Asthma, Greek word means "panting". It is a common chronic inflammatory disease in wider population across countries these days. Certain herbs have the healing power to control Asthma.

1. Presented by
Dr. Sudhakar Kokate
Director PPRC, India

2. Asthma
 Ancient time known as “Shwasa” meaning
disease pertaining to breathing or respiration
 Asthma is a lung disease
 Elaborate description available from the earliest
times
PPRC/INDIA 01

3. Asthma
 Classification according to Ayurveda:
1. Kshudra shwasa
2. Maha shwasa
3. Urdhva shwasa
4. Chhinna shwasa
5. Tamak shwasa
PPRC/INDIA 02

4. Kshudra shwasa
 Because of vititation of air in the alimentary tract
 Not much pain involved & Easily curable
 Doesn’t interfere in food course or breathing
 Doesn’t disturb the sensory organs
 Not much harmful to the body as compared to other
types
 In allopath such conditions are grouped under
exertional dyspnoea
PPRC/INDIA 03

5. Maha shwasa
 Caused by disturbance in respiratory movement
of air
 Patient feels great obstruction in respiration
 Breathes without break with a very loud and
long stertore
 Voluntary control disappears, wheezing audible
sounds called as major dyspnoea in Ayurveda
PPRC/INDIA 04

6. Maha shwasa
 Patient looses all senses of understanding and
knowledge. Restless look in eyes, distorted voice
going into semi-comatose condition
 According to allopathy the wheezing sound is
similar to that of the heart, kidney and brain
disorders
PPRC/INDIA 05

7. Urdhva shwasa
 Expiration prolonged, insignificant inspiration
 Mouth and respiratory tract get obstructed with
cough
 Eyes turn upwards and restless
 Severe pain and person suffers from delusions
and senselessness
PPRC/INDIA 06

8. Urdhva shwasa
 According to Ayurveda this condition is harmful
 According to Allopathy, such condition is found
in pneumonia, lung abcesses, gangrene, acute
inflammation in lungs, epilepsy.
PPRC/INDIA 07

9. Chhinna shwasa
 Depressed breathing system
 Person breathes with great difficulty and full force with
interruption
 Person suffers from constipation, excessive sweating,
repeated fainting, burning and retention of urine, eyes
full of tears, unconsciousness, dry mouth
 According to allopathy this is interrupted respiratory
dyspnoea
PPRC/INDIA 08

10. Tamaka shwasa
 Two types: Pratamaka and Santamaka
 Febrile dyspnoea appears in a person with fever and
fainting
 Santamaka, cardiac asthma greatly aggravates during
night
 Person feels submerged in a sea of darkness
PPRC/INDIA 09

11. Asthma
 Chronic disease
 Long term disease that has no cure
 Asthma – Greek word “Panting” common
inflammatory disease
 Cause: Genetic and environmental factors
 2011…..235-330 million people suffered from
asthma world wide
PPRC/INDIA 10

12. Asthma
 250,000 – 345,000 people die every year
 Adult women suffer more than men
 Asthma affects:
 7% population in U.S.
 5% population in U.K., Canada, Australia
 14 – 15% population in New Zealand
PPRC/INDIA 11

13. History of Asthma
 Ancient Egypt – Asthma treated by drinking incense
mixture called ‘Kyphi’
 Hippocrates circa 450 B.C. – Greek word ‘Panting’
for this specific respiratory problem
 1873 – Pathophysiology of disease known
 1880 – Use of intravenous doses of ‘Pilocarpin’ for
treatment
PPRC/INDIA 12

14. History of Asthma
 1886 – Dr. F. H. Bosworth theorized relation
between asthma and hay fever
 1905 – Use of epinephrine for treatment
 1950 – Use of oral corticosteroids in treatment
 1960 – Wide use of inhaled corticosteroids
PPRC/INDIA 13

15. Practice parameters
 Allergy testing
 Anaphylaxis
 Drug allergy
 Food allergy
 Immunodeficiency
 Skin allergy
PPRC/INDIA 14

16. Asthma triggers
 Organic compounds
 Formaldehyde exposure
 Dust mites cockroaches
 Animal dander
 Mold
 Certain viral respiratory infections
 Respiratory syncytial
PPRC/INDIA 15

17. Asthma triggers
 Virus and rhinovirus
 Cigarette smoke, Pets, Aspirin
 Smoking during pregnancy
 Environmental chemicals
 Environmental pollution
 Traffic pollution
 High ozone levels
PPRC/INDIA 16

18. Symptoms
 Wheezing, shortness of breath
 Chest tightness, coughing
 Symptoms worse at night, early mornings
 Also exposure to cold air or triggers
PPRC/INDIA 17

19. Associated diseases
 Gastro oesophageal reflex disc
 Rhino sinusitis
 Obstructive sleep apnea
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20. Medicines for Asthma
Two types:
 Long term and quick relief
 Quick relief or rescue device nebulize 1-2
times / mouth
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21. Long term medicine
 Cromolyn
 Omalizumab (anti-Ig E)
 Beta 2 agonists
 Leukotriene modifiers
 Theophylline
PPRC/INDIA 20

22. Rescue medicine
 Beta 2 agonists
 Inhaled short acting
Rule: Quick relief medicines shouldn’t be used /
prescribed in place of long term control
medicines or medicines that doesn’t reduce
inflammation
PPRC/INDIA 21

23. PPRC/INDIA 22

24. Classification of drugs
Based on Mechanism of action
1
Bronchodilatory activity
2
Mast cell stabilizing activity
3
Anti-allergic activity
4
Anti-inflammatory activity
5
Inhibiting interleukins (ILs) biosynthesis
6
Inhibiting leukotrienes (LTs) biosynthesis
7
Inhibiting platelet activating factor
8
Ability to inhibit lipoxygenase
PPRC/INDIA 23

25. 1
Plants
having
Bronchodilatory activity
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26. Adhatoda vasica
PPRC/INDIA 25

27. Albizzia lebbeck
PPRC/INDIA 26

28. Ammi visnaga
PPRC/INDIA 27

29. Artemisia caerulescens
PPRC/INDIA 28

30. Belamcanda chinensis
PPRC/INDIA 29

31. Benincasa hispida
PPRC/INDIA 30

32. Cissampelos sympodialis
PPRC/INDIA 31

33. Clerodendron serratum
PPRC/INDIA 32

34. Coleus forskohlii
PPRC/INDIA 33

35. Elaeocarpus sphaericus
PPRC/INDIA 34

36. Galphimia glauca
PPRC/INDIA 35

37. Ocimum sanctum
PPRC/INDIA 36

38. Picrorhiza kurroa
PPRC/INDIA 37

39. Tylophora asthmatica
PPRC/INDIA 38

40. Vitex negundo
PPRC/INDIA 39

41. Rosmarinus officinalis
PPRC/INDIA 40

42. Curcuma longa
PPRC/INDIA 41

43. Drimys winteri
PPRC/INDIA 42

44. Ephedra sinica
PPRC/INDIA 43

45. Gleditsia sinensis Lam.
PPRC/INDIA 44

46. Caesalpinia bonduc
PPRC/INDIA 45

47. 2
Plants
having
Mast cell stabilizing
activity
PPRC/INDIA 46

48. Achyranthes aspera
PPRC/INDIA 47

49. Azadirachta indica
PPRC/INDIA 48

50. Bacopa monnieri
PPRC/INDIA 49

51. Drymaria cordata
PPRC/INDIA 50

52. Cassia alata
PPRC/INDIA 51

53. Citrus unshiu
PPRC/INDIA 52

54. Hi-chum s. glabrescence
PPRC/INDIA 53

55. 3
Plants
having
Anti-allergic activity
PPRC/INDIA 54

56. Desmodium adscendens
PPRC/INDIA 55

57. Solanum melongena
PPRC/INDIA 56

58. 4
Plants
having
Anti-inflammatory activity
PPRC/INDIA 57

59. Asystasia gangetica
PPRC/INDIA 58

60. Calotropis procera
PPRC/INDIA 59

61. Ocimum sanctum
PPRC/INDIA 60

62. Cinnamonum zelanicum
PPRC/INDIA 61

63. Ixora coccinea
PPRC/INDIA 62

64. Allium sativum
PPRC/INDIA 63

65. Glycyrrhiza glabra
PPRC/INDIA 64

66. Anacardium occidentale
PPRC/INDIA 65

67. Caesalpiniaceae bonducella
PPRC/INDIA 66

68. Morus indica
PPRC/INDIA 67

69. Curcuma amada
PPRC/INDIA 68

70. Cassia fistula
PPRC/INDIA 69

71. 5
Plants
inhibiting
Interleukins (ILs)
biosynthesis
PPRC/INDIA 70

72. Ganoderma tsugae
PPRC/INDIA 71

73. 6
Plants
inhibiting
Leukotrienes (LTs)
Biosynthesis
PPRC/INDIA 72

74. Nigella sativa
PPRC/INDIA 73

75. 7
Plants
inhibiting
Platelet-activating factor
PPRC/INDIA 74

76. Gingko biloba
PPRC/INDIA 75

77. 8
Plants
having ability to inhibit
Lipoxygenase
PPRC/INDIA 76

78. Allium cepa
PPRC/INDIA 77

79. Thank
You !!
“BE WITH US”