Management

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MANAGEMENT 

Treatment (Chikitsa)

  • If patient is Obese / kapha dominant, the following treatment is advised

o    Aptarpan chikitsa

o    Drug induced vomiting (vaman)

o    Drug induced purgation (virechan)

o    Drugs

  • If patient is lean / vat dominant, the following treatment is advised

o    Santarpan chikitsa / nourishing treatment

o    Therapy that alleviates vat dosh

o    Drugs that restore vat balance

  • Any drug that restores Kapha and vat balance apart from being hot and carminative (Anulomak)  is to be used.
  • If symptoms indicating both kapha and vat imbalance are present then treatment of vat dosha imbalance should be administered prior to treating Kapha Dosha imbalance.
  • Patient should be massaged with oily preparation (sneh) that liquefies kapha and helps in its easy removal.
  • Snehan is followed by Sweat therapy, which liquefies kapha and opens up the channels.
  • Kapha, amashay and pranvaha srotas are interrelated in shwas rog. Vaman is considered best for stomach purification (Amashay Shuddhi).
  • If kapha remains stuck to the bronchial walls even after Vaman then medicated smoking is advised.
  • Drug induced purgation (Virechan) is advisable in shwas rog for restoring vat balance. The root place of vat is the large intestine and virechan causes normal expulsion of mala and vayu and purifies the large intestine.
  • Vaman and virechan waeakens the digestive power and therefore a proper diet plan is to be followed (Sansarjan karma).
  • Panchkarma therapy/Sanshodhan chikitsa (rejuvenating/ detoxifying/purification/cleansing therapy) that eradicates the cause is advisable only for obese or overweight patients.
  • In lean / Vat dominant patients, palliative treatment (Sanshaman chikitsa) and brihan (nourishing) diet  and drugs are used.
  • To break the disease forming process (chain of pathogenesis) drugs that increase appetite (Deepan) and drugs that facilitate digestion (Pachan) are recommended leading to proper formation of ras dhatu and restoration of kapha and vat balance.
  • Respiratory passage dilators (Srotovispharak) are used.