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== Introduction ==

== Introduction ==

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''Hikka'' (hiccups) and ''shwasa'' (dyspnea/shortness of breath) may be caused due to ''pandu roga''. (Chakrapani Cha. Chi 17/1). That is why this chapter follows the chapter on [[Pandu Chikitsa]]. ''Hikka'' and ''shwasa'' have common etiological factors (''karana'') like raja (pollen or dust particles), ''dhuma'' (smoke) etc., location (''sthana'') and treatment or ''mula''. For that reason, both conditions are described in the same chapter.

''Hikka'' (hiccups) and ''shwasa'' (dyspnea/shortness of breath) may be caused due to [[pandu]] roga with pathological signs of anemia (alpa rakta), abnormal fat metabolism(alpa medaska) and depletion of body constituents ([[dhatu]]-kshaya). [Chakrapani Cha.Sa.Chi. 17/1]. That is why this chapter follows the chapter on [[Pandu Chikitsa]]. The term 'Shwasa' denotes physiological process of respiration and pathological sign too. In physiological process, breathing without any distress is seen; however pathological signs can be diagnosed if person suffers any distress during breathing and has to take extra efforts for same.''Hikka'' and ''shwasa'' have common etiological factors (''karana'') like raja (pollen or dust particles), ''dhuma'' (smoke) etc., location (''sthana'') and treatment or ''mula''. For that reason, both conditions are described in the same chapter.

''Hikka'' and ''shwasa'' are two diseases of serious nature and can cause death if not treated properly. The etiological factors, site, origin of both ''hikka'' and ''shwasa'' are same, and hence the line of treatment is also common. The etiological factors related to food, regimen and mental faculties lead to the aggravation of ''vata'' in the ''pranavaha srotas'' and derangement of ''kapha'' situated in the chest region producing lethal blockage of ''prana vayu''.  

''Hikka'' and ''shwasa'' are two diseases of serious nature and can cause death if not treated properly. The etiological factors, site, origin of both ''hikka'' and ''shwasa'' are same, and hence the line of treatment is also common. The etiological factors related to food, regimen and mental faculties lead to the aggravation of ''vata'' in the ''pranavaha srotas'' and derangement of ''kapha'' situated in the chest region producing lethal blockage of ''prana vayu''.  

The patient suffering from ''hikka'' and ''shwasa'' should be treated with oleation, unctuous sudation to liquefy the accumulated ''kapha'', soften the channels and to facilitate ''vatanulomana'' (movement of ''vata'' in its normal direction). This should be followed by the administration elimination therapy in the form of ''vamana'' (emesis therapy), ''virechana'' (purgation), ''nasya'' and following of wholesome diet and regimen. The palliative medications should be administered keeping in view the condition of patient and stage of disease. Avoiding the causative factors and following wholesome regimen is important to prevent progress of disease and to reverse the pathogenesis. In brief ''shodhana'' followed by ''brimhana'' therapy (nourishing therapy) and ''shamana'' treatment (palliative therapy) are the ideal management methods in ''hikka'' and ''shwasa''.

The patient suffering from ''hikka'' and ''shwasa'' should be treated with oleation, unctuous sudation to liquefy the accumulated ''kapha'', soften the channels and to facilitate ''vatanulomana'' (movement of ''vata'' in its normal direction). This should be followed by the administration elimination therapy in the form of ''vamana'' (emesis therapy), ''virechana'' (purgation), ''nasya'' and following of wholesome diet and regimen. The palliative medications should be administered keeping in view the condition of patient and stage of disease. Avoiding the causative factors and following wholesome regimen is important to prevent progress of disease and to reverse the pathogenesis. In brief ''shodhana'' followed by ''brimhana'' therapy (nourishing therapy) and ''shamana'' treatment (palliative therapy) are the ideal management methods in ''hikka'' and ''shwasa''.

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== Sanskrit Text, Transliteration and English Translation ==

== Sanskrit Text, Transliteration and English Translation ==

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