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Humble pranams at the lotus feet of AMMA…….

Srotodusti In Swasa

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Dyspnea or dyspnoea (pronounced disp-nee-ah, IPA /dɪsp'niə/), from Latin dyspnoea, from Greek dyspnoia from dyspnoos, shortness of breath) or shortness of breath (SOB) is a debilitating symptom that is the experience of unpleasant or uncomfortable respiratory sensations.[1] It is a common symptom of numerous medical disorders, particularly those involving the cardiovascular and respiratory systems; dyspnea on exertion is the most common presenting complaint for people with respiratory impairment.[2]

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Page 1: Srotodusti In Swasa

Humble pranams at the lotus feet of AMMA…….

Page 2: Srotodusti In Swasa
Page 3: Srotodusti In Swasa

A Presentation by:

Parvathy Unnikrishnan2006 BATCH…….

Page 4: Srotodusti In Swasa

An Outline………….

Srothas.

Sroto dushti prakaras.

General idea on swasa.

Srotas involved in swasa.

Sroto dushti prakaras in swasa.

Clinical reports on swasa.

Modern view in brief.

Page 5: Srotodusti In Swasa

É

NIRUKTHI:

xÉëÑ + iÉÍxÉ kÉÉiÉÑ

Sravanath srothamsi……Ch/ Su

DEFINITION:

Srothamsi khalu parinamamapadyamananamDhathunam abhivahini bhavanthiayanarthena………..

Ch /Vi/ 5

Page 6: Srotodusti In Swasa

acc to chakrapani :

Parinamamaapadyamanam means :

Purva purva rasadi rupatha parithyagena uttarottara rakthadi rupatham aapadyamanam……..

Ayanarthena means:

na sthiraanam dhathunam abhivahini bhavanthi srothamsi ,deshantara prapanena abhivahini bhavanti…

Srothas itself is the cause for all the rakthadi dhathu poshana & parinama.

Page 7: Srotodusti In Swasa

SYNONYMS OF SROTHAS :

Acc to charaka:

Sira ,dhamani ,rasayani etc…Ch/ Vi/ 5

Acc to Dalhana :

Shabdaha ………………….. Vahatvadikam dhamanaadinam pranaannavarirasavahitvam srothasam…

Page 8: Srotodusti In Swasa

IMPORTANCE OF SROTHAS IN THEFORMATION OF DISEASE..

Acc to charaka:Ahitha sevanaath thani dushtaani rogaaya vishudhani sukhaaya cha…… ch/chik

Acc to Arunadatta:

Sukhaaya means aarogyaya.

Acc to Charaka :

Normalcy of srothas will not produce any disease at all.

Page 9: Srotodusti In Swasa

Acc to Sushruta:Sangaha khavaigunyath vyadhirata upajayathe…..

Acc to Charaka:

Khavaigunya will result in diseases…… Ch/ch/24

• After explaining the importance of srothas & no of srothas charaka explained srothodushti lakshanas or srothodushti prakaras. Ch /Vi/5

Page 10: Srotodusti In Swasa

SROTHODUSHTILAKSHANAS

AÌiÉmÉëuÉëÑꬃ xÉXçaÉÉå uÉÉ ÍxÉUÉhÉÉÇ aÉëljÉrÉÉå AÌmÉ uÉÉ…. Cha

/vi/ 5

AÌiÉmÉëuÉ×ͨÉ

xÉXçaÉç

ÌuÉqÉÉaÉïaÉqÉlÉqÉç

ÍxÉUÉ aÉëÎljÉ

Page 11: Srotodusti In Swasa

GENERAL NIDANA

AÉWûÉU¶É ÌuÉWûÉU¶É rÉÈ xrÉÉiÉç SÉåwÉaÉÑhÉæ xÉqÉÈkÉÉiÉÑÍpÉÌuÉïaÉÑhÉɶÉÉÌmÉ xÉëÉåiÉxÉÉqÉç xÉ mÉëSÕwÉMüÈ//

• Aahara & Vihara which causes the SÉåwÉaÉÑhÉæxÉqÉÈ & kÉÉiÉÑÍpÉÌuÉïaÉÑhÉiÉ

will result in disease.

Page 12: Srotodusti In Swasa

Acc to the commentary,

SÉåwÉaÉÑhÉæxÉqÉÈ -

• Doshadi vardhakatvam darshayathiKsheenascha dosha na anya dushtim kurvanthi.

But it is told that it will produce its ksheena lakshanas.

kÉÉiÉÑÍpÉÌuÉïaÉÑhÉiÉ_

• kÉÉiÉÑ ÌuÉUÉåkÉMü xuÉpÉÉuÉ lÉ iÉÑ kÉÉiÉÑ ÌuÉmÉUÏiÉaÉÑhÉÉã ÌuÉmÉUÏiÉaÉÑhÉÉå ÌuÉaÉÑhÉçÈ

ÌSuÉxuÉmlÉ mÉëqÉåWûɱÉå ÌWû qÉåSxÉÉ xÉqÉÉlÉaÉÑhÉÉ LuÉ qÉåSÉåSÕwÉMü E£ü//

Page 13: Srotodusti In Swasa

µÉÉxɵÉÉxÉç mÉëÉhlÉå .....

mÉëÉhÉ uÉÉrÉÑExistance of life through

Any disturbance in the normal movement of vata results in swasa.

In ayurveda we consider it as a lakshana &.as a separate vyadhi.

Page 14: Srotodusti In Swasa

NIDANA:

UeÉxÉÉ kÉÔqÉuÉÉiÉÉprÉÉqÉç vÉÏiÉxjÉÉlÉÉqoÉÑxÉåuÉlÉÉiÉç……Ch/chik/17

It can be divided into :

1.MüTü mÉëMüÉåmÉMü AÉWûÉU:

Eg : aÉÑÂ , AÍpÉwrÉlS, vÉÏiÉmÉÉlÉÉvÉlÉ , ÌlÉwmÉÉuÉetc ..

Page 15: Srotodusti In Swasa

2. uÉÉiÉ mÉëMüÉåmÉ AÉWûÉU:ÌuɹèÇpÉÏ , Ã¤É etc….

3. AÉliÉËUMü ÌlÉSÉlÉ:

qÉsÉÉuÉUÉåkÉ , AÉqÉÌuÉwÉ , SÉæoÉïsrÉ, mÉëÉhÉ xÉëÉåiÉÉå ÌuÉMüÉU

urÉÉrÉÉqÉ , pÉÉU , AkuÉ, UeÉxÉç

4.oÉɽ MüÉUhÉ:

Page 16: Srotodusti In Swasa

5. xjÉÉÌlÉMü MüÉUhÉvÉÉåjÉ on particular vessels etc

6. µÉÉxÉ UÉåaÉ eÉlÉMü UÉåaÉ:

mÉÉhQÕû , AÉÌiÉxÉÉU , euÉU , NûÌSï , ¤ÉiÉ ¤ÉÏhÉ

Page 17: Srotodusti In Swasa

EipÉuÉ xjÉÉlÉ:MüTüuÉÉiÉÉiqÉMüÉuÉåiÉÉæ ÌmɨÉxjÉÉlÉxÉqÉÑipÉuÉÉæ

¾ØûSrÉxrÉ UxÉÉSÏlÉÉqÉç kÉÉiÉÔlÉqÉç cÉ EmÉvÉÉåwÉhÉÉæ//

ÌmɨÉxjÉÉlÉxÉqÉÑipÉuÉÉæ CirÉlÉålÉç ÌmɨÉxrÉ FkuÉïxjÉÉlÉxÉqoÉlkÉç LuÉ

lÉ iÉÑ uÉiÉMüTüuÉiÉç AÉUqpMüiuÉÍqÉÌiÉ SvrÉïÌiÉ ÌmɨÉxjÉlÉ vÉoSålÉ AÉqÉÉvrÉÉå AÍpÉmÉëåiÉÈ //

NOTE:

UTBHAVA STHANA OF SWASA IS AAMASAYA

Page 18: Srotodusti In Swasa

Kapha kara nidanas

Agni maandhyam

ama, ama visha

rasa dushti

Mala of rasa (kapha )

AVARODHA

Page 19: Srotodusti In Swasa

SAMANYA SAMPRAPTHI

qÉÉÂiÉÈ mÉëÉhÉuÉÉÌWûlÉÏ xÉëÉåiÉÉÎqxÉ AÌuÉvrÉç MÑümrÉÌiÉ …….

Ch/ch/17

Here it is clearly mentioned that pranavaha srotho dushti is occuring.ie the peculiar feature is prana uparodha or prana harana.

Page 20: Srotodusti In Swasa

VISHESHA SAMPRAPTHIIn Ca/ ci / 17

rÉSÉ xÉëÉåiÉÉÎqxÉ xÉqÉëÑkrÉç qÉÉÂiÉçÈMüTü mÉÔuÉïMüÈ

ÌuÉwuÉYuêeÉÌiÉ xÉqÉëÑkÉÉiÉç ……………

1. Kapha pradhana

2. Characterised by: a. obstruction due to kapha.

b. spreading of vata to other sites.

Page 21: Srotodusti In Swasa

Srothamsi means:

1. Pranavaha srothas 2. Udakavaha srothas

3. Annavaha srothas

It is told that dushti of these srotas occurs due to vitiated kapha & vata.

Page 22: Srotodusti In Swasa

Different acharyas view :Madhukosha commentary:

xÉëÉåiÉqxÉÏÌiÉ ÌWûYMüÉÌlÉÌSï¹mÉëÉhÉÉåSÉlÉuÉÉÌWûlÉÏ

MüTüÈmÉÔuÉïqÉç mÉëkÉÉlÉqÉç rÉxrÉ xÉ iÉjÉÉ //

Here srothas involved are Pranavaha srothas & Udanavaha srothas.

Page 23: Srotodusti In Swasa

ÌuÉWûÉrÉç mÉëM×üÌiÉqÉç uÉÉrÉÑ mÉëÉhÉÉã AjÉ MüTü xÉqrÉÑiÉÈ

µÉÉxÉrÉirÉÔkuÉïaÉÉå pÉÔiuÉÉ iÉqÉç µÉÉxÉ mÉËUcɤÉiÉå //

Su/ utt

Vitiated vayu along with kapha tries to move up causing difficulty in respiration & produces µÉÉxÉ .

Page 24: Srotodusti In Swasa

Acc to A .H/ Ni/ 4

MüTüÉåmÉÂkÉaÉqÉlÉÈ mÉuÉlÉÉå ÌuÉwuÉaÉÉÎxjÉiÉÈmÉëÉhÉÉåSMüɳÉuÉÉÌWûlÉÏ SÒ¹èÈ……

Acc to Hemadri:

aÉqÉlÉÈ_ ---- pathwayÌuÉwuÉaÉÉÎxjÉiÉÈ ------

xÉuÉïiÉÈ xuÉ qÉÉaÉïç ÌWûiuÉÉ AÌmÉ //xÉqÉliÉÉiÉç SåWûqÉç urÉÉmrÉqÉç ÎxjÉiÉÈ // Acc to sarvangasundari

Page 25: Srotodusti In Swasa

NIDANA SEVANAVATIKAM KAPHAJA

VATA DUSHTI KAPHA DUSHTI

VATA VIMARGAGAMANA

AGNI MANDHYAM

SWASANA KARMA BHADITAMAMA

KAPHA OBSTRUCTION

SWASAM

Page 26: Srotodusti In Swasa
Page 27: Srotodusti In Swasa

mÉëÉhÉuÉWûxÉëÉåiÉÉåSÒ̹

ÌlÉSÉlÉ

1. ¤ÉrÉ

2. xÉlkÉÉUhÉÉiÉç

3. äÉÉWûÉU xÉåuÉlÉ

4. urÉÉrÉÉqÉ

These nidana sevana will cause vata vriddhi.

Page 28: Srotodusti In Swasa

mÉëÉhÉuÉÉÌWûlÉÏÌiÉ mÉëÉhÉxÉq¥MüuÉÉiÉuÉWûÉlÉÉqÉçmÉëÉhÉÉZrÉ ÌuÉÍvɹxrÉ uÉÉrÉÉåÌuÉïÍvÉwOèxÉëÉåiÉÈ//

Pranavahasrothomula:

¾ÒûSrÉ

qÉWûÉxÉëÉåiÉxÉç

Pranavahasrothodushti lakshanas-

xÉ vÉoSvÉÔsÉqÉÑNèuÉxÉliÉqÉç......... which is clearly indicating swasa.

Page 29: Srotodusti In Swasa

ESMüuÉWûxÉëÉåiÉÉåSÒ̹

ÌlÉSÉlÉ

1. AÉæwhrÉÉiÉç

2. AÉqÉÉiÉç

3. pÉrÉÉiÉç

4. AÌiÉvÉÑwMüɳÉxÉåuÉlÉqÉç

Page 30: Srotodusti In Swasa

Srothodushtilakshanas

ÎeÉÀûÉ iÉÉsÉÑ AÉå¹è MühOû YsÉÉåqÉ vÉÉåwÉÈ, iÉ×whÉ

iÉ×whÉ In tamaka swasa

ÌuÉvÉÑwMüÉxrÉ

vÉÑwMü MühPûIn

maha swasa

Page 31: Srotodusti In Swasa

A³ÉuÉWûxÉëÉåiÉxÉçÌlÉSÉlÉ

1. AÌiÉqÉÉ§É pÉÉåeÉlÉ

2. AMüÉsÉ pÉÉåeÉlÉ

3. AÌWûiÉ pÉÉåeÉlÉ

4. AeÉÏhÉï

These nidana sevana will cause kapha aggravation

Page 32: Srotodusti In Swasa

Annavaha srotho mula sthana:

• amashaya.

The uthbhava sthana of swasa is amasaya so direct link with annavaha srothas.

The lakshanas like avipaka , arochaka,etc can be seen in swasa also.

Page 33: Srotodusti In Swasa

mÉëÉhÉÉåSMüɳuÉÉWûÉlÉÉqÉç SÒ¹ÉlÉÉqÉç µÉÉxÉMüР̢ürÉÉ //

Ca/vi/5

It means that for prana , udaka , Annavaha srothodushti same treatment is given as that of swasa.

Page 34: Srotodusti In Swasa

It is reported that :

PUREESHAVAHASROTHAS.

MUTRAVAHA SROTHAS.

RASAVAHASROTHAS.

Are involved in the pathology of swasa

These specific srothodushtilakshanas are clearly seen in some of the lakshanas of swasa

Page 35: Srotodusti In Swasa

5 TYPES OF SWASAM:

1. qÉWûÉ µÉÉxÉ

2. FkuÉï µÉÉxÉ

3. ÍNû³É µÉÉxÉ

4. iÉqÉMü µÉÉxÉ

5. ¤ÉÑSì µÉÉxÉ

Page 36: Srotodusti In Swasa

MAHA SWASA All the indriyas are affected.

mÉëlɹ¥ÉÉlÉ, ÌuÉpÉëÉliÉsÉÉåcÉlÉÉ, ÌuÉvÉÏhÉïçuÉÉMç

Which shows the SANGA IN PRANAVAHASROTAS.

oÉ®qÉÔ§ÉuÉcÉï _

Which shows the involvement of mutra & pureeshavaha srothas

Page 37: Srotodusti In Swasa

URDHVA SWASA

vsÉåwqÉÉÌuÉëiÉqÉÑZÉxÉëÉåiÉç ¢ÑükÉaÉlkÉuÉWûÉÌSïiÉÉ…….

Which indicates the kapha sanga & vimargagamana of vata

Vikruta aksha

Which shows pranavaha srotodushti.

Shushka aasya

Which shows udakavahasrotodushti.

Page 38: Srotodusti In Swasa

CHINNA SWASA

AÉlÉÉWû , mÉësÉÉmÉ , ÂMç , AÌSïiÉ

--- Which shows the vatavahasrotodushti.

mÉËUvÉÑwMüÉxrÉ

--- Which shows the udakavahasrothodushti.

Page 39: Srotodusti In Swasa

TAMAKA SWASA

Somewhat similar to bronchial asthma.

mÉëÌiÉsÉÉåqÉqÉç ÍxÉU…………. A.H NI/SWASA

Main srothodushti prakaras seen are kaphasanga & vayu vimargagamana.

Pratilomam-viparyaya kritva

Here vitiated vata pushes the obstructed kapha upwards thereby resulting in sirogreeva grahana & parsvapeeta.

Page 40: Srotodusti In Swasa

CHRONIC OBSTRUCTIVE PULMONARY DISEASEAS

Group of conditions which share a common symptom DYSPNEA

ETIOLOGY

Tobacco smoke ,air pollutants etc

GENERAL PATHOLOGY

chronic or reccurent obstruction to airflow within the lung

Page 41: Srotodusti In Swasa

It includes:

1. CHRONIC BRONCHITIS.

2. ASTHMA

3. EMPHYSEMA

4. SMALL AIRWAY DISEASE

COPD

Page 42: Srotodusti In Swasa

BRONCHITIS…

Page 43: Srotodusti In Swasa

Emphysema……

Page 44: Srotodusti In Swasa

ASTHMA

Etiological factors like climate ,food etc will cause the hyper responsiveness of the tracheo-bronchial tree .

MECHANISM:

Reflex irritation of vagal centre from nose, nasopharynx, bronchi.

Page 45: Srotodusti In Swasa

PATHOLOGY:

Constiction of involuntary muscles of bronchioles and bronchi.

Over production of mucus by bronchial glands.

Vascular turgescence of mucus membrane.

Page 46: Srotodusti In Swasa
Page 47: Srotodusti In Swasa

BIBLIOGRAPHY1. CHARAKA SAMHITA

2. SUSRUTA SAMHITA

3. ASHTANGA HRIDAYA

4. A CLINICAL STUDY ON SWASA

5. TEXTBOOK OF KAYACHIKITSA

6. MADHAVA NIDANA

7. TEXTBOOK ON ASTHMA

8. DAVIDSON’S TEXTBOOK OF PATHOLOGY

Page 48: Srotodusti In Swasa

Thank you……….