Abstract

AN OBSERVATIONAL CLINICAL STUDY TO EVALUATE ASATMYA ROGA NIDANA IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)

Dr. Madhushri Ishwar Katti*, Dr. Prasanna N. Mogasale, Dr. Arun Kumar M. and Dr. Saritha T.

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Abstract

COPD is a disease of increasing public health importance around the world. GOLD estimates suggest that COPD will rise from the sixth to the third most common cause of death worldwide by 2020.[1] The disease is frequently encountered in the middle age group and is rare below the 35 years. Satmya is defined as one which gives sukha to the body and it can be considered as Upashaya.[2] Asatmya or Anupashaya is considered as opposite to Satmya.[3] Not only considering chronic cigarette smoking as a prime cause for COPD, there is also chance of indulging in specific ahara and vihara which acts as Asatmya to the person can also end up in Asatmyaja roga. Hence an attempt is made to understand the Asatmya nidana in COPD. Objective: To evaluate the possible Asatmya nidana in the development of chronic obstructive pulmonary disease. Methods: In this observational study, 30 subjects diagnosed with the COPD were selected. The probable incidence of nidana (cause), in patients were assessed through a questionnaire developed for the study. The recorded data were analysed with descriptive statistics. Results: Aharaja nidana acts as Dosha hetu predominantly causing Vata Kapha Parakopa. Sheetapana, sheeta sthana, raja, dhooma, anila, diwaswapna, pratishyaya, shwasa acts as Vyadhi hetu. Raja, dhooma, sheetapana, sheeta sthana, abhishyandhi, guru ahara, dadhi, ksheera acts as Ubhaya hetu. Conclusion: Bahya hetu (external factors) triggers dosha kopa or causes dhatu pradooshana. In COPD patients, Aharaja nidana of kasa/shwasa are similar to that of rasa dushti nidana and directly causes dhatu pradooshana in the body even.

Keywords: COPD; Satmya; Asatmya; Nidana.