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
|
