- Dysponea is called as Svasam in ayurvedic classics.
- Whenever we see shortness of breath, we should differentiate whether it is from
- Cardiac origin,
- Respiratory origin or
- Shortness of breath is commonly seen in heart failure.
- It is seen in pulmonary oedema also.
- Orthopnoea is a condition where there is shortness of breath when the patient lies down and is relieved by sitting up.
- Pulmonary oedema is diagnosed by X-ray , echo, and clinical features.
- Paroxysmal (Sudden), nocturnal (night ) dyspnoea is seen in heart failure.
- Exertional dyspnoea is very common in coronary artery disease.
- It is aggravated by physical activities.
- Restrictive and obstructive lung disorders can produce dyspnoea.
- Bronchitis, asthma and emphysema can produce dyspnoea
- Pulmonary fibrosis is one of the commonly seen respiratory lung discorders.
- In fever, breathing is faster
- Breath increases after exercise and in high altitude.
- In anemia there will be dyspnoea.
- In scoliosis there is dyspnoea
- Hyper ventilation syndrome, (Psychological causes) are produced by anxiety.
- It is produced by fear and they tend to believe that they have heart attack.
- In extreme form of renal causes like uraemia there will be dyspnoea.
According to Ayurveda
- It is one of the disorder where the disease is classified based
- It is classified on the basis of its awastha.
- Mahasvasam, china svasam, urdvasvasam denotes various avastas.
- Mahasvasam, probably is a dyspnoea of higher center origin.
- China svasam may be an injury in the respiratory centre producing a bleed, that is why haemorrhage in one eye is mentioned.
- Tamakasvasam denotes bronchial asthma.
- Ksudrasvasam denotes hyper ventilation.
- How we can manage the condition of cardiac asthama is discussed here
- Except “ acute pulmonary oedema “ many forms of cardiac presentations can be managed by a skillful and trained Vaidya.
It has to be visualized like vatasopham. Sophahara, hrdya, Vatanulomana, Mutrala
Following medicines are very effective
- Bharangyadikasayam –
- Arjunaksirapakam –
- Pathyapunarnavadikasayam – With pippalicurnam
- Mutravirecaniyaganam is highly useful.
- Paniyam with hrdyamganam of Caraka is useful.
- Dasamulahartaki –
- Reduce salt
- Reduce vigorous activities