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Research Findings

 

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