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 Table of Contents  
CASE REPORT
Year : 2019  |  Volume : 2  |  Issue : 3  |  Page : 14-17

Effect of siddha medicine and Yogam in Swasakasam (Bronchial Asthma) patient - A case report


1 AYUSH Wellness Clinic, President’s Estate, Rastrapathi Bhawan, New Delhi -110001, India
2 Siddha Clinical Research Unit, Ayurveda & Unani Tibbia College, Karol Bagh, New Delhi -110005, India
3 Central Council for Research in Siddha, Chennai-106, India

Date of Web Publication11-Oct-2021

Correspondence Address:
P Mirunaleni
AYUSH Wellness Clinic, President’s Estate, Rastrapathi Bhawan, New Delhi -110001
India
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Source of Support: None, Conflict of Interest: None


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  Abstract 


The prevalence of bronchial asthma and allergic rhinitis is on the rise in India. In the Siddha text, Pothu maruthuvam, bronchial asthma is referred to Swasakasam. Among the different modalities of treatment, poly-herbal combinations, yoga practice and pranayamam are said to be well-accepted, safe and effective in treating Swasakasam. 39-year-old old male, IT professional was referred to Siddha wing at Integrated AYUSH OPD, All India Institute of Ayurveda, for the management of bronchial asthma and allergic rhinitis. He was treated with Siddha medicines, Yogam and pranayamam practice for 3 months. He showed significant improvement in control of asthma, reduction in taking salbutamol puff, anti - histamine drugs and his quality of life improved.

Keywords: Bronchial Asthma, Siddha, Pranayamam, Swasakasam, Yogam


How to cite this article:
Mirunaleni P, Elavarasan K, Manickavasagam R, Kanakavalli K. Effect of siddha medicine and Yogam in Swasakasam (Bronchial Asthma) patient - A case report. J Res Siddha Med 2019;2, Suppl S1:14-7

How to cite this URL:
Mirunaleni P, Elavarasan K, Manickavasagam R, Kanakavalli K. Effect of siddha medicine and Yogam in Swasakasam (Bronchial Asthma) patient - A case report. J Res Siddha Med [serial online] 2019 [cited 2021 Dec 3];2, Suppl S1:14-7. Available from: http://www.jrsm.com/text.asp?2019/2/3/14/328044




  1. Introduction Top


Bronchial asthma is a chronic inflammatory disorder of the airway and the most common distressing disease affecting 3-5% of the total population.[1] The prevalence of bronchial asthma and allergic rhinitis is on the rise in India.

In Siddha text, Pothu maruthuvam, bronchial asthma is referred to as Swasakasam. It contributes several modalities of the treatment for Swasakasam.[2] Among all modalities of treatment, poly-herbal combinations, Yogam and pranayamam practice are said to be well-accepted, safe and effective in asthma. The word “Yogam” means union, joining or to link together as a whole. Yogam is a physical method which uses the breath to link the various parts of the body and the mind and to allow them to behave as one functional unit which helps in the control of Asthma. Pranayamam breathing is used to increase respiratory stamina, relax the chest muscles, expand the lungs, raise energy levels, and calm the body.[3]


  2. Case description: Top


A 39-year-old old male IT professional was referred to Siddha department at Integrated OPD, All India Institute of Ayurveda, for management of bronchial asthma and allergic rhinitis. He had h/o of episodic breathlessness accompanied with a wheeze and aggravated during early morning and nighttime for 18 years. These episodes were associated with sneezing and nasal itching.

Physical examination revealed no pallor, clubbing or cyanosis. He was tachypneic with a respiratory rate of 26/min. On auscultation, vesicular breath sounds of equal intensity were audible bilaterally along with brhonchi. On investigation, hemoglobin and white blood count recorded was 12.07g/dl and 8900mu/l, eosinophil was 9%. The radiology findings were normal.

The patient was on inhaled Salbutamol puff for the last 8 years and he also takes a frequent dose of anti-histamines to control his allergy. The history of the patient was suggestive of uncontrolled bronchial asthma with allergic rhinitis. It can be correlated to Swasakasam in Siddha text. The name, dosage, vehicle and therapeutic properties of the prescribed drugs are mentioned in [Table 1]. Suggested Yogam and pranayamam practice are given in [Table 2].[3] The patient attended Yogam training on yogic posture and pranayamam. Then, he was supervised and advised to practice daily for 50 minutes at home. Patient visited twice a week to receive medicine and to practice yoga. After 3 months the overall assessment of results was made with the help of the subjective parameters [10] [Table 3].
Table 1: Name, Dosage, Vehicle and Therapeutic Properties of the Prescribed Drugs

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Table 2: Yogam and Pranayamam Practices

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Table 3: Clinical Assessment

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Symptoms were categorized into three types – cough, wheezing, and dyspnoea and scored as mild, moderate, and severe. Any reduction in these symptoms from moderate to mild or mild to absence was considered as improvement in the disease severity.


  3. Result Top


After completion of treatment for 3 months, the patient’s showed a reduction in his symptom like breathlessness, tightness of the chest, sneezing, cough and Sleep disturbance due to asthmatic attacks. Overall, he showed major improvement from his symptoms.

The decrease in the number of wheeze (day and night) resulted in the reduction of the use of asthma drugs especially Salbutamol puff and he showed 80% decrement in the use of anti-histamines for the allergic rhinitis in the patient during and after the treatment.


  4. Discussion Top


Bronchial asthma is a chronic inflammatory disorder and mast cell, eosinophils and T-lymphocytes play an important role.[8] The ingredients like thalisapathiri (Taxus buccata), pepper (Piper nigrum), vellai erukku (Calotropis gigantica) may be collectively effective on airflow obstruction and airway hyper responsiveness by bronchodilator, anti- inflammatory and antihistaminic properties.[9] The effect of yoga like Bhujangasanam, Dhanurasanam, Gomukhasanam, Ardhamatsyendrasanam in helping the coordination of breath and movement associated with good posturing for best relaxation of breath, muscles help to decrease the number of wheeze (day and night) resulted in the reduction of the use of asthma drugs especially Salbutamol puff.

It also helps in controlling the panic attacks which aggravate individual’s further deterioration and shortness of breath by letting a way to control the physical body, the mind (Psychosomatic) and the autonomic nature of breath control [9]. This explains the effect of Yogam and Siddha medicine in the relief of asthma attack and improving quality of life.

There is limited number of well- designed studies exploring beneficial effects of yoga on asthma. Hence it is not possible to conclude the long-term efficacy of using yoga to control asthma attack with this single case report. Further studies are required in controlled conditions with large sample size and standardized yoga protocol for confirmation.


  5. Conclusion Top


The patient showed good response to treatment with marked reduction in his symptoms and quality of life with significant reduction of his regular drugs.

This documentation is an attempt to highlight the importance of Yogam and pranayamam in treatment of bronchial asthma along with Siddha medicine, further large-scale studies – RCTS are recommended.

ACKNOWLEDGMENT We gratefully acknowledge Dr. Rajaram Mahto, In-charge Integrated AYUSH OPD at AIIA for his constant encouragement and support to carry out this work.



 
  References Top

1.
McFadden ER. Jr Harrison’s principles of Internal medicine In. (ed 1987). McGraw Hill: USA; 2005. p.1511.  Back to cited text no. 1
    
2.
Muthaliar K. Siddha Maruthuvam. Siddha Medical Council: Chennai; 1954.  Back to cited text no. 2
    
3.
Thiyagarajan R. Siddha Maruthuvam Sirappu. Commissionerate of Indian Medicine and Homeopathy: Chennai; 2013.  Back to cited text no. 3
    
4.
Formulary of Siddha Medicines. (ed 1989). Indian Medical Practitioners’ Cooperative Pharmacy and Stores Ltd: Adyar; 1972.  Back to cited text no. 4
    
5.
Muthaliar M. Siddha Materia Medica (Vegetable section). (ed 1, Vol l). Siddha Medical Council: Chennai; 1988.  Back to cited text no. 5
    
6.
Muthaliar K, Uthamarayan. Siddha Vaithiya Thirattu. Directorate of Indian Medicine and Homeopathy: Chennai; 1998.  Back to cited text no. 6
    
7.
Kumar S, Mohan A, Sharma SK. Recent concepts in the pathogenesis of bronchial asthma. Indian J Chest Allied Sci 1997;39:27-45.  Back to cited text no. 7
    
8.
Udwadia ZF. Pulmonary disorders in 21st Century. Indian Pract 2000; 2:38-42.  Back to cited text no. 8
    
9.
Van BI, Rietveld S, Everaerd W. Stress- induced breathlessness in asthma, Psychol Med 1999; 29(6):1359-66.  Back to cited text no. 9
    
10.
Kumar C, Robbins C. Pathological basis of disease. Noida Thomas Press India Limited: Uttar Pradesh; 1999; p.367-80.  Back to cited text no. 10
    



 
 
    Tables

  [Table 1], [Table 2], [Table 3]



 

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  In this article
Abstract
1. Introduction
2. Case description:
3. Result
4. Discussion
5. Conclusion
References
Article Tables

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