Therapeutic Management of Bronchial Asthma through Vamana and Dashamoola Haritaki Avaleha: A Case Study

Abstract

This case report details the management of Tamaka Shwasa (Bronchial Asthma) in a 36-year-old
male patient, a businessman by occupation, who presented with complaints of difficulty in
breathing, cough with sputum expectoration, generalized weakness, and chest tightness for the
past 10 years, which had worsened over the previous month. He had been previously diagnosed
with Bronchial Asthma and was on inhalers for management. The patient was treated with a
combination of Shodana therapy (Vamana Karma) administered during Vasantha Ritu, followed
by Dashamoola Haritaki Avaleha for 48 days. The diagnosis of Tamaka Shwasa was confirmed,
and the patient was monitored using the GINA scale. Assessments were performed through
both subjective and objective parameters. Subjective parameters included the Asthma Control
Questionnaire, while objective parameters involved Rhonchi, Respiratory Rate, Peak Flow Meter
readings, Total Leukocyte Count, and Absolute Eosinophil Count. Evaluations were conducted
at multiple stages: before treatment, immediately after Shodana, after 48 days of Avaleha
administration, and at 6 months. The intervention resulted in significant improvements in both
subjective and objective outcomes, indicating the potential of this integrative and seasonally
aligned Ayurvedic approach in the effective long-term management of Tamaka Shwasa.