Abstract

INTEGRATED AYURVEDIC APPROACH FOR MANAGEMENT OF EXACERBATIONS IN CHILDHOOD BRONCHIAL ASTHMA W.S.R. TO TAMAKA SHWASA – A REVIEW

Dr. Adhyaru Vrushti P.* Dr. Dipashree D. Gauns and Prof. Dr. V. K. Kori

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Abstract

Introduction: Tamaka Shwasa which can be correlated with bronchial asthma is among the most common causes of childhood emergency departmental visits. While Ayurveda is often sought for preventive and controller measures, its potential for fast-acting, integrated management of childhood asthma remains underutilized, largely due to a lack of awareness among parents and caregivers. Notably, Tamaka Shwasa is classified as a Sadhya and Yapya Vyadhi, indicating a favorable prognosis and responsiveness to treatment, even in pediatric patients. Given the need for effective and practical management strategies, this study aims to explore the application of Ayurvedic principles in pediatric practice for the treatment of Tamaka Shwasa including management in exacerbation. Material and method: A comprehensive review of Ayurvedic classics and online-published articles from Google Scholar and PubMed was conducted to explore the management of exacerbation of Tamaka Shwasa in pediatric patients. Result and discussion: Tamaka Shwasa can be broadly classified into Kapha Pradhana and Vata Pradhana varieties. Since, the childhood period is characterized as a Kapha Pradhana age; pediatric patients are more susceptible to Kapha Pradhana Tamaka Shwasa. Consequently, a two-pronged therapeutic approach is warranted, incorporating both Shodhana (purification) and Shamana (pacification) therapies. Specifically, Sadhyo Vamana followed by Dhoomanapana is recommended as the most effective treatment strategy during this stage. Additionally, Abhyanga and Swedana applied over the chest region help provide immediate relief. Furthermore, Ayurvedic herbs can serve as a viable alternative to conventional nebulizer medications, while oral administration of Rasa Aushadhi in judicious doses can facilitate rapid relief. Conclusion: The management of exacerbation of Tamaka Shwasa in children is well-documented in Ayurvedic classics. An integrated approach, combining Lavana Taila Abhyanga, Sadhyo Vamana, Dhoomapana, Swedana, and Ayurvedic nebulization, offers a comprehensive treatment strategy.

Keywords: Tamaka Shwasa, Exacerbation, Children, Shodhana, Shamana.