NIDANA PARIVARJANA CHIKITSA IN TAMAKA SWASA VIS-À-VIS BRONCHIAL ASTHMA

Dr. Tejaswini L. N.*

Tamaka Swasa is one among the most prevalent respiratory disorders which requires considerable addressing. It is one among the five types of Swasa rogas, as mentioned in the classical texts of Ayurveda. The science of Ayurveda talks about the concept of Nidana panchaka, i.e., the 5 factors that contribute towards the manifestation of a roga. Among these 5 factors, the first and the most fundamental factor is the Nidana, the etiology. Understanding of the Nidana plays a vital role in diagnosis of the Vyadhi. Once the Vyadhi is diagnosed using the Nidana panchaka, Acharyas mention the treatment protocols among which, Nidana parivarjana (avoidance of exposure to the causative agents) is the primary line of action. In case of Tamaka Swasa, too, avoiding exposure to the causative factors plays a pivotal role in the process of both remedying as well as in avoiding the recurrence and also in reducing the risk of further aggravation. In the current lifestyle and environmental factors, there is a greater level of exposure to the Nidanas of tamka Swasa such as Raja-dhooma, megha-ambu-sheeta- pragVata etc and hence, doing the Samprapti Vighatana at the very initial stage, by adopting Nidana parivarjana, can help in effective and positive clinical changes, contributing to lesser chances of aggression. Causative factors such as Adhaaraneeya vega Dharana, Rukshakara Ahara Vihara, Kapha vardhaka Ahara Vihara sevana etc., need to be addressed and controlled as a part of the Nidana parivarjana line of treatment. This step towards Nidana parivarjana, can greatly help in the competent and skillful management of Tamaka Swasa, vis-à-vis Bronhial asthma.