Efficacy of Shaman Chikitsa and Prayogika Dhumpana in the management of Jeerna Kaphaja Kasa (Chronic Bronchitis) - A case report

Abstract

Introduction: Chronic bronchitis is a long-term inflammatory condition of the airways, characterized by a persistent productive cough without other identifiable underlying causes lasting at least 3 months per year for 2 consecutive years. Chronic bronchitis leads to excessive mucus production, causing airway obstruction and inflammation. Chronic bronchitis can be compared with Jeerna Kaphaja Kasa dominated by kapha and Vatadusti. Clinical findings: In this case study 66 years female patient came in kayachikitsa OPD ITRA, Jamnagar with complaints of coughing with whitish expectoration for 1 month, Dyspnoea on exertion (Grade-2) for 1 month and hoarseness of voice. She was admitted in KC Female ward for further management. By haematological, radiological investigations and spirometry she was diagnosed with chronic bronchitis. Intervention: She was treated with Abhyanga (massage), Nadi Swedana (fomentation), Prayogika Dhumpana (Herbal fumigation) and shamana. Outcomes: After treatment wheezing resolved, Eosinophils reduced from 11.5% to 4.0%, AEC becomes normal (649 to 360/uL), FEV1/FVC (60.1 to 78), CAT (18 to 6) also complete remission in dyspnoea from (mMRC-II to 0) Conclusion: A chronic case of Jeerna Kaphaja Kasa effectively treated associated with improvement through Ayurvedic protocol including Dhumpana and Shamana. No any adverse effects were reported during the treatment.