana). In chronic stage of svasa, vata becomes more dominant while in new cases Kapha dominancy is observed.<ref> Personal email communication by Dr. Mali Pawan, dt. January 03, 2020 </ref>
Drugs prescribed for [[Pandu]], [[Shotha]] and [[Kasa]] may be used in the management of Shwasa(Su.Utt 51/43). Drugs prescribed for Kasa, Kshaya, chchardi and hikka can be used for Shwasa.(A.H.ch.59)
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