Dhumpana in Shwasa Roga

TREATMENT OF TAMAKA SWASA BY DHUMPANA(INHALATION THERAPY)

1. Department of Kayachikitsa Parul institute of Ayurevda Dr. Meenakshi verma ‘Dhumpana’ in Tamaka Shwasa Guided by- Dr. N.J Trivedi , Dr. Haresh N soni Dr. Niranjan Y, Dr. Nikunj Vadodara Gujrat

2. Tamaka shwasa is major disease. Shwasa krichruta and kasa are major symptoms. The predominant morbidity of vata and kapha dosha , stemming out from pittasthana , affecting rasadhatu ,disturbing the functioning of pranvaha sroto . Dhumpana in ‘Tamaka shwasa’

3. Samprapti Nidan sevan Pitta sthana dosa prakopa (vata& kapha) Kaphen avaruddha vayu vayu- pratiloma pranavahasrotoprapti Shwasa vega Shwasa roga

4. Purva rupa Anaha Parsvasula Hrudya pida Pratiloma vayu

5. Rupa Ghurghurkiam Ativativra vega shwasa Pratamayati ativega Kaste sanniruddityate Kasate muhur muhur pramoham Slesmani vimoksante muhurtam sukham Kruchrat bhasitam Asinolabhate saukhyam Nachapi nidra labhate sayana pidita Parshva tasyavagrhyate sayansyu samiranaha . Usnaabhinanditi Meghambu sita pragavate slesmaischabhi vardhyate Urah pida vishuskasyata

6. Dhumpana is among the important measures during episode of the Tamaka shwasa. Dhumpana administer after administering vaman therapy but it can also be given independently in case where there is less aggravation of dosas . Dhumpana (inhalation therapy) “ जत्रूर्ध्वे कफवातोत्थ विकाराणामजन्मने। उच्छेदाय च जातानां पिबेध्दूमं सदात्मवान्॥“ (A.H. 21/1 )

7. Cont.. In Dhumpana chikitsa smoke of medicinal herbs & minerals is made to inhale in a specially told methodology & administered to fit patients who genuinely need the therapy after proper examination , Inhalation of medicinal smoke is one of the primitive forms of aerosol therapy . Dhumpana has been specially indicated for kapha &vata dosa origin . Dhumpana is one of the independent sodhana procedure by itself .

8. Types of Dhumpana Charka (ca.si.9/91) Susruta (su.ci.40/3) Vagabhata (a.hr.su.21/2) Sarngadhara (sa.u.kha.9/1-2) Prayogic or samana. Vairechanika 3. Snaihika Prayogic or samana. 2. Snaihika 3 Vairechanika Kasaghna vamaniya Snigdha dhuma Madhyama dhuma Tiksna dhuma Samna dhuma Brmhana dhuma Rechna dhuma Kasahara dhuma Vamana dhuma

9. Prayogic Snaihika Vairechanika Vamaniya Kasaghna Inhalation route

10. The person undergoing “Dhumpana” has to sit straight on comfortable chair. With full of concentration on the treatment the patient which is about to take. The patient is given the ‘Dhuma varti’ which ignited at the distal end. First has to inhale and exhale the smoke through mouth. Later patient advised inhalation through nose and exhalation through mouth. Method of administration of ‘Dhumpana’

11. Dhumpana Act on Tamaka Shwasa Bhedanakarma, Usna, Vatakapara properties Helps in cleansing marga avarana and providing easy movement of vayu Mode of action of ‘Dhumpana’

12. Other benefits Prevent&cured Urdhvajatrugata particularly kapha & vata origin. Prasannatmendriya Prasanna vaka Prasanna mana Mukhvaisadyakara visada It very effective in discharge from nose ear, and eyes, It exerts soothing action on the sense organs ,

13. Antitussive Antibacterial Bronchodilator& Expectorant Antihistamine Properties of drug of ‘Dhumpana’

14. ’ vairechanika snaihika Prayogic 3-4times inhalation Inhaled until eyes start watering Taken until dosa- nirharan Harenuka, Priyangu, Prithavika etc. Haratal,manahshila,Jyotismati. Swetaprajita etc. Vasa Ghrita Madhuchhishta Guggula Tila etc. Doses of ‘ Dhumpana

15. ‘Dhumpana’ yogya Urdhvajatrugata vikara, urasa vikara Kasa shwasa Hikka peenasa Siroaguravata Karnasoola etc.

16. ‘Dhumpana’ Nishedhama Pregnant ladies People with head injuries Timir roga Pandu After virechana Moorcha Trishna Madatyaya In the case of poisoning The people who are emotionally disturbed Pittaj vikara etc.

17. Treatment of Tamaka Shwasa disease can be divided into two types Vegakalika chikitsa (treatment during attack Avegakalika chikitsa (treatment during attack free period Aim Aim 2. To do sroto suddhi i.e. reversing bronchi constriction caused by vata . Removal of srotorodha (obstruct-ion of respiratory passage)by elimination of kapha. During absence of attack is to give prophylactic treatment so that there is no aggravation of kapha &vata dosa

18. Ingredients for ‘Dhumpana ’ Haridra Tejpatra Erandmula Manahshila Devdaru Haratala Jatamanshi Laksha Trikatu Sankh bhasm Tankada Arjuna etc.

19. Preparation for ‘ Dhumpana ’ in Shwasa roga Manahashiladi dhuma. (B.R kasachikitsa 15/39-40) Arkadi dhuma (B.R kasachikitsa 15/42-43) Marichadi dhuma (B.R kasachikitsa 15/42-44) Madhavadi Dhuma (B.R balarogadhika-71/30) Dhattura-pancangula dhuma (B.R 16/23) Prapondrikadi Dhuma ( Ch.Chi.18/71,72)

20. Cont.. 1.Yava churna + Ghruta. 2.madhuchhishta+ Sarja rasa+ Ghruta. 3.Mdhuchhishta+cow horn or hair or Sanayu+ Ghruta. 4. Syonaka, Dry stem of varadhamana+Ghruta. 5. Guggula+ Padmakastha+ Loha+ Sallaki+ Ghruta. (Charka Chi. Hikkaswasachikitsa 17/77,78.79.80) 6. Mahashila+haratal+sunthi+pippali+ Ghruta 7.manahshila+ela+maricha+yavakshaar+sonpatha+hartala+rohit trina+alaktaka+vanslekhana+ghruta ( Cha.Chi 18/73/74/75)

21. Conclusion Dhumpana is scientific, rational& logical approach in the drug delivery system specially in respiratory system. By Dhumpana the drug reaches the desired site of action directly& thus incites as immediate action. In Dhumpana volatile oils when administered orally or inhaled with steam increase the respiratory secretion probably by direct stimulation. Dhumpana act like- Expectorant, Protection of mucosa, Liquefy the increasing secretion etc.