The relation of Praanaadi Vaata Bheda with Praana Vahaanaam Srotas ;
iti praana sangyaka vaata vahaanaam . Etat cha *praanaakya* vishishtasya vaayoh vishishta srotah, saamaanyena tu vaayoh sarvaa eva dhamanya iti na virodhah.. it means it carries specifically praana vaayu.. Hetu ; kshayaat * ( dhaatu kshaya or yakshmaa ) sandhaaranaat roukshyaat vyaayaamaat kshudhitasya cha ➡ vaata prakopa ( specificaly praana vaayu ) ➡ praana vaahini dushyanti ➡ atisrishtam kupitam abhiksham sashabdam ( deep and rapid ventillation /hyperventillation/kussmaul's breathing as in metabolic acidosis ,etc ), atibaddham kupitam alpa alpam sashoolam ( shallow , slow breathing with pleuritic chest pain as in pleurisy/restricted chest diseses). These features are concerned with impairement of CNS , Airways , lungs parenchyma , and pulmonary circulation..chikitsa; shvaasiki chikitsaa ;as per shvaasa roga.. it means shvaasa roga is primary diseases of praanavaha srotas...now vaayu bheda description ; praana apaanau ; uchchhvaasa nihshvaasu..shvaasa karma is reffered as karma of praana vaata. Whether nihshwasa and uchchhvaasa both or only nihshvaasa , a debate is welcome here. Praana apaanau iti uchchhvaasa nihshwaasau , kechit tu praana apaanau yathaa uktau eva vaatau praahuh ; tatra apaano yadyapi merdh shroni aadi aashraya eva iti aahuh , tathaapi * hridayaavyatirikta anuvidhaayitvaat "hridaya aashrita " iti uchyate; referring uchchhvaasa karma by apaana since expiration helps in rid off undue CO2 ; end product of metabolism ( dhaatu mala ). After referring annam aadaana karmaa tu praanah koshtham prakarshayati , it seems as ispiration helps the entry of gases , karma of praana vaayu.. now applied approach ; vishvaga vrajati iti sarvato gachchhati ( discarded ventillation ) is due to yadaa srotaansi sanroodhya maarootah kaphapoorvakah sanroddhah tadaa and results in shvaasa roga. It shows mismatching between ventillation and perfusion , a leading pathophysiology of respiratory dyspnea.. urdhvam dhooyamaana vaatah (hyperventillation ) ,deergham shvasiti iti shvaasasya bahirnigamanam deergha kaalam karooti ( delayed forceful expiration ie FEV1sec is reduced ) , shvasiti vichchhinam iti nihshvasya punah kshana anten shvasiti ( cheyne stokes breathing & ataxic breathing) , n vaa shvasiti na shvaasam labhate ( apnea)etc; indicate impairment all components of respiratory system including cns and thoracopulmonary and pulmonary circulation.. only in aamaashaya gata vaata shvaasa roga is reffered , it shows the involvement of mahaasrotas by prakupita vaat. In praanaavrita udaana nihshvaasa uchchhvaasa sangrah ; shows interplay between praana and udaana ( both are urah sthaanashtha vaata bheda , so vulnerable to influence each other , if becomes prakupita ) chikitsa; urdhvabhaagikam karma /vamaanaadi . Udaanaa vrita apaana manifests shvaasadi roga( shvaasa hikka and kaasa ); pratilomam apaana vaayuh ( forceful expiration as in tamaka shvaasa : chikitsa- anulomanam , tamaku tu virechanam ) / udaana bhaavam aapannna iti urdhvagati *svabhaavam*aapanah ( forceful or explosive expiration is cause of kaasanaat kaasah as in kaasa ). Kaphaavrita praana manifests nihshvaasa uchchhvaasa sangrah . In kaasa udaana and apaana , in shvaasa roga praana udaana and apaana are being affected.. After studying acharya sharangadhara ' s interpretation and all these references concerned with praanavaha sroto dushti ; the role of praana in nihshvaasa and apaana in uchchhvaasa seems logic and clinicaly as well as therapeuticaly accepteble.. being sthaanashtha udaana vaata helps in respiration as a whole .After understanding the role of Cardiopulmonary circulation in perfusion it shows the role of vyaana vaata in rasa vikshepana. When vyaana vaata becomes abnormal as in pulmonary hypertension dyspnea manifests.. in metabolic acidosis and alkalosis hyper and hypo ventillation menifests respectively , the role of samaana vaata cnt be ignored.... i think the role of panchaatmaa vaata is crucial in praanavaha srotas to maintain matching between ventillation and perfusion.. abnormality of any one leads to mismatching , a cardinal pathophysioligy of shvaasa roga..There is inspiratory and expiratory center in medulla under controle of praana and apaana respectively.. eg. In hypercapnea hyperventillation is to expell (nihsarana/utsarjana ) excess CO2 , waste product *(mala ) of carbohydrate and fat metabolism.
.Prof. Dr. Satyendra Narayan Ojha ,
MD (KC), Ph.D.
Director , Yashawant ayurveda college , Post graduate teaching and research center ,
Kodoli ,Panhala , Kolhapur..
drsnojha@rediffmail. com
iti praana sangyaka vaata vahaanaam . Etat cha *praanaakya* vishishtasya vaayoh vishishta srotah, saamaanyena tu vaayoh sarvaa eva dhamanya iti na virodhah.. it means it carries specifically praana vaayu.. Hetu ; kshayaat * ( dhaatu kshaya or yakshmaa ) sandhaaranaat roukshyaat vyaayaamaat kshudhitasya cha ➡ vaata prakopa ( specificaly praana vaayu ) ➡ praana vaahini dushyanti ➡ atisrishtam kupitam abhiksham sashabdam ( deep and rapid ventillation /hyperventillation/kussmaul's breathing as in metabolic acidosis ,etc ), atibaddham kupitam alpa alpam sashoolam ( shallow , slow breathing with pleuritic chest pain as in pleurisy/restricted chest diseses). These features are concerned with impairement of CNS , Airways , lungs parenchyma , and pulmonary circulation..chikitsa; shvaasiki chikitsaa ;as per shvaasa roga.. it means shvaasa roga is primary diseases of praanavaha srotas...now vaayu bheda description ; praana apaanau ; uchchhvaasa nihshvaasu..shvaasa karma is reffered as karma of praana vaata. Whether nihshwasa and uchchhvaasa both or only nihshvaasa , a debate is welcome here. Praana apaanau iti uchchhvaasa nihshwaasau , kechit tu praana apaanau yathaa uktau eva vaatau praahuh ; tatra apaano yadyapi merdh shroni aadi aashraya eva iti aahuh , tathaapi * hridayaavyatirikta anuvidhaayitvaat "hridaya aashrita " iti uchyate; referring uchchhvaasa karma by apaana since expiration helps in rid off undue CO2 ; end product of metabolism ( dhaatu mala ). After referring annam aadaana karmaa tu praanah koshtham prakarshayati , it seems as ispiration helps the entry of gases , karma of praana vaayu.. now applied approach ; vishvaga vrajati iti sarvato gachchhati ( discarded ventillation ) is due to yadaa srotaansi sanroodhya maarootah kaphapoorvakah sanroddhah tadaa and results in shvaasa roga. It shows mismatching between ventillation and perfusion , a leading pathophysiology of respiratory dyspnea.. urdhvam dhooyamaana vaatah (hyperventillation ) ,deergham shvasiti iti shvaasasya bahirnigamanam deergha kaalam karooti ( delayed forceful expiration ie FEV1sec is reduced ) , shvasiti vichchhinam iti nihshvasya punah kshana anten shvasiti ( cheyne stokes breathing & ataxic breathing) , n vaa shvasiti na shvaasam labhate ( apnea)etc; indicate impairment all components of respiratory system including cns and thoracopulmonary and pulmonary circulation.. only in aamaashaya gata vaata shvaasa roga is reffered , it shows the involvement of mahaasrotas by prakupita vaat. In praanaavrita udaana nihshvaasa uchchhvaasa sangrah ; shows interplay between praana and udaana ( both are urah sthaanashtha vaata bheda , so vulnerable to influence each other , if becomes prakupita ) chikitsa; urdhvabhaagikam karma /vamaanaadi . Udaanaa vrita apaana manifests shvaasadi roga( shvaasa hikka and kaasa ); pratilomam apaana vaayuh ( forceful expiration as in tamaka shvaasa : chikitsa- anulomanam , tamaku tu virechanam ) / udaana bhaavam aapannna iti urdhvagati *svabhaavam*aapanah ( forceful or explosive expiration is cause of kaasanaat kaasah as in kaasa ). Kaphaavrita praana manifests nihshvaasa uchchhvaasa sangrah . In kaasa udaana and apaana , in shvaasa roga praana udaana and apaana are being affected.. After studying acharya sharangadhara ' s interpretation and all these references concerned with praanavaha sroto dushti ; the role of praana in nihshvaasa and apaana in uchchhvaasa seems logic and clinicaly as well as therapeuticaly accepteble.. being sthaanashtha udaana vaata helps in respiration as a whole .After understanding the role of Cardiopulmonary circulation in perfusion it shows the role of vyaana vaata in rasa vikshepana. When vyaana vaata becomes abnormal as in pulmonary hypertension dyspnea manifests.. in metabolic acidosis and alkalosis hyper and hypo ventillation menifests respectively , the role of samaana vaata cnt be ignored.... i think the role of panchaatmaa vaata is crucial in praanavaha srotas to maintain matching between ventillation and perfusion.. abnormality of any one leads to mismatching , a cardinal pathophysioligy of shvaasa roga..There is inspiratory and expiratory center in medulla under controle of praana and apaana respectively.. eg. In hypercapnea hyperventillation is to expell (nihsarana/utsarjana ) excess CO2 , waste product *(mala ) of carbohydrate and fat metabolism.
.Prof. Dr. Satyendra Narayan Ojha ,
MD (KC), Ph.D.
Director , Yashawant ayurveda college , Post graduate teaching and research center ,
Kodoli ,Panhala , Kolhapur..
drsnojha@rediffmail. com
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