A randomised open labelled comparative clinical study to evaluate the efficacy of Vamana with Madhanaphala Dadhiyoga and Madhanaphala Yoga of Vamana in Tamaka Swasa vis-a-vis to Bronchial Asthma.

P G Scholar : Dr. Niti Laheru                                                                                        Guide : Prof. Prajwal Narayan                                                                                                                                                                              

Introduction: Tamaka Swasa, one among the 5 types of Swasa Roga. it is analogous with Bronchial Asthma having cardinal features of episodic attacks of breathlessness, tightness in the chest, wheezing, coughing and increased mucus production. Asthma attacks can begin suddenly and range from mild to life threatening as it may lead to swelling in the airways which prevents oxygen to reach the lungs and hence urgent medical attention becomes necessary. According to WHO report, 100-150 million of global populations are suffering from Bronchial Asthma, out of which 1/10th are Indians and the prevalence of Asthma is increasing everywhere Current estimates suggest that 339 million people worldwide suffer from Asthma and an additional 100 million may be diagnosed with Asthma by 2025. Also by the year 2020 Asthma along with Chronic Obstructive Pulmonary Disease will become the third leading cause of death. Acharya Charaka has mentioned that Tamaka Swasa is Kapha Vataja - Vikara and site of origin is Pittasthana. Other Acharyas have mentioned it as Kapha Pradhana Vyadhi. A critical review of relevant literature about, Tamaka Swasa will be done on the basis of available Ayurvedic text books, previous research works, Journals etc. Clinical study will be carried out in the form of detailed history and assessment of the treatment by preparing a special performance. 

Material and Methods: Total 30 patients of Tamaka Swasa will be enrolled in this study. Which will be divided in two groups. Group A (Trail group) will be treated with Madhanaphala Dadhiyoga. Group B will be treated with Madhanaphala yoga as a standard control. The raw  drugs and prepared product will be subjected to the standard analytical study protocol followed in the the institute for authencity of raw drugs and finished product. The duration of treatment will be of 16 days followed by the seven days follow-up. The treatment will also include deatails of Pathya- Apathya (Do’s and Don’ts of diet and regime). Subjective criteria will be used in current study for assessment purpose. 

Results and Discussion :The assessment of the treatment will be done based on clinical subsidence in the symptoms in terms of percentage and result will be categorized into Complete remission, markedly improved, moderately improved, mild improved and unchanged. Results will also be statistically analysed for the purpose of comparison of results of both the groups.