Humble pranams at the lotus feet of AMMA…….

A Presentation by:

Parvathy Unnikrishnan2006 BATCH…….

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.

É

NIRUKTHI:

xÉëÑ + iÉÍxÉ kÉÉiÉÑ

Sravanath srothamsi……Ch/ Su

DEFINITION:

Srothamsi khalu parinamamapadyamananamDhathunam abhivahini bhavanthiayanarthena………..

Ch /Vi/ 5

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.

SYNONYMS OF SROTHAS :

Acc to charaka:

Sira ,dhamani ,rasayani etc…Ch/ Vi/ 5

Acc to Dalhana :

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

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.

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

SROTHODUSHTILAKSHANAS

AÌiÉmÉëuÉëÑꬃ xÉXçaÉÉå uÉÉ ÍxÉUÉhÉÉÇ aÉëljÉrÉÉå AÌmÉ uÉÉ…. Cha

/vi/ 5

AÌiÉmÉëuÉ×ͨÉ

xÉXçaÉç

ÌuÉqÉÉaÉïaÉqÉlÉqÉç

ÍxÉUÉ aÉëÎljÉ

GENERAL NIDANA

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

• Aahara & Vihara which causes the SÉåwÉaÉÑhÉæxÉqÉÈ & kÉÉiÉÑÍpÉÌuÉïaÉÑhÉiÉ

will result in disease.

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//

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.

NIDANA:

UeÉxÉÉ kÉÔqÉuÉÉiÉÉprÉÉqÉç vÉÏiÉxjÉÉlÉÉqoÉÑxÉåuÉlÉÉiÉç……Ch/chik/17

It can be divided into :

1.MüTü mÉëMüÉåmÉMü AÉWûÉU:

Eg : aÉÑÂ , AÍpÉwrÉlS, vÉÏiÉmÉÉlÉÉvÉlÉ , ÌlÉwmÉÉuÉetc ..

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

3. AÉliÉËUMü ÌlÉSÉlÉ:

qÉsÉÉuÉUÉåkÉ , AÉqÉÌuÉwÉ , SÉæoÉïsrÉ, mÉëÉhÉ xÉëÉåiÉÉå ÌuÉMüÉU

urÉÉrÉÉqÉ , pÉÉU , AkuÉ, UeÉxÉç

4.oÉɽ MüÉUhÉ:

5. xjÉÉÌlÉMü MüÉUhÉvÉÉåjÉ on particular vessels etc

6. µÉÉxÉ UÉåaÉ eÉlÉMü UÉåaÉ:

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

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

Kapha kara nidanas

Agni maandhyam

ama, ama visha

rasa dushti

Mala of rasa (kapha )

AVARODHA

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.

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.

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.

Different acharyas view :Madhukosha commentary:

xÉëÉåiÉqxÉÏÌiÉ ÌWûYMüÉÌlÉÌSï¹mÉëÉhÉÉåSÉlÉuÉÉÌWûlÉÏ

MüTüÈmÉÔuÉïqÉç mÉëkÉÉlÉqÉç rÉxrÉ xÉ iÉjÉÉ //

Here srothas involved are Pranavaha srothas & Udanavaha srothas.

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 .

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

NIDANA SEVANAVATIKAM KAPHAJA

VATA DUSHTI KAPHA DUSHTI

VATA VIMARGAGAMANA

AGNI MANDHYAM

SWASANA KARMA BHADITAMAMA

KAPHA OBSTRUCTION

SWASAM

mÉëÉhÉuÉWûxÉëÉåiÉÉåSÒ̹

ÌlÉSÉlÉ

1. ¤ÉrÉ

2. xÉlkÉÉUhÉÉiÉç

3. äÉÉWûÉU xÉåuÉlÉ

4. urÉÉrÉÉqÉ

These nidana sevana will cause vata vriddhi.

mÉëÉhÉuÉÉÌWûlÉÏÌiÉ mÉëÉhÉxÉq¥MüuÉÉiÉuÉWûÉlÉÉqÉçmÉëÉhÉÉZrÉ ÌuÉÍvɹxrÉ uÉÉrÉÉåÌuÉïÍvÉwOèxÉëÉåiÉÈ//

Pranavahasrothomula:

¾ÒûSrÉ

qÉWûÉxÉëÉåiÉxÉç

Pranavahasrothodushti lakshanas-

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

ESMüuÉWûxÉëÉåiÉÉåSÒ̹

ÌlÉSÉlÉ

1. AÉæwhrÉÉiÉç

2. AÉqÉÉiÉç

3. pÉrÉÉiÉç

4. AÌiÉvÉÑwMüɳÉxÉåuÉlÉqÉç

Srothodushtilakshanas

ÎeÉÀûÉ iÉÉsÉÑ AÉå¹è MühOû YsÉÉåqÉ vÉÉåwÉÈ, iÉ×whÉ

iÉ×whÉ In tamaka swasa

ÌuÉvÉÑwMüÉxrÉ

vÉÑwMü MühPûIn

maha swasa

A³ÉuÉWûxÉëÉåiÉxÉçÌlÉSÉlÉ

1. AÌiÉqÉÉ§É pÉÉåeÉlÉ

2. AMüÉsÉ pÉÉåeÉlÉ

3. AÌWûiÉ pÉÉåeÉlÉ

4. AeÉÏhÉï

These nidana sevana will cause kapha aggravation

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.

mÉëÉhÉÉåSMüɳuÉÉWûÉlÉÉqÉç SÒ¹ÉlÉÉqÉç µÉÉxÉMüР̢ürÉÉ //

Ca/vi/5

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

5 TYPES OF SWASAM:

1. qÉWûÉ µÉÉxÉ

2. FkuÉï µÉÉxÉ

3. ÍNû³É µÉÉxÉ

4. iÉqÉMü µÉÉxÉ

5. ¤ÉÑSì µÉÉxÉ

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

URDHVA SWASA

vsÉåwqÉÉÌuÉëiÉqÉÑZÉxÉëÉåiÉç ¢ÑükÉaÉlkÉuÉWûÉÌSïiÉÉ…….

Which indicates the kapha sanga & vimargagamana of vata

Vikruta aksha

Which shows pranavaha srotodushti.

Shushka aasya

Which shows udakavahasrotodushti.

CHINNA SWASA

AÉlÉÉWû , mÉësÉÉmÉ , ÂMç , AÌSïiÉ

--- Which shows the vatavahasrotodushti.

mÉËUvÉÑwMüÉxrÉ

--- Which shows the udakavahasrothodushti.

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.

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

It includes:

1. CHRONIC BRONCHITIS.

2. ASTHMA

3. EMPHYSEMA

4. SMALL AIRWAY DISEASE

COPD

BRONCHITIS…

Emphysema……

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.

PATHOLOGY:

Constiction of involuntary muscles of bronchioles and bronchi.

Over production of mucus by bronchial glands.

Vascular turgescence of mucus membrane.

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

Thank you……….