Presumptive role of Bhagottar Gutika in the management of Tamaka Shwasa...

[Full title: Presumptive role of Bhagottar Gutika in the management of Tamaka Shwasa (Bronchial Asthma): A Hypothetical Study]

[[[ p. 1 ]]]

[[[ p. 2 ]]]

[Find the meaning and references behind the names: Sharma, Meenu, Mishra]

REVIEW ARTICLE July-Aug 2021 Journal of Ayurveda and Integrated Medical Sciences | July - Aug 2021 | Vol. 6 | Issue 4 165 Presumptive role of Bhagottar Gutika in the management of Tamaka Shwasa (Bronchial Asthma) : A Hypothetical Study Mishra Meenu 1 , Kushwaha Atal 2 , Shivhare Shwetal 3 1 Post Graduate Scholar, Dept. of Kayachikitsa, Pt. Khushilal Sharma Govt. (Auto.) Ayurveda College and Institute, Bhopal, Madhya Pradesh, India. 2 Post Graduate Scholar, Dept. of Samhita Siddhant, Pt. Khushilal Sharma Govt. (Auto.) Ayurveda College and Institute, Bhopal, Madhya Pradesh, India, 3 Reader, Department of Kayachikitsa, Pt. Khushilal Sharma Govt. (Auto.) Ayurveda College and Institute, Bhopal, Madhya Pradesh, India. I NTRODUCTION The increasing prevalence of allergy, asthma and COPD contributes to the overall burden of chronic disease in the community [1] In Ayurveda respiratory illness may be regarded as Shwasaroga and results Address for correspondence: Dr. Mishra Meenu Post Graduate Scholar, Dept. of Kayachikitsa, Pt. Khushilal Sharma Govt. (Auto.) Ayurveda College and Institute, Bhopal, Madhya Pradesh, India. E-mail: mishrameenu 654@gmail.com Submission Date: 17/07/2021 Accepted Date: 12/08/2021 Access this article online Quick Response Code Website: www.jaims.in Published by Maharshi Charaka Ayurveda Organization, Vijayapur, Karnataka (Regd) under the license CCby-NC-SA due to vitiated Kapha and Vata Dosha , which produce obstruction in Pranavahasrotas. [2] Now days Shwasaroga is one of the major diseases that causes more medical emergencies. There are mainly five types of Shwasaroga which are Mahashwasa, Urdhashwasa, Chhinashwasa, Kshudrashwasa and Tamakshwasa . As stated by Acharya Charak , there are many diseases which are fatal, but Shwasa and Hikka acquire the top position while concerning Sadyapranahara or Ashukaripranaharavyadhi. [3] This disease can occur at any stage of life right from pediatric group to geriatric group. Tamaka Shwasa as a disease entity in its sign and symptoms, prognosis and treatment can be correlated with bronchial asthma in modern parlance. Bronchial asthma as defined by WHO “It is characterised by recurrent attacks of breathlessness and wheezing usually of allergic origin, which vary in severity from person to A B S T R A C T Bronchial asthma is one of the commonest repiratory disorders prevalent all over thr world. It is more common in industrialised countries and effects 5% of the population. It affects all age groups and mortality rate is increasing rapidly in past few years. The word asthma derived from a Greek word meaning ‘gasp for breath ’. Since 20 th centuary it was seen as a unique illness characterized by ‘spasmodic afflictions of the bronchial tubes’. Its heterogenous pathophysiology shows transient increase in resistance of airways, reduction in forced expiratory capacities, Hyperinflation of lungs and increased load of breathing. In Ayurveda bronchial asthma shows resemblance with Tamaka Shwasa a type of Shwasaroga. Today asthma is introducing as a chronic inflammatory disease of airways and pathophysiology of this disease is unclarified yet. Inspite of unmatched growth and developments in contemporary world, there is still no such ideal drug which can control asthma and its complications completely. Hence to develop safer and more effective drug, a hypothetical study has been planned using a herbomineral formulation prepared in the form of Gutika i.e Bhagottar Gutika. The article reviews each ingredient of the formulation parallely with symptomology of asthma and also assesses the effects of this formulation in encountering basic pathology of the disease. Key words: Bronchial Asthma, Bhagotar Gutika, Tamaka Shwasa.

[[[ p. 3 ]]]

[Find the meaning and references behind the names: Long, Madhu, Gina, Honey]

Mishra Meenu et al. Presumptive role of Bhagottar Gutika in Tamaka Shwasa (Bronchial Asthma) ISSN: 2456-3110 REVIEW ARTICLE July-Aug 2021 Journal of Ayurveda and Integrated Medical Sciences | July - Aug 2021 | Vol. 6 | Issue 4 166 person. Asthmatic attack manifests with airway constriction, periodic episodes of gasping, wheezing, chest tightness and coughing” [4] Bronchial asthma is one of the commonest respiratory disorders. WHO estimates that 300 million people currently are suffering from bronchial asthma. In India prevalence of asthma has been found to be 15-20 million people. Prevalence of asthma is more in urban areas than rural areas due to smoke, pollution and environmental factors [5] The current GINA guidelines [6] reported that the prevalence of bronchial asthma is estimated to be 1% to 18%. Management of Bronchial asthma as per contemporary treatment modalities include use of bronchodilators, corticosteroid, anticholinergics and several others having long term side effects and dose dependency. This shows that need of search of some alternative medicine is highly desirable. Tamaka Shwasa has an important place in relation to treatment and management as it is termed as Yapya [7] i.e., Palliative. Thus, the present Hypothetical study has been planned to explore the probable mode of action and aware about medicinal properties of Bhagottar Gutika in the management of Tamaka Shwasa (Bronchial Ashtma). A IM AND O BJECTIVES 1 To describe hypothetical role of Bhagottar Gutika in the management of Tamaka Shwasa (Bronchial Asthma). 2 To aware about medicinal properties of Bhagottar Gutika . 3 To encourage the use of Bhagottar Gutika in the management of Tamaka Shwasa (Bronchial Asthma). M ATERIALS AND M ETHODS For this hypothetical study Ayurveda Samhitas like Charaka Samhita, Sushruta Samhita, Bhaishajyaratnavali etc, authentic publications, internet and modern medical literature have been reviewed Drug Review Classical reference of BhagottarGutika is mentioned in Kasa Chikitsa Prakaran of Bhaishajyaratnavali [8] Table 1: Showing the ingredients of Bhagottar Gutika ( B.R. 15/127-129) SN Drug English/Botanical Name Quantity Parts used 1. Shuddha Parada Purified Mercury 2 g - 2. Shuddha Gandhaka Purified Sulphur 4 g - 3. Pippapli Churna Piper longum 6 g Phala (fruit) 4. Haritaki Churna Terminalia chebula 8 g Phala (fruit) 5. Bhibitaki Churna Terminalia bellirica 10 g Phala (fruit) 6. Vasa Churna Adhatoda vasica 12 g Moola (root) 7. BharangiChurna Clerodendrum serratum 14 g Moola (root) 8. Babbula Acacia Arabica QS Twak (bark) 9. Madhu Honey QS - Method of Preparation Get the materials in the quantity which is given in table no. 1. First of all prepare Kajjali out of purified Parada and Gandhaka and mix rest of the materials into it. Triturate the recipe properly. Take decoction of Babbula bark. Process the recipe through the Bhavana method along with decoction for 21 consecutive times and finally mortar the same by adding honey to it. Prepare pills in doses of 1 gm each. Indications In Kasa (bronchitis) and Shwasa Roga (Bronchial Asthma). Method of Administration Consume one pill (1 gm) with 250 mg of powder of Pippali and same quantity of decoction of smaller Kantakari ( Solanum Surattense ) .

[[[ p. 4 ]]]

[Find the meaning and references behind the names: Raja, Guna, Guru, Rasa, Ama, Babbu, Aya]

Mishra Meenu et al. Presumptive role of Bhagottar Gutika in Tamaka Shwasa (Bronchial Asthma) ISSN: 2456-3110 REVIEW ARTICLE July-Aug 2021 Journal of Ayurveda and Integrated Medical Sciences | July - Aug 2021 | Vol. 6 | Issue 4 167 Table 2: Showing the Rasapanchaka of Bhagottar Gutika [9] S N Drug Guna Rasa Vipak a Virya Dosha Karma 1. Pippali Laghu, Snigdh a, Teeksh na Katu Madh ura Anush na Sheet a Kaphavatasha maka 2. Harita ki Laghu, Ruksh a Panchrasa Madh ura Ushna Tridoshahara 3. Bhibit aki Laghu, Ruksh a Kashaya Madh ura Ushna Tridoshahara 4. Vasa Laghu, Ruksh a Tikta,Kash aya Katu Sheet a Kaphapittasha maka 5. Bhara ngi Laghu, Ruksh a Tikta, Katu Katu Ushna Kaphavatasha maka 6. Babbu la Guru, Ruksh a Kashaya Katu Sheet a Kaphavatasha maka Discussion on Samprapti (Pathogenesis) of Tamaka Shwasa (Bronchial Asthma) The clinical presentation of Bronchial Asthma shows resemblance with Tamaka Shwasa . The Samprapti (Pathogenesis) of Tamaka Shwasa (Bronchial Asthma) has described in given illustration no. 1. Illustration 1: Showing the schematic representation of Samprati [10] Nidana Sevana : Raja, Dhuma, Prag-Vatasevana, Marmaghata, Vata-Kapha Prakopaka Ahara Vihara etc. ↓ Sanchayavastha : Sanchaya of Vata occurs in Pranavaha Srotas and that of Kapha in Uras ↓ Prakopavastha : Sheeta Kaala and Durdina etc.will provoke the Sanchita Doshas. As a result, the Vata Dosha in Pranavaha Srotas and Kapha in Uras tries to move to other places ↓ Prasaravastha : vitiated Doshas hampers the Agni and causes Agnimandya and in turn produces Ama . Both Vata and Kapha begins to move all over their Aashaya ↓ Sthanasanshrayavastha : the aggravated Dosha i.e. Vata and Kapha are moving all over the body, as well in Pranavaha Srotas , will lead to the Kha- Vaigunyatha . There will be obstruction to the movement of Vata and as a result of this, prodromal features of the disease are manifested ↓ Vyaktavastha : Prakupita Vata which is obstructed by Kapha will attain Pratiloma Gati, results in Vimarga Gamana of Kapha from Annavaha and Udakavaha Srotas. Peenasa and Ghurghuraka etc. symptoms manifests ↓ Bhedavastha : in the absence of proper treatment there will be permanent changes in the Srotas resulting in complications ( Deerghakaala Anubhandhatwa ). Discussion on probable mode of action of Bhagottar Gutika To counteract symptoms of Tamaka Shwasa , Bhagottar Gutika has specific role through its Rasapanchaka and pharmacological properties and also has been recommended in Kasa and Shwasa Roga . Different research articles have proved the antibacterial, anti-inflammatory and immunomodulatory effects of Bhagottar Gutika. [11,12] The probable mode of action of Bhagottar Gutika has described in given illustration no. 2.

[[[ p. 5 ]]]

[Find the meaning and references behind the names: Bala, Ian]

Mishra Meenu et al. Presumptive role of Bhagottar Gutika in Tamaka Shwasa (Bronchial Asthma) ISSN: 2456-3110 REVIEW ARTICLE July-Aug 2021 Journal of Ayurveda and Integrated Medical Sciences | July - Aug 2021 | Vol. 6 | Issue 4 168 Illustration 2: Showing the schematic representation of Samprapti Vightana Nidana Sevana : Nidana Parivarjana ↓ Sanchayavastha : Bhagottar Gutika contents have Katu-Tikta-Kashaya Rasa and Laghu-Ushna-Ruksha Guna . All these are having opposite to that of Kapha Dosha so helps in alleviation of Kapha . Once this Kapha is alleviated then Avarana of Vayu gets removed. Vayu travels through its own path leading to relief in Shwasakashtata (dyspnoea) ↓ Prakopavastha : Gandhaka, Haritaki and Bhibitaki have Virechaka [ 13,14] (purgative) effect thus it helps in Vatanulomana & also eliminates the Kapha Dosha from the body ↓ Prasaravastha : Pippali has Deepana-Pachana properties which improves the status of Agni, subsequently prevents Ama formation and vitiation of Doshas. It also prevents further vitiation of Kapha by preventing the formation of Rasamala Kapha. ↓ Sthanasanshrayavastha : Ushna Veerya counteracts on Sheeta Guna of Vata & Kapha Doshas. It also has Kaphavatahara property which is most essential in treating this disease Ushna Veerya and Ruksha Guna remove the obstrution of Vata and Kapha, by this relief in prodromal symptomsof Tamaka Shwasa. ↓ Vyaktavastha : The Vata-Kaphahara properties of Vasa and Bharangi relieve the Margavarodha & helps in Vatanulomana , leading to Prakruta Shwasa Gati and Ushna Veerya liquefies Malaroopi Kapha & relieves Kasa. When the Margavarodha gets cleared by drugs it leads to Prakruta Shwasa Karma . When Shwasakashtata and Kasa get relieved by the drugs it leads to gradual relief from Parshwashoola . ↓ Bhedavastha : By Snigdha Guna of Pippali, Madhura Vipaka of Pippali, Haritaki & Bhibitaki and Rasayana [ 15] effect of Pippali, Haritaki, Bhibitaki & Vasa help to increase Bala of patients (Brinhana Karma). CONCLUSION On the basis of above discussion it can be concluded that Bhagottar Gutika has potential to counteracts the symptoms of Tamaka Shwasa (Bronchial Asthma) such as Shwasakashtata (dyspnoea), Kasa (cough), Kaphashtivana (expectoration), Ghurghurak (wheezing), Bhrama (dizziness), Anidra (sleeplessness) and weakness due to periodicity of asthmatic attacks by Katu-Tikta Rasa, Katu-Madhura Vipaka, Ushna Virya , Virechaka & Rasayan Prabhava , anti-bacterial, anti-inflammatory and immunomodulatory effects. REFERENCES 1 H Ralston Stuart, D Penman Ian et al. Davidson's Principles and Practice of Medicine, 23 rd edition 2018, Ch.17, Page no.548 2 Shastri Kashinath & Chaturvedi Gourakha Nath. Charak Samhita of Agnivesh, revised by Charak and Dridhbala, Part-2, Chaukhambha Sanskrit Sansthan, Varanasi. Reprint 2017; Chikitsasthana 17, verse 8, Page no.509. 3 Shastri Kashinath & Chaturvedi Gourakha Nath. Charak Samhita of Agnivesh, revised by Charak and Dridhbala, Part-2. Chaukhambha Sanskrit Sansthan, Varanasi. Reprint 2017; Chikitsasthana 17, verse 68-69, Page no.518. 4 https://www.who.int/news-room/factsheets/detail/asthma 3 May 2021 5 Global burden of diseases study. Global asthma report, 2014. 6 https://ginasthma.org/gina-report/30 july 2021 7 Shastri Kashinath & Chaturvedi Gourakha Nath. Charak Samhita of Agnivesh, revised by Charak and Dridhbala, Part-2, Chaukhambha Sanskrit Sansthan, Varanasi. Reprint 2017; Chikitsasthana 17, verse 62, Page no.516. 8 Shastri Kaviraj Ambikadatta. Bhaisajyaratnavali, Vidhyotini Hindi Commentry. Chaukhamba Sanskrit

[[[ p. 6 ]]]

[Find the meaning and references behind the names: Krishna, Nil, Med, Nia]

Mishra Meenu et al. Presumptive role of Bhagottar Gutika in Tamaka Shwasa (Bronchial Asthma) ISSN: 2456-3110 REVIEW ARTICLE July-Aug 2021 Journal of Ayurveda and Integrated Medical Sciences | July - Aug 2021 | Vol. 6 | Issue 4 169 Sansthan, Varanasi. 16 th edition, Vol-1, 2002, Kasa Chikitsa Prakaran Chp.15, verse 127-129, Page no.855- 856. 9 Sharma PV. Dravyaguna Vigyana, Vol. 2, Chaukhambha Bharti Academy, Varanasi. Reprint, 2012, Page no. 239,275,241,298,474 & 753. 10 Shastri Kashinath & Chaturvedi Gourakha Nath. Charak Samhita of Agnivesh, revised by Charak and Dridhbala, Part-2, Chaukhambha Sanskrit Sansthan, Varanasi. Reprint 2017; Chikitsasthana 17, verse 55-61, Page no.517. 11 Kulbhushan Sharma. Pharmaceutico-Analytital and Antimicrobial study of Bhagottar Gudika, NIA 2017 12 Krishna M Ekabote et al. Anti-Microbial Study of Bhagottar Gutika, 10.21760/JAIMS.V 3 i 4.13287, JAIMS, 2018, July-Aug, Pg 79-84 13 JW Meller. A Comprehensive Treatise on Inorganic and Theoretical Chemistry chp. 10, pg 144 14 Chattopadhyaya RR, Bhattacharyya SK. Plant Review Terminalia chebula and Terminalia bellirica. Pharmacogonos. Rev. 2007.23: 145-15 15 Shastri Kashinath & Chaturvedi Gourakha Nath. Charak Samhita of Agnivesh, revised by Charak and Dridhbala, Part-2, Chaukhambha Sanskrit Sansthan, Varanasi. Reprint 2017; Chikitsasthana 1/1, verse 29, Page no.10 ******************************* How to cite this article: Mishra Meenu, Kushwaha Atal, Shivhare Shwetal. Presumptive role of Bhagottar Gutika in the management of Tamaka Shwasa (Bronchial Asthma) : A Hypothetical Study. J Ayurveda Integr Med Sci 2021;4:165-169. Source of Support: Nil, Conflict of Interest: None declared. Copyright © 2021 The Author(s); Published by Maharshi Charaka Ayurveda Organization, Vijayapur (Regd). This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc-sa/4.0), which permits unrestricted use, distribution, and perform the work and make derivative works based on it only for non-commercial purposes, provided the original work is properly cited

Other Health Sciences Concepts:

[back to top]

Discover the significance of concepts within the article: ‘Presumptive role of Bhagottar Gutika in the management of Tamaka Shwasa...’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:

Agni, Ayurveda, Vata, Kapha, Madhu, Ama, Kasa, Vasa, Haritaki, Pippali, Samprapti, Babbula, Ushnavirya, Bhrama, Anidra, Vatanulomana, Bhaishajyaratnavali, Haritakichurna, Shuddhaparada, Shuddhagandhaka, Vatadosha, Kaphadosha, Margavarodha, Bronchial asthma, Chronic disease, Medicinal properties, Purified sulphur, Purified mercury, Alternative medicine, Mode of action, Kasa (cough), Kasacikitsa, Rasa-panchaka, Herbo-mineral formulation, Anti-inflammatory, Nidana Sevana, Acharya Charak, Deepana Pachana, Tamaka Shwasa, Katu-Tikta Rasa, Rasapanchaka, Immunomodulatory, Pippali churna, Shwasa Roga, Ruksha Guna, Pratiloma Gati, Shwasaroga, Pranavahasrotas, Respiratory disorder, SHWASAKASHTATA, Modern parlance.