Bronchitis and Diabetes- the Ayurveda Perspective
Ayurveda indicates 3 Doshas- Vata, Pitta, and Kapha as the 3 basic physiological humours of the body. The Tridoshas circulate in the 13 anatomical units – Srotases (Channels of Circulation) of the body. The anatomical and physiological units of the body together make a compact human system of cells, tissues, organs and organ system. The anatomical and physiological functions of the body are governed by the metabolic fire- Agni. Agni, the digestive fire, represents the power of transformation in the physical body. Agni serves to convert food into various bodily constituents. This conversion takes place by three types of Agni working at three different levels in the body, resulting in 13 types of Agni: Jatharagni (The Digestive Fire) ; 2 – 8 Dhatwagni (Digestive Fire for the seven tissues) ; 9-13 (Digestive Fire for the primal elements) Bhutagnis. Disease management in Ayurveda involves addressing each of these components which are in their imbalanced state.
Cough- the Ayurveda Perspective
Cough in Ayurveda is viewed as the vitiated Prana-vayu adjoining Udana-vayu which further gets aggravated, takes an abnormal course through throat and mouth in association with other Doshas and expelled out abruptly, with a coughing sound comparable to that from a broken – bronze vessel.
Ayurveda points out both exogenous and endogenous causes for Kasa or Cough. The entry of fumes or smoke, dust particles (pollen, foreign bodies or some droplet infection), sudden physical exertion, excess consumption of dry food articles or aspiration of food articles into trachea or suppression of natural urges such as sneezing, cough, stools etc. are the causes for the development of Kasa Roga.
The condition of Cough according to Ayurveda is classified as Vataj, Pittaj, Kaphaj, Kshataj (secondary to wound in chest/lungs) and Kshayaj (depleting type, secondary to tuberculosis for e.g.).
Conditions like Hyper-acidity, Constipation, Dental diseases, and ear diseases, abdominal diseases such as chronic colitis are also the diseases in which cough may present as a reflex.
Chronic Bronchitis & Diabetes- the Connection in Ayurveda Science
Bronchitis in Ayurveda perspective is an accumulation of Kapha and Vata in the channels of Pranavaha Srotas. The accumulation of Kapha occurs due to a blockage in channels of Rasavaha Srotas which leads to an immature production of the metabolite of Rasa Dhatu in form of Kapha. This Kapha gets deposited in the susceptible/weak organ of the body like the bronchioles. The channel blockage of Rasa Dhatu leads to weak digestive fire and ultimately sluggish metabolism (Agni Mandyam). The vicious cycle of Agni and the Rasavaha Srotas continues which aggravates the production of Kapha. The Kapha keeps accumulating in the channels of Pranavaha Srotas. The Channel blockage of Rasavaha Srotas also leads to Vata Prakopa, which contributes to the bronchospasm in the condition of Bronchitis and leads to frequent bouts of cough. The Sushruta Samhita clearly advises that chronic bronchitis as a direct upadrava or complication of underlying prameha or diabetes is non-responsive to general line of kasa or bronchitis treatments since the underlying root cause of diabetes still remains.
Over a period of time, the weak Agni leads to vitiated Pitta. The vitiated Pitta sets in an inflammatory process in the bronchioles.
Dosha disturbances resulting in Kasa are relatively easy to treat with Vataja variant considered the easiest and Kaphaja variant the most difficult. Those of mixed Dosha pathology such as Ksataja type are more difficult. Ksaya Kasa is the most difficult of all. Ayurveda texts state that Kasa of any kind, if not treated properly can progress to Ksaya.
General Line Of Treatment For Bronchitis:
Vataja Kasa: Classical Ayurveda unctuous preparations to calm Vata
Pittaja Kasa: Moderate systemic purification alongwith Pitta reducing Ayurveda medicines
Kaphaja Kasa: Intensive systemic purification with strong Ayurveda expectorant medicines
Managing cough due to trauma requires referral to a medical specialist as the lung may be punctured. Until medical care can be administered, patients should take hemostatic herbs such as Vasa.
Cough associated with wasting disease are difficult to treat and careful management is required. Weak patients usually require toning to combat weight loss and increase strength. The dosage of the herbs is dependent upon the state of the patient’s Agni. Hence, dipanas to strengthen Agni are required.
Line of Treatment for Bronchitis + Diabetes + Other Co-morbidities:
A detailed, AyurVAID Protocols’ based assessment of the patient including current health & disease status, status of metabolism, past medical history, relevant lab investigations, shall lead to preparation of a Roga Samprapti chart that captures the aetio-pathogenesis (or many-causes to many-effects diagram) of all presenting health problems of the patient. Ayurveda enjoins the correction of the metabolism and reversal of the aetio-pathogenesis to its very root for a sustained cure.
The specific, personalized protocol for treatment with choice of medicines, and with supporting diet and lifestyle, shall be determined based on the systematic, face-to-face assessment by our physicians.
1. Sushruta Samhita, Nidan Sthana – 6/15
2. Charak Samhita, Chikitsa Sthana – 18/18-19
3. Sushruta Samhita, Uttar Tantra – 52/10
About AyurVAID Hospitals
AyurVAID Hospitals is the leader and pioneer in quality systems driven Ayurveda medical care.
AyurVAID specializes in the treatment of serious chronic and non-communicable diseases across the disease spectrum. AyurVAID is proud to be home to some of the most respected and experienced Ayurveda physicians in India who are not only experts in disease root cause diagnosis but also in carrying out the entire range of classical Ayurveda therapies(or chikitsa).
Rather than just treating the symptom, AyurVAID focuses on treating the root cause of the disease resulting in a lasting solution for your health problem. We achieve this through an end-to-end, NABH aligned, protocol- the AyurVAID protocol. With a total of 60 beds capacity across our three hospitals in Bangalore- Domlur & Ramamurthy Nagar, and in Cochin, AyurVAID is committed to offer quality in-patient and out-patient Ayurveda care to the local community. AyurVAID is today present at 4 locations (Domlur, Ramamurthy Nagar, Jayanagar, JP Nagar) in Bangalore and at 2 locations in Cochin (Kadavanthara and Aster Medcity). AyurVAID will soon begin its operations its first centre in North India- in the Kumaon Himalayas.AyurVAID Hospitals is a member of the preferred provider network (PPN) of major health insurance companies and/or their third party administrators (TPAs) for Ayurveda medical management on cashless basis. AyurVAID Hospitals, Domlur, Bangalore is also empaneled by CGHS for Ayurveda treatments to CGHS card holders.