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A
CLINICAL STUDY ON BRONCHIAL
ASTHMA
WITH AYURVEDIC MEDICINES
D.
PAHARI*, P. C. TRIPATHI**
INTRODUCTION:
Bronchial
asthma is one of the oldest companion of human beings. It
effects the population in general irrespective of age, sex,
caste, religion, country etc and gradually found with an
increasing trend. The knowledge of this disease is known to
the physician of Indian system of medicine since vedic era.
The concept of the disease with its management is found to
be more descriptive and developed.
Scholars
of various disciplines are working on the problem and
various modern means and measures have been discovered. Even
then the effective drug without any reaction couldn’t be
established. Ayurveda is the reach source of the therapeutic
measures that can control the disease. Out of such
therapeutic measures a poly-herbal compound is selected for
the benefit of the increasing number of asthma patients.
MATERIALS & METHODS :
The
clinical study is conducted to evaluate the therapeutic
value of a poly-herbal compound in established cases of
Bronchial asthma. The present study consisted of 18 cases of
Bronchial asthma. This study is conducted at S.V.S.P.
Hospital, attached to the Institute of Post Graduate
Ayurvedic Education & Research, Calcutta.
The
patient was selected for the study from out patient
department of the hospital after taking a short history of
the patient. Some of the patients were admitted in-patients
department of the same hospital. All the selected cases were
carefully examined and records were maintained. To arrive at
the diagnosis along with the history taking, Physical
examinations and some investigations were done.
The investigations were as follows :
BLOOD
: T.L.C. ; D.L.C. ; Hb% ; E.S.R. ; P.P.B.S.
STOOL
: RE / ME
URINE
: RE / ME
CHEST
: X-Ray
PULMONARY FUNCTION TESTS :
(A)
Breath holding time – measured by stop watch.
(B)
Vital capacity-measured by an instrument called
Spirometer.
(C)
Peak expiratory flow rate measured with help of Peak
flow meter.
After
subjective & objective investigations the patient
without any complications were only included in this study.
To
all the patients a poly-herbal compound consisting of
Talisadi Churna (as per the textual references) and
Madhuyasti Churna in equal quantity was administered in the
dose of 2 Gm thrice daily with water. The medicine was given
for 8 weeks. The records of subjective improvements and
objective improvements were recorded fortnightly. At the end
of treatment the effect of the therapeutic resime on
bronchial asthma was assessed.
RESULT & OBSERVATION :
In
all the patients, subjective & objective criterias were
recorded before treatment, during treatment and after
treatment. The effect of the drug was assessed at the end of
treatment.
Response
of treatment in patients treats with Talisadi yoga.
Table
showing the effect of Talisadi yoga on subjective features
of Bronchial asthma.
|
SNo
|
Clinical
features
|
Present
before treatment
|
Present
after treatment
|
Percentage
of relief
|
|
1
|
Coryza
|
18
|
0
|
100%
|
|
2
|
Cough
|
16
|
4
|
75.00%
|
|
3
|
Paroxysmal
dyspnoea
|
17
|
4
|
76.47%
|
|
4
|
Difficulty
in expectoration
|
17
|
5
|
70.59%
|
|
5
|
Filling
tightness in chest
|
10
|
2
|
80.00%
|
|
6
|
Insomnia
|
12
|
2
|
83.33%
|
|
7
|
Restlessness
|
18
|
4
|
77.78%
|
|
8
|
Rhales
|
18
|
2
|
88.89%
|
|
9
|
Ronchi
|
18
|
3
|
83.33%
|
|
10
|
Crepitation
|
11
|
5
|
54.54%
|
The
effect of treatment on objective parameters in the patients
of Bronchial Asthma, as observed in this study is given in
the following table.
Table
showing the effect of treatment on objective parameters in
Bronchial Asthma.
|
Objective
parameters
|
Mean
before treatment
|
Mean
after treatment
|
|
Breath
holding time
|
18.6
sec
|
26.8
sec
|
|
Vital
capacity
|
980
cc/sec
|
1060
cc/sec
|
|
Peal
expiratory flow rate
|
196
l/min
|
238
l/min
|
From
the above tables, study of the subjective and objective
improvement can be compared and frpm these tables it is
clearly observed that the subjective improvement is more
than 54.54%. along with that the BHT, VC, and PEFR are found
to be increased in all cases at the end of treatment. The
improvement of these objective criterias ie. increase in BHT,
VC and PEFR indicates improvement of the functional capacity
of the lungs.
Conclusion:
This
clinical study on Bronchial Asthma with Ayurvedic medicine
is still continuing. During the present study the
encouraging result which which we have seen so far during
the work, is presented here. Talisadi Churna along with
Madhuyasti shows a definite result in the case of Bronchial
asthma. Further work will establish definitely the
potentiality of the work and will pave the path of future
workers.
D.
Pahari – Research Scholar, Institute of Post Graduate
Ayurvedic Education and Research
P.C.
Tripathi – Lecturer, Institute of Post Graduate Ayurvedic
Education and Research
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