THE HURLY-BURLY ASTHMA

Increasing asthma predominance, especially among the children, is an additional cause of apprehension. Between 1980 and 1994, prevalence in the united state of America increased 75% by and large, and 74% among those between the ages of five to fourteen. It was estimated that more than 7-9% of children now have the disease.
Also alarming are the number and rate of asthma related hospitalized in this country. In 1994 466,000 hospitalizations were directly related to this disease. The hospitalization rates since 1979 have increased disproportionately among children and African Americans. The rates of hospitalizations among African Americans was just about triple that of whites.

Keep in mind: -
1. The asthma is most wide spreading chronic health problems in the many parts of the globe.
2. Prevalence of asthma is increasing worldwide and especially in India. 3. Hospitalization and absenteeism from work due to asthmatic attack is very conmen in India.
Over 150 million people in the world are diagnosed with asthma. Asthma has an effect on all age groups but regularly develops in childhood. In the UK 32-38% of children have experienced asthma symptoms in 2004. In India there are approximately 15-20 million asthmatics. Incidence in increasing through out the world, particularly in the Western Europe, asthma has doubled in the earlier period of ten years.

Introduction: -
Asthma is a common condition that interferes with breathing by preventing air from freely into lungs. Asthma is supposed to be a never-ending inflammatory turmoil of the airways in which where numerous cells and cellular elements participate roll.

Study of the causes, characteristics and effects of asthma: -
In asthma the airways is red, swollen, and easily annoyance. This annoyance or inflammation gets worse in reactions to things known as triggers (HETU in ayurveda), such as cold, allergens, tobacco or smoking, and the changes in the weather. Triggers irritate lungs even more, causing more symptoms to get worse.
During asthma episode, or flare-up, the airways can become sensitive overreact, causing sever things to happen.
1. The muscles around airways get tightened and block the airflow.
2. The walls of airways swell and become narrower, blocking the airways.
3. Airways produce extra mucous, causing more narrowing.

The symptoms: -
1. Shortening in breath
2. Breathing with a husky or whistling sound (wheeze)
3. Tightness in the chest.
4. Cough lasting more than a week.
Not all people with asthma wheeze, cough may be the only symptoms of asthma. Cough often occurs during the night or after exercise. It is important to know that treatment can reverse the asthma symptoms and it is important to treat even mild symptoms of asthma so that one can keep the asthma symptoms to getting worse.
Ayurveda and asthma: -
There are five divisions of asthma in ayurveda and known as SHWANS. They are separated with each other on the behalf of symptoms. Here are they –
1. MAHA-SHWANS: – the Boit’s breathing.
2. URDHWA-SHWANS: – failing respiration, Stertorous breathings.
3. CHHINNA-SHWAS: – Chyne-Strokes breathings.
4. KSHUDRA-SHWAS: – Difficult breathing. The KCHHUDRA- SHWAS may be physiologic like the difficulty in breathing after the exposure of emotional conditions or hard work.
5. TAMAK-SHWAS: - This division of the SHWAS is the asthma.
When annoyed Vayu gets in touch with in the respiratory system (PRANA VAHA SROTAS), it upsets the kafa, and creates wheezing sound, inflammation, shortening in breathing mainly to breathe in. therefore the exhalation becomes prolonged then inhalation. Due to poor supply of oxygen to lungs, a very strong drive resulting from oxygen deficiency in blood, then in brain and then in the bodily tissues occurs.
Thus patient feels restlessness. He rises from bed and sits with the support of both hands and bends forward. This position of sitting provides some assistance to him due to relaxation in the chest muscles. The chest muscles become little bit inflexible due to extra efforts in breathing and aggravation of Vayu.
Sputum (unhealthy kafa) becomes due to vayu, scanty and sticky, hence patient experiences complicatedness to cough up it out. When the sputum comes out the patient feels relief due to opening of airways and lungs receive additional air.

Management of asthma in Ayurveda: -
The grown-up asthma needs a prolonged regime to be cured while a new asthma can be unleashed easily. There are some herbal formulations, which can handle the asthma.
Woodfordia fruticosa, Solanum xanthocarpum, Adhatoda vasika, Acacia arbeica, Ellanteria cardamomum, Piper longum, Achyranthus aspera, Zingiber officinalis, Hollarhena antidysentrica, Curcuma longa, Syzygium aromaticum, Syzygium aromaticum oil, Calotropis procera, Enicostemma littorale, and Piper longum.
Some herbo-mineral are also popular among the ayurvedic physicians like SWASKUTHAR RAS, SWASKASCHINTAMANI RAS, SHRIGARABHRA RAS, SHRING BHASM, ABHRAK BHASM, RAS SINDHUR, SITOPLADI CHURNA, TALISHADI CHURNA, VASA AVALEH, and many more. They are being use since many centuries in India directly on human beings and no side effects are reported so far.

AHAR (Dietary advices): -
The Kafa and Vata irritants are prohibited. The foodstuffs those are barely assimilated should be avoided. Take light and simply digestible food.

VIHAAR and YOGA: -
Generally the vihaar means activity like exercise, movements, and many more activities. Unhurried and gentle walk can be helpful to restore some stamina to lungs but if it is affordable or recommended by your physician.
According to ayurveda and yoga this is that disease of PRANVAHA – SROTAS. Some kinds of pranayam can be very help full. BHASTRIKA, UJJAYEE and ANULOM-PRATILOM type pranayamas are recommended if patient can practice without any difficulty and under the supervision of expert yoga mentor.

The motto of the article is to generate awareness in the community against the asthma. The asthma is very destructive in kids as well as older people. We should be very responsive with them so that they cannot feel that they are alone to struggle with this.
Secondly these unpleasant incidents are being spread in all part of glob. This can be due to unhealthy atmosphere like smoke, humidity and destruction of our echo system too.
We can challenge to asthma if we will follow the rules of yoga and avoidance of luxurious life style. Do exercise stay fit.

Editor,
JAY (journal of Ayurveda and yoga)
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