Category: COPD

Chronic Obstructive Pulmonary Disease (COPD) Treatment in Ayurveda

introduction

COPD is a chronic inflammatory disease that can cause obstructed airflow from the lungs.Chronic Obstructive Pulmonary Disease is commonly referred to as a group of lung diseases. The most common are emphysema and bronchitis. It is a progressive disease which means the disease gets worse over time. COPD is generally characterized by increased breathlessness. It is caused by prolonged exposure to certain gases and particles. The main symptoms include breathing difficulty, cough and wheezing (whistling sound).Emphysema is a condition in which the alveoli at the end of air passages are damaged due to continuous exposure to cigarette smoking or certain gases. Bronchitis is the inflammation of bronchioles. Bronchioles are the airways that carry oxygen to the lungs. It causes breathlessness, cough and chest tightness.

COPD is more common in females (56%) than in males (44%). (REF. COPD NATIONAL ACTION PLAN)

Chronic Obstructive Pulmonary Disease (COPD)

COPD is lung disease which is characterized by chronic inflammation of airflow that interferes with normal breathing and is not fully reversible. Emphysema and bronchitis are included under COPD.

AYURVEDA ASPECT OF COPD

(Reference: Charak Chiktsa Sathan)

In Ayurveda, COPD is considered under shwaas rog (श्वास रोग).COPD is a disease of pranavaha srotas. When there is an increase in kapha (mainly kapha) and vata in the body, it spreads throughout the body and causes COPD.

In Ayurveda there are five types of shwaas:

  1. Mahashwaas (Vata dosh)
  2. Urdhvashwaas (Vata)
  3. Tamak Shwaas(Kapha Vata)
  4. Partamak Shwaas (Kapha)
  5. Shudra shwaas (Vata)

TYPES- Following diseases are included under COPD

  1. Emphysema
  2. Bronchitis

It is a chronic disease that is not communicable and affects the lungs.
Males who smoke are more prone to this disease. It can occur to any age group.

SPIROMETRY AND STAGES OF COPD-

FVC (FORCED VITAL CAPACITY)-This is the largest amount of air you can breathe out after breathing in as deeply as you can.

FVC (FORCED VITAL CAPACITY)-This is the largest amount of air you can breathe out after breathing in as deeply as you can.

STAGES OF COPD

COPD is categorized under following categories

  1. Mild
  2. Moderate
  3. Severe
  4. Very Severe

1. Mild (STAGE 1)—There may be no symptoms or shortness of breath during brisk walking or climbing a hill or climbing stairs. .

2. MODERATE (STAGE2)-In this stage if you are walking on level ground, you have to stop every few minutes to catch your breath.

3. SEVERE (STAGE-3)-In this stage there is shortness of breath even doing little things like dressing and undressing.

4. VERY SEVERE (STAGE 4)-There is difficulty in breathing even during rest along with chest tightness.

MAIN CAUSES OF COPD

  1. Tobacco smoking- The main cause of COPD is tobacco smoking.
  2. Secondhand smoke-Even if you are not a smoker you can get COPD if you are living with a smoker.
  3. Asthma- If you have asthma and you are not taking any treatment, it can lead to COPD..
  4. Pollution-You can get COPD if you have continued exposure to harmful gases and toxic substances.

SYMPTOMS OF THE DISEASE

  1. Shortness of breath especially during physical activity
  2. Wheezing
  3. Chest tightness
  4. A chronic cough can lead to mucus which may be white, yellow, or greenish
  5. Frequent respiratory infections

SEVERE SYMPTOMS

  1. Swelling at extremities
  2. Bluish discoloration of the skin (cyanosis)
  3. Rapid breathing
  4. Acute chest discomfort
  5. Diffuse breath sounds

MAIN RISK FACTORS

People who smoke tobacco are at the highest risk of COPD. Other risk factors include secondhand smoke (you are not a smoker but you are living with a smoker), exposure to toxic substances and gases. There is a genetic factor called alpha-1 antitrypsin that places a small percentage(1%) of people at higher risk for COPD because a protective factor ( alpha 1 antitrypsin)for lung elasticity is decreased or almost absent.

Other factors which may lead to COPD are mentioned

  1. Connective tissue disorders
  2. Immune deficiencies disorders
  3. Vasculitis syndromes

DIAGNOSIS OF THE DISEASE

The preliminary criteria to diagnose COPD in an affected person is given below

  1. By brief history
  2. By breathing history
  3. By history of tobacco smoking
  4. By history of exposure to chemicals and toxic gases

LAB INVESTIGATIONS TO DIAGNOSE COPD

Pulmonary function test

PFT tests can detect the problem even before appearing the symptoms. This includes the spirometry test and lung volume tests.

Sputum examination

A sputum sample is taken to check the disease. The presence of bacteria in the sample confirms the COPD.

  1. Pulse oximetry- the amount of oxygen in the blood is measured with the help of a small device that is attached to your fingertips.
  2. Chest x-rays
  3. CT scan of lungs (computerized tomography)
  4. Arterial blood gas (abgs) or pulse oximeter to look for oxygen saturation rate in the patient’s blood.

COPD TREATMENT IN AYURVEDA

COPD Treatment in Ayurveda

COPD Treatment in Ayurveda

AYURVEDA ASPECT OF COPD

COPD Treatment in Ayurveda

(Reference: Charak Chikitsa Sathan)

According to Ayurveda COPD treatment includes:

1. Nidan Parivarjan

  • Nidan Parivarjan is to avoid the known disease-causing factors in the diet and lifestyle of the patient.
  • Avoid tobacco smoking
  • Avoid exposure to pollution, chemical substances, and toxic gases.
  • Avoid second-hand smoke (living with people who smokes)

2. Shodhan Chikitsa

  • Shodhan Chikitsa means the elimination of toxins from the body by performing panchakarma. According to Ayurveda COPD occurs due to an increase of Vata and Kapha in the body (as there are three doshas in the body which include Vata, pitta, and Kapha and imbalance in these three doshas lead to diseases).
  • Sweden (Steaming)-Rock salt and sesame oil steam are used to pacify Kapha dosha.
  • Snehan-after snehan, medicated ghee is given to the patient. Snehan is given to initiate Vamana karma (emesis) in patients. Virechana is given in Tamak shwas.
  • Doompan (Ayurveda herbal smoking)-to To completely remove excess Kapha dosha in body herbal smoking is given to the patient.

3. Shaman Chikitsa

Shaman Chikitsa includes the removal of toxins by consuming oral medicines.

BEST HERBS USED IN COPD

  • Curcumin (Curcuma longa) – Curcumin has anti-inflammatory and antioxidant properties
  • Tulsi (Ocimum sanctum)-It is anti-inflammatory.
  • Shunthi (Zingiber officinale)-It breaks down mucus, increases circulation in the lungs. It is anti-inflammatory.

PRODUCTS OF PLANET AYURVEDA

  1. Curcumin capsules– 2 capsules daily twice with water after meals.
  2. Tulsi capsules-1 capsules daily twice with water after meals.
  3. Praanrakshak churna– 1 teaspoon twice daily with water or honey after meals.
  4. Kaas-har churna-1 teaspoon twice daily with water or honey after meals.
  5. Vasaka capsules-2 capsules daily twice with water after meals.

DIET AND LIFESTYLE

Dietary habits play a huge role in the treatment of COPD. It is very important in COPD to follow a healthy diet.

FOOD TO AVOID

  1. Curd
  2. Cheese
  3. Buttermilk
  4. Ice cream
  5. All fried foods
  6. Carbonated soft drinks
  7. Citrus fruits

FOOD TO TAKE

  1. Potassium-rich foods like avocado, dark leafy vegetables, potato, tomato, banana, oranges.
  2. Peas, beans, oats.

Yoga–Yoga is very beneficial for COPD patients. Following yoga, asanas can help in the improvement of COPD.

  1. Standing mountain pose
  2. Standing backbend
  3. Pranayama

References

https://www.nhlbi.nih.gov/sites/default/files/media/docs/COPD%20national%20action%20plan%20508_0.pdf

How to Treat Chronic Obstructive Pulmonary Disease (COPD) in Ayurveda ?

COPD is a term used for a group of lung conditions that results in breathing difficulties. It includes emphysema, chronic bronchitis and bronchiectasis. It is characterized by obstructed airflow from the lungs resulting in breathlessness. COPD has become one of the leading cause of deaths worldwide.

copd

What are the Signs and Symptoms of COPD?

Coughing and shortness of breath may be easily thought as a normal part of the aging process or some common flu but it can be signs and symptoms of COPD. This why it is important to talk about it to your doctor.

  • Difficulty in breathing.
  • Frequent coughing.
  • Wheezing
  • Tightness in the chest
  • Fatigue
  • Frequent respiratory tract infections.
  • Cyanosis, i.e. bluish discoloration of lips and nail beds.
  • Weight loss
  • Loss of appetite.
  • Anxiety

What are the Types of COPD?

1. Emphysema

In this condition, tiny air sacs, i.e. alveoli of the lungs are damaged due to inflammation and scarring. Lungs lose their elasticity resulting in air trapping.

2. Chronic bronchitis

There is inflammation of airways for a considerable time causing scarring and thickening of lungs. It results in increased formation of mucus which fills the airways causing difficulty in breathing.

3. Bronchiectasis

In this conditions dilatation of airways occurs due to recurrent respiratory infections. Recurrent infections cause inflammation and increased mucus production.

What are the Causes of COPD?

It is mostly caused due to inhaling pollutants or tobacco smoking.

  • Cigarette smoking.
  • Exposure to chemicals due to the occupation.
  • Air pollution either indoor or outdoor.
  • In rare cases genetic disorder known as alpha-1-antitrypsin deficiency (AAT-deficiency). In this type of case, a person who has never been exposed to smoke or other pollutants can suffer from COPD.

How to Diagnose COPD?

  • Complete history and physical examination of the patient is a must.
  • Pulmonary function tests, specifically spirometry test. Spirometry is a non-invasive test which is used to diagnose COPD.
  • Blood tests including CBC, Hb level.
  • Chest X-ray.
  • Screening of AAT deficiency.

Why it is Important to get Tested for Chronic Obstructive Pulmonary Disease?

If symptoms of COPD are left untreated, undertreated or misdiagnosed can result in worsening the disease and condition of the patient.

How can COPD be Treated?

In the conventional system of medicine there is no proper treatment of COPD. Treatment includes medications, oxygen therapy, pulmonary rehabilitation, pneumonia vaccine and lung surgery or airways clearance techniques. However, all these methods of treatment have many side-effects.

What is the Ayurvedic concept of COPD?

According to Ayurveda COPD is caused due to vitiated Prana Vayu. Kapha dosha obstructs the normal movement of vayu. It changes the normal direction of flow of air. As air is not able to perform its normal functions hence resulting breathing problems.

How can Ayurveda help in Treating COPD?

Ayurveda can help in two ways, i.e. management and cure of the disease.

  • Management of the disease and maintain health which in Ayurveda is called Swasthasya swasthya rakshanam. It is done in the following ways
  • Keep home clean and dust free. Remove molds and mildew from sinks and bathroom.
  • Avoid going to crowdy places when flu season is at peak.
  • Wash hands often and avoids exposure to cold air.
  • Go for morning walk daily.
  • Do not suppress natural urges like urination, defecation, flatus, sneezing, vomiting, sneezing, eructation’s, thirst, hunger, tears, and sleep.
  • Take nutritious food and in moderate amount. Do not overeat or under eat.

Cure of the Disease

Which is called Aturasya vicar prashamanamcha in Ayurveda. In this it is suggested:

  • Ayurvedic medicines are completely natural and herbal which treats the disease naturally without causing any side-effects.
  • Avoid triggering factors like heavy exercise, smoking and pets.
  • Quit smoking
  • Maintain personal hygiene.

Ayurvedic Treatment of COPD

Planet Ayurveda offers COPD care pack for the treatment of chronic obstructive pulmonary disease without causing any side-effects.

1. Vasaka Capsules

These capsules are very effective in treating COPD. Vasaka capsules are prepared from an extract of Adhatoda vasica (vasaka). As these capsules have mucolytic and expectorant action which helps to liquefy the mucus in airways and aids elimination of the mucus from the body. This helps to clear the airways and proper breathing. It relieves shortness of breath, wheezing, and tightness of chest.

Dosage :- Take two capsules twice a day after meals.

copd-care-pack_1
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2. Praanrakshak Churna

This churna helps to manage and treat symptoms of COPD. It is an herbal blend of following herbs

  • Shirish (Albezzia lebbock)
  • Vasa (Adhatoda vasica)
  • Anantmool (Tylphora asthmatica)
  • Twak (Cinnamomum Zeylanica)
  • Bharangi (Clerodandrum serratum)
  • Kantkari (Solanum xanthocarpum)
  • Mulethi (Glycyrrhiza glabra)

It treats COPD and manages any complication associated with it. Antioxidant action of this churna helps in healing lung tissues and improves oxygen exchange in the blood.

Dosage :- Take one teaspoonful of this churna two times a day and boil in 400 ml water until this solution remains 50-60 ml. Strain and drink it.

3. Curcumin Capsules

These capsules are very effective in treating chronic pulmonary obstructive disease and its associated complaints. It is made from Haridra herb (Curcuma longa). In Ayurveda, it is a very famous herb used for treating respiratory complaints. Antioxidant properties of these capsules help in eliminating free radical and toxins from the body and increases the immunity of the body. It relieves symptoms like wheezing, cough, and tightness of chest. Curcumin capsules also purify the blood.

Dosage :-Take two capsules twice a day after meals.

4. Tulsi Capsules

It is prepared from Ocimum tenuiflorum (tulsi) which have many health benefits. Breathing is eased due to its calming and soothing effects. Improves lung functions due to its anti-oxidant properties.

Dosage :- Take one capsule two times a day after meals.

5. Kaashar Churna

It is made from combinations of various herbs listed below

  • Mishri (Crystallized sugar lumps)
  • Vanshlochan (Bambusa arudinacea)
  • Pippali (Piper Longum)
  • Dalchini (Cinnamomum zeylanica)

Kaas har churna is rich in anti-inflammatory and antimicrobial properties. It boosts up immunity and fight helps the body to fight against various infections and diseases. Herbs from which this churna is made helps to maintain healthy functioning of lungs.

Dosage :- Take one teaspoon of this churna two times a day after meals.