Ayurveda management of a patient having bronchial asthma and hemorrhoids- A case report

Ayurveda is a holistic science that treats root cause of diseases. One disease can become a causative factor for another disease. This concept is fundamentally described as Nidanarthakar Vyadhi in Ayurveda. In the same way, treating causative diseases is helpful in managing another diseases. However...

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Main Authors: Punam Khobarkar, Amit Nakanekar
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Journal of Ayurveda and Integrative Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0975947623001808
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author Punam Khobarkar
Amit Nakanekar
author_facet Punam Khobarkar
Amit Nakanekar
author_sort Punam Khobarkar
collection DOAJ
description Ayurveda is a holistic science that treats root cause of diseases. One disease can become a causative factor for another disease. This concept is fundamentally described as Nidanarthakar Vyadhi in Ayurveda. In the same way, treating causative diseases is helpful in managing another diseases. However, many published clinical trials on Ayurveda management of Bronchial asthma and Hemorrhoids exist. There is a dearth of published case reports or clinical trials showing an association between Arsha (hemorrhoids) and Shwasa (bronchial asthma). This case report gives important viewpoints about the role of hemorrhoids and its treatment in pathogenesis and treatment of bronchial asthma.This case report of a 38-year-old female patient known case of bronchial asthma who came to the OPD of Kayachikitsa Government Ayurved College and Hospital, Nagpur with complaints of cough with sputum, breathlessness, chest pain (on/off) for three years. The severity of these symptoms increased for three months. The patient was treated with conventional Shwasghna Chikitsa (treatment of bronchial asthma) for five days, but the response was unsatisfactory. After five days of Shwasghna treatment, the patient gave a history of hemorrhoids. Considering Nidanarthakar Roga (one disease can cause of another disease), treatment was planned. The treatment principle is the treatment of causative disease (Arsha). Hence, Arshoghna treatment was added. Significant increases in peak expiratory flow rate (PEFR), Sustained minimal inspiration (SMI), and Modified Medical Research Council Dyspnoea scale (mMRC) were observed. The respiratory rate was also reduced from 28/min to 18/min. Improvement in the subjective and objective parameters of the patient was observed.The inclusion of Arsha treatment can be helpful in the management of Tamakshwas (Bronchial Asthma). The need for further research in this direction is warranted.
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spelling doaj.art-8dc38cec04aa46b9b30384f0646478392024-03-14T06:13:43ZengElsevierJournal of Ayurveda and Integrative Medicine0975-94762024-01-01151100863Ayurveda management of a patient having bronchial asthma and hemorrhoids- A case reportPunam Khobarkar0Amit Nakanekar1Kayachikitsa, All India Institute of Ayurveda, New Delhi, India; Kayachikitsa, Government Ayurved College, Nagpur, India; Corresponding author. Kayachikitsa, All India Institute of Ayurveda, New Delhi, India.Kayachikitsa, Government Ayurved College, Nagpur, IndiaAyurveda is a holistic science that treats root cause of diseases. One disease can become a causative factor for another disease. This concept is fundamentally described as Nidanarthakar Vyadhi in Ayurveda. In the same way, treating causative diseases is helpful in managing another diseases. However, many published clinical trials on Ayurveda management of Bronchial asthma and Hemorrhoids exist. There is a dearth of published case reports or clinical trials showing an association between Arsha (hemorrhoids) and Shwasa (bronchial asthma). This case report gives important viewpoints about the role of hemorrhoids and its treatment in pathogenesis and treatment of bronchial asthma.This case report of a 38-year-old female patient known case of bronchial asthma who came to the OPD of Kayachikitsa Government Ayurved College and Hospital, Nagpur with complaints of cough with sputum, breathlessness, chest pain (on/off) for three years. The severity of these symptoms increased for three months. The patient was treated with conventional Shwasghna Chikitsa (treatment of bronchial asthma) for five days, but the response was unsatisfactory. After five days of Shwasghna treatment, the patient gave a history of hemorrhoids. Considering Nidanarthakar Roga (one disease can cause of another disease), treatment was planned. The treatment principle is the treatment of causative disease (Arsha). Hence, Arshoghna treatment was added. Significant increases in peak expiratory flow rate (PEFR), Sustained minimal inspiration (SMI), and Modified Medical Research Council Dyspnoea scale (mMRC) were observed. The respiratory rate was also reduced from 28/min to 18/min. Improvement in the subjective and objective parameters of the patient was observed.The inclusion of Arsha treatment can be helpful in the management of Tamakshwas (Bronchial Asthma). The need for further research in this direction is warranted.http://www.sciencedirect.com/science/article/pii/S0975947623001808ArshaBronchial asthmaCase reportGut –lung axisHemorrhoidsmMRC scale
spellingShingle Punam Khobarkar
Amit Nakanekar
Ayurveda management of a patient having bronchial asthma and hemorrhoids- A case report
Journal of Ayurveda and Integrative Medicine
Arsha
Bronchial asthma
Case report
Gut –lung axis
Hemorrhoids
mMRC scale
title Ayurveda management of a patient having bronchial asthma and hemorrhoids- A case report
title_full Ayurveda management of a patient having bronchial asthma and hemorrhoids- A case report
title_fullStr Ayurveda management of a patient having bronchial asthma and hemorrhoids- A case report
title_full_unstemmed Ayurveda management of a patient having bronchial asthma and hemorrhoids- A case report
title_short Ayurveda management of a patient having bronchial asthma and hemorrhoids- A case report
title_sort ayurveda management of a patient having bronchial asthma and hemorrhoids a case report
topic Arsha
Bronchial asthma
Case report
Gut –lung axis
Hemorrhoids
mMRC scale
url http://www.sciencedirect.com/science/article/pii/S0975947623001808
work_keys_str_mv AT punamkhobarkar ayurvedamanagementofapatienthavingbronchialasthmaandhemorrhoidsacasereport
AT amitnakanekar ayurvedamanagementofapatienthavingbronchialasthmaandhemorrhoidsacasereport