Hikka Shwasa Chikitsa - Revision history

Agnivesha: /* Etiological factors */

2024-09-02T12:55:50Z

Etiological factors

← Older revision		Revision as of 12:55, 2 September 2024
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	*Regimen: Excessive exercise, excessive sexual intercourse, excess walking,		*Regimen: Excessive exercise, excessive sexual intercourse, excess walking,
	*Diet: Intake of dry food, ''vishamashana'' (food in excessive or less quantity at irregular time)		*Diet: Intake of dry food, ''vishamashana'' (food in excessive or less quantity at irregular time)
	*Conditions: Accumulation of ''~~ama~~, anaha'' (constipation associated with flatulence), dryness in the body, excessive depletion (''apatarpana''), weakness, injury to ''marmas'' (vital points), rapid change in exposure to heat and cold, diarrhea, fever, vomiting, rhinitis, ''kshata'' (injury), ''kshaya'' (wasting), ''raktapitta'' (bleeding disorder), ''udavarta'' (upward movement of [[vata]]), ''visuchika'' (enteritis), ''alasaka'' (sluggish bowel), ''pandu'' (anemia) and intake of poisons can result in ''hikka'' and ''shwasa''.		*Conditions: Accumulation of [[ama]]'', anaha'' (constipation associated with flatulence), dryness in the body, excessive depletion (''apatarpana''), weakness, injury to ''marmas'' (vital points), rapid change in exposure to heat and cold, diarrhea, fever, vomiting, rhinitis, ''kshata'' (injury), ''kshaya'' (wasting), ''raktapitta'' (bleeding disorder), ''[[udavarta]]'' (upward movement of [[vata]]), ''visuchika'' (enteritis), ''alasaka'' (sluggish bowel), ''[[pandu]]'' (anemia) and intake of poisons can result in ''hikka'' and ''shwasa''.
	*Diet: Regular intake of ''nishpava'' (beans), ''masha'' (black gram), ''pinyaka'' (oil cake), ''tila taila'' (sesame oil), ''pishta'' (cakes and pastry), ''shaluka'' (lotus stem), ''vishtambhi anna'' (food aggravating [[vata]]), ''vidahi'' (food causing burning sensations), heavy to digest food, flesh of aquatic and marshy animals, curd, raw milk, ''abhishyandhi'' (ingredients leading to obstruction of channels), food aggravating [[kapha]]		*Diet: Regular intake of ''nishpava'' (beans), ''masha'' (black gram), ''pinyaka'' (oil cake), ''tila taila'' (sesame oil), ''pishta'' (cakes and pastry), ''shaluka'' (lotus stem), ''vishtambhi anna'' (food aggravating [[vata]]), ''vidahi'' (food causing burning sensations), heavy to digest food, flesh of aquatic and marshy animals, curd, raw milk, ''abhishyandhi'' (ingredients leading to obstruction of channels), food aggravating [[kapha]]
	*Injury: Injury to throat and chest		*Injury: Injury to throat and chest

Agnivesha: /* Etiological factors */

2024-09-02T12:54:04Z

Etiological factors

← Older revision		Revision as of 12:54, 2 September 2024
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	*Environmental factors: Dust, smoke and wind, residing in cold place, use of cold water.		*Environmental factors: Dust, smoke and wind, residing in cold place, use of cold water.
	*Regimen: ~~Lack of~~ exercise, excessive sexual intercourse, excess walking,		*Regimen: Excessive exercise, excessive sexual intercourse, excess walking,
	*Diet: Intake of dry food, ''vishamashana'' (food in excessive or less quantity at irregular time)		*Diet: Intake of dry food, ''vishamashana'' (food in excessive or less quantity at irregular time)
	*Conditions: Accumulation of ''ama, anaha'' (constipation associated with flatulence), dryness in the body, excessive depletion (''apatarpana''), weakness, injury to ''marmas'' (vital points), rapid change in exposure to heat and cold, diarrhea, fever, vomiting, rhinitis, ''kshata'' (injury), ''kshaya'' (wasting), ''raktapitta'' (bleeding disorder), ''udavarta'' (upward movement of [[vata]]), ''visuchika'' (enteritis), ''alasaka'' (sluggish bowel), ''pandu'' (anemia) and intake of poisons can result in ''hikka'' and ''shwasa''.		*Conditions: Accumulation of ''ama, anaha'' (constipation associated with flatulence), dryness in the body, excessive depletion (''apatarpana''), weakness, injury to ''marmas'' (vital points), rapid change in exposure to heat and cold, diarrhea, fever, vomiting, rhinitis, ''kshata'' (injury), ''kshaya'' (wasting), ''raktapitta'' (bleeding disorder), ''udavarta'' (upward movement of [[vata]]), ''visuchika'' (enteritis), ''alasaka'' (sluggish bowel), ''pandu'' (anemia) and intake of poisons can result in ''hikka'' and ''shwasa''.
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	*''Anulomana'' (treating [[vata]] to move in normal direction) is the principle of management for obstructed [[vata]] in case of ''hikka'' and ''shwasa''.		*''Anulomana'' (treating [[vata]] to move in normal direction) is the principle of management for obstructed [[vata]] in case of ''hikka'' and ''shwasa''.
	*''Shwasa'' associated with cough and hoarseness of voice should be treated with [[vamana]] (therapeutic emesis)		*''Shwasa'' associated with cough and hoarseness of voice should be treated with [[vamana]] (therapeutic emesis)
	*In ''tamaka shwasa, [[virechana]] (therapeutic purgation) should be given with [[vata]]-[[kapha]]hara medicines.		*In ''tamaka shwasa, [[virechana]] (therapeutic purgation) should be given with [[vata]]-[[kapha]]hara medicines. ''
	*It is always required to keep the path of [[vata]], clean (respiratory tract) by frequent purification therapies and removing obstruction.		*It is always required to keep the path of [[vata]], clean (respiratory tract) by frequent purification therapies and removing obstruction.
	*Purification therapies like [[vamana]] and [[virechana]] shall be administered after assessing ''bala''(strength)of patient.		*Purification therapies like [[vamana]] and [[virechana]] shall be administered after assessing ''bala''(strength)of patient.

Agnivesha at 10:20, 23 February 2024

2024-02-23T10:20:18Z

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	\|data7 = Ojha S.N., Mali P.		\|data7 = Ojha S.N., Mali P.
	\|label8 = Editors		\|label8 = Editors
	\|data8 = Singh G., Goyal M., Deole Y.S., Basisht G.		\|data8 = Singh G., Goyal M., [[Yogesh Deole\|Deole Y.S.]], [[Gopal Basisht\|Basisht G.]]
	\|label9 = Year of publication		\|label9 = Year of publication
	\|data9 = 2020		\|data9 = 2020

Agnivesha at 16:59, 6 March 2023

2023-03-06T16:59:23Z

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	\|type=article		\|type=article
	}}		}}

	<big>'''[[Chikitsa Sthana]] Chapter 17. Management of Hikka (Hiccups) and Shwasa (Dyspnea)</big>'''		<big>'''[[Chikitsa Sthana]] Chapter 17. Management of Hikka (Hiccups) and Shwasa (Dyspnea)</big>'''
	{{Infobox		{{Infobox
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	<big>''' Abstract </big>'''		<big>''' Abstract </big>'''
	<~~div~~ style="text-align:justify;">		<p style="text-align:justify;">The chapter deals with the etio-pathogenesis and management of ''hikka'' (hiccups) and ''shwasa'' (dyspnea). The general causative factors include dietary and environmental pathogens and specific pathogenesis is due to involvement of [[vata]] and [[kapha]] as major [[dosha]]. Thus five types of ''hikka'' and ''shwasa'' are elaborated. The classification is based upon clinical presentation of disease and includes three types each of ''hikka'' and ''shwasa'' with bad prognostic signs pointing to imminent death. The description comprehends basic principles of management focused on removing obstruction of [[kapha]] and allowing proper flow of [[vata]] by means of purification therapies, sudation, nasal errhines, medicated smoking and various formulations. The management emphasizes on nourishment and pacification therapies to successfully treat and prevent ''shwasa'' and ''hikka'' conditions. Depletion therapies are strongly contra-indicated as they may worsen the condition of patient and disease. </p>
	The chapter deals with the etio-pathogenesis and management of ''hikka'' (hiccups) and ''shwasa'' (dyspnea). The general causative factors include dietary and environmental pathogens and specific pathogenesis is due to involvement of [[vata]] and [[kapha]] as major [[dosha]]. Thus five types of ''hikka'' and ''shwasa'' are elaborated. The classification is based upon clinical presentation of disease and includes three types each of ''hikka'' and ''shwasa'' with bad prognostic signs pointing to imminent death. The description comprehends basic principles of management focused on removing obstruction of [[kapha]] and allowing proper flow of [[vata]] by means of purification therapies, sudation, nasal errhines, medicated smoking and various formulations. The management emphasizes on nourishment and pacification therapies to successfully treat and prevent ''shwasa'' and ''hikka'' conditions. Depletion therapies are strongly contra-indicated as they may worsen the condition of patient and disease.

	'''Keywords''': ''Shwasa, hikka,'' dyspnea, hiccups, ''tamaka shwasa,'' bronchial asthma, respiratory disorders, [[vamana]], therapeutic emesis, [[virechana]], therapeutic purgation, ''swedana'', sudation. ~~</div>~~		'''Keywords''': ''Shwasa, hikka,'' dyspnea, hiccups, ''tamaka shwasa,'' bronchial asthma, respiratory disorders, [[vamana]], therapeutic emesis, [[virechana]], therapeutic purgation, ''swedana'', sudation.

Agnivesha at 06:40, 20 September 2022

2022-09-20T06:40:41Z

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			{{CiteButton}}
	{{#seo:		{{#seo:
	\|title=Hikka Shwasa Chikitsa		\|title=Hikka Shwasa Chikitsa

Agnivesha: /* Experience based views */

2022-02-19T06:15:38Z

Experience based views

← Older revision		Revision as of 06:15, 19 February 2022
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	===Experience based views===		===Experience based views===

	In chronic cases of Shwasa internal administration of unctuous substance (~~snehapana~~) in pure form or medicates formulation like dashamula ghrita is useful to control [[vata]] [[dosha]]. This reduces dryness (kharatva) of respiratory tract (pranavah srotas) and pacifies movement of [[vata]] (vatanulomana). In chronic stage of svasa, [[vata]] becomes more dominant while in new cases [[Kapha]] dominancy is observed.<ref> Personal email communication by Dr. Mali Pawan, dt. January 03, 2020 </ref>		In chronic cases of Shwasa, internal administration of unctuous substance (abhyantara [[snehana]]) in pure form or medicates formulation like dashamula ghrita is useful to control [[vata]] [[dosha]]. This reduces dryness (kharatva) of respiratory tract (pranavah srotas) and pacifies movement of [[vata]] (vatanulomana). In chronic stage of svasa, [[vata]] becomes more dominant while in new cases [[Kapha]] dominancy is observed.<ref> Personal email communication by Dr. Mali Pawan, dt. January 03, 2020 </ref>

	Drugs prescribed for [[Pandu]], [[Shotha]] and [[Kasa]] may be used in the management of Shwasa(Su.Utt 51/43). Drugs prescribed for Kasa, Kshaya, ~~chchardi~~ and hikka can be used for Shwasa.(A.H.ch.59)		Drugs prescribed for [[Pandu]], [[Shotha]] and [[Kasa]] may be used in the management of Shwasa(Su.Utt 51/43). Drugs prescribed for [[Kasa]], Kshaya, chhardi and hikka can be used for Shwasa.(A.H.ch.59)

	<big>'''[[Special:ContactMe\|Send us your suggestions and feedback on this page.]]'''</big>		<big>'''[[Special:ContactMe\|Send us your suggestions and feedback on this page.]]'''</big>

Agnivesha: /* Two types of patients as per dosha dominance */

2021-12-07T17:26:20Z

Two types of patients as per dosha dominance

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	कफाधिकस्तथैवैको रूक्षो बह्वनिलोऽपरः \|\|८८\|\|		कफाधिकस्तथैवैको रूक्षो बह्वनिलोऽपरः \|\|८८\|\|

	~~ककाधिके~~ बलस्थे च वमनं सविरेचनम् \|		कफाधिके बलस्थे च वमनं सविरेचनम् \|
	कुर्यात् पथ्याशिने धूमलेहादिशमनं ततः \|\|८९\|\|		कुर्यात् पथ्याशिने धूमलेहादिशमनं ततः \|\|८९\|\|

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	kaphādhikastathaivaikō rūkṣō bahvanilō'paraḥ\|\|88\|\|		kaphādhikastathaivaikō rūkṣō bahvanilō'paraḥ\|\|88\|\|

	~~kakādhikē~~ balasthē ca vamanaṁ savirēcanam\|		kaphādhikē balasthē ca vamanaṁ savirēcanam\|
	kuryāt pathyāśinē dhūmalēhādiśamanaṁ tataḥ\|\|89\|\|		kuryāt pathyāśinē dhūmalēhādiśamanaṁ tataḥ\|\|89\|\|

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	kaphAdhikastathaivaiko rUkSho bahvanilo~aparaH \|\|88\|\|		kaphAdhikastathaivaiko rUkSho bahvanilo~aparaH \|\|88\|\|

	~~kakAdhike~~ balasthe ca vamanaM savirecanam \|		kaphAdhike balasthe ca vamanaM savirecanam \|
	kuryAt pathyAshine dhUmalehAdishamanaM tataH \|\|89\|\|		kuryAt pathyAshine dhUmalehAdishamanaM tataH \|\|89\|\|

Eganeesh: /* Experience based views */

2021-09-23T22:26:54Z

Experience based views

← Older revision		Revision as of 22:26, 23 September 2021
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	Drugs prescribed for [[Pandu]], [[Shotha]] and [[Kasa]] may be used in the management of Shwasa(Su.Utt 51/43). Drugs prescribed for Kasa, Kshaya, chchardi and hikka can be used for Shwasa.(A.H.ch.59)		Drugs prescribed for [[Pandu]], [[Shotha]] and [[Kasa]] may be used in the management of Shwasa(Su.Utt 51/43). Drugs prescribed for Kasa, Kshaya, chchardi and hikka can be used for Shwasa.(A.H.ch.59)

			<big>'''[[Special:ContactMe\|Send us your suggestions and feedback on this page.]]'''</big>

	== References ==		== References ==

Anaghas: /* Vidhi Vimarsha (Applied Inferences ) */

2021-07-27T08:05:44Z

Vidhi Vimarsha (Applied Inferences )

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	=== Origin of diseases ===		=== Origin of diseases ===

	The origin of hikka shwas diseases occurs at the site of Pitta dosha (Pitta sthana) which is lower part of stomach and duodenum from undigested food substances. [Chakrapani Cha.Sa. [[Chikitsa Sthana]] 17/8] The upper part of stomach is referred to as the site for kapha dosha,.[Chakrapani Cha.Sa. [[Sutra Sthana]] 20/8]. Therefore the lower end of stomach and duodenum is considered as the site of origin of shwasa and hikka. Derangement of digestion and metabolism is an important basic pathological event leading to vitiation of kapha and its manifestation (vyakti sthana) in chest.		The origin of hikka shwas diseases occurs at the site of [[Pitta]] [[dosha]] ([[Pitta]] sthana) which is lower part of stomach and duodenum from undigested food substances. [Chakrapani Cha.Sa. [[Chikitsa Sthana]] 17/8] The upper part of stomach is referred to as the site for kapha dosha,.[Chakrapani Cha.Sa. [[Sutra Sthana]] 20/8]. Therefore the lower end of stomach and duodenum is considered as the site of origin of shwasa and hikka. Derangement of digestion and metabolism is an important basic pathological event leading to vitiation of kapha and its manifestation (vyakti sthana) in chest.

	=== Pathogenesis ===		=== Pathogenesis ===

	Derangement of digestion and metabolism (agnimandya) causes malformation and nourishment of all body tissues ([[dhatu]]). This further leads to vitiation of kapha and pitta dosha resulting in increase in vata dosha. [Chakrapani Cha.Sa. [[Sutra Sthana]] 6/34]		Derangement of digestion and metabolism (agnimandya) causes malformation and nourishment of all body tissues ([[dhatu]]). This further leads to vitiation of [[kapha]] and [[pitta]] [[dosha]] resulting in increase in [[vata]] [[dosha]]. [Chakrapani Cha.Sa. [[Sutra Sthana]] 6/34]

	===Causes of shwasa ===		===Causes of shwasa ===
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	The management protocol for hikka and shwasa includes following:		The management protocol for hikka and shwasa includes following:
	#Snehana (unction or oleation): Chest massage on the front, back and sides) with hot sesame oil or mahanarayana oil mixed with rock salt		#[[Snehana]](unction or oleation): Chest massage on the front, back and sides) with hot sesame oil or mahanarayana oil mixed with rock salt
	#Swedana (sudation): Fomentation with dashamula kwatha or erandamula kwatha vapors by means of steam (bashpa) or through a tube (nadi).		#[[Swedana]] (sudation): Fomentation with dashamula kwatha or erandamula kwatha vapors by means of steam (bashpa) or through a tube (nadi).
	#Vamana (therapeutic emesis) with mixture of piper (pippali), rock salt and honey, decoction of yasthtimadhu and madanaphala are also used.		#[[Vamana]] (therapeutic emesis) with mixture of piper (pippali), rock salt and honey, decoction of yasthtimadhu and madanaphala are also used.
	#Virechana(therapeutic purgation) with eranda taila (castor oil),draksha kwatha and triphala kwatha		#[[Virechana]](therapeutic purgation) with eranda taila (castor oil),draksha kwatha and triphala kwatha
	#Shamana medicines: Following drugs are used in treatment of hikka and shwasa:		#Shamana medicines: Following drugs are used in treatment of hikka and shwasa:
	##Pippali		##Pippali
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	===Experience based views===		===Experience based views===

	In chronic cases of Shwasa internal administration of unctuous substance (snehapana) in pure form or medicates formulation like dashamula ghrita is useful to control vata dosha. This reduces dryness (kharatva) of respiratory tract (pranavah srotas) and pacifies movement of vata (vatanulomana). In chronic stage of svasa, vata becomes more dominant while in new cases Kapha dominancy is observed.<ref> Personal email communication by Dr. Mali Pawan, dt. January 03, 2020 </ref>		In chronic cases of Shwasa internal administration of unctuous substance (snehapana) in pure form or medicates formulation like dashamula ghrita is useful to control [[vata]] [[dosha]]. This reduces dryness (kharatva) of respiratory tract (pranavah srotas) and pacifies movement of [[vata]] (vatanulomana). In chronic stage of svasa, [[vata]] becomes more dominant while in new cases [[Kapha]] dominancy is observed.<ref> Personal email communication by Dr. Mali Pawan, dt. January 03, 2020 </ref>

	Drugs prescribed for [[Pandu]], [[Shotha]] and [[Kasa]] may be used in the management of Shwasa(Su.Utt 51/43). Drugs prescribed for Kasa, Kshaya, chchardi and hikka can be used for Shwasa.(A.H.ch.59)		Drugs prescribed for [[Pandu]], [[Shotha]] and [[Kasa]] may be used in the management of Shwasa(Su.Utt 51/43). Drugs prescribed for Kasa, Kshaya, chchardi and hikka can be used for Shwasa.(A.H.ch.59)

Anaghas: /* Tattva Vimarsha (Fundamental Principles) */

2021-07-27T08:01:43Z

Tattva Vimarsha (Fundamental Principles)

← Older revision		Revision as of 17:26, 7 December 2021
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	कफाधिकस्तथैवैको रूक्षो बह्वनिलोऽपरः \|\|८८\|\|		कफाधिकस्तथैवैको रूक्षो बह्वनिलोऽपरः \|\|८८\|\|

	~~ककाधिके~~ बलस्थे च वमनं सविरेचनम् \|		कफाधिके बलस्थे च वमनं सविरेचनम् \|
	कुर्यात् पथ्याशिने धूमलेहादिशमनं ततः \|\|८९\|\|		कुर्यात् पथ्याशिने धूमलेहादिशमनं ततः \|\|८९\|\|

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	kaphādhikastathaivaikō rūkṣō bahvanilō'paraḥ\|\|88\|\|		kaphādhikastathaivaikō rūkṣō bahvanilō'paraḥ\|\|88\|\|

	~~kakādhikē~~ balasthē ca vamanaṁ savirēcanam\|		kaphādhikē balasthē ca vamanaṁ savirēcanam\|
	kuryāt pathyāśinē dhūmalēhādiśamanaṁ tataḥ\|\|89\|\|		kuryāt pathyāśinē dhūmalēhādiśamanaṁ tataḥ\|\|89\|\|

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	kaphAdhikastathaivaiko rUkSho bahvanilo~aparaH \|\|88\|\|		kaphAdhikastathaivaiko rUkSho bahvanilo~aparaH \|\|88\|\|

	~~kakAdhike~~ balasthe ca vamanaM savirecanam \|		kaphAdhike balasthe ca vamanaM savirecanam \|
	kuryAt pathyAshine dhUmalehAdishamanaM tataH \|\|89\|\|		kuryAt pathyAshine dhUmalehAdishamanaM tataH \|\|89\|\|

← Older revision		Revision as of 08:01, 27 July 2021
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	== Tattva Vimarsha (Fundamental Principles) ==		== Tattva Vimarsha (Fundamental Principles) ==

	*''Hikka'' and ''shwasa'' originate at the site of ''pitta'' (upper part of stomach). The nature of disease is mainly ''kapha'' and ''vata'' dominant. The aggravation leads to depletion of ~~''dhatus''~~ like ''rasa'' situated in heart.		*''Hikka'' and ''shwasa'' originate at the site of [[pitta]] (upper part of stomach). The nature of disease is mainly [[kapha]] and [[vata]] dominant. The aggravation leads to depletion of [[dhatu]] like ''rasa'' situated in heart.
	*The environmental pathogens like dust, pollen, smoke particles, improper diet and lifestyle regimen, and various other obstructions in channels carrying ''prana'' can cause the diseases.		*The environmental pathogens like dust, pollen, smoke particles, improper diet and lifestyle regimen, and various other obstructions in channels carrying ''prana'' can cause the diseases.
	*''Hikka'' and ''shwasa'' can originate secondary to various conditions like ''ama, anaha'' (constipation associated with flatulence), excess dryness in the body, excessive depletion (''apatarpana''), weakness, injury to ''marmas'' (vital points), frequent exposure to heat and cold, diarrhea, fever, vomiting, rhinitis, ''kshata'' (injury), ''kshaya'' (wasting), ''raktapitta'' (bleeding disorder), ''udavarta'' (upward movement of ''vata''), ''visuchika'' (enteritis), ''alasaka'' (sluggish bowel), ''pandu'' (anemia) and intake of poisons. In this case, the treatment will focus on primary disease along with management of ''hikka'' and ''shwasa'' also.		*''Hikka'' and ''shwasa'' can originate secondary to various conditions like ''ama, anaha'' (constipation associated with flatulence), excess dryness in the body, excessive depletion (''apatarpana''), weakness, injury to ''marmas'' (vital points), frequent exposure to heat and cold, diarrhea, fever, vomiting, rhinitis, ''kshata'' (injury), ''kshaya'' (wasting), ''raktapitta'' (bleeding disorder), ''udavarta'' (upward movement of [[vata]]), ''visuchika'' (enteritis), ''alasaka'' (sluggish bowel), ''pandu'' (anemia) and intake of poisons. In this case, the treatment will focus on primary disease along with management of ''hikka'' and ''shwasa'' also.
	*''Pranavaha srotasa'' (channels carrying ''prana'') are mainly involved in the pathogenesis of ''hikka'' and ''shwasa''.		*''Pranavaha srotasa'' (channels carrying ''prana'') are mainly involved in the pathogenesis of ''hikka'' and ''shwasa''.
	*''Vayu'' along with ''kapha'' blocks the channels carrying ''prana, udaka'' and ''anna'' and produces ''mahahikka''.		*''Vayu'' along with [[kapha]] blocks the channels carrying ''prana, udaka'' and ''anna'' and produces ''mahahikka''.
	*The protocol for management of ''shwasa'' includes:		*The protocol for management of ''shwasa'' includes:
	**Liquefying ''kapha'' by ''snehana''( massage) with oil mixed with rock salt		**Liquefying [[kapha]] by [[snehana]]( massage) with oil mixed with rock salt
	**Channelizing and further liquefying it to get expelled out by ''swedana'' (sudation)		**Channelizing and further liquefying it to get expelled out by [[swedana]] (sudation)
	**Intake of unctuous food for increasing quantity of ''kapha'' (in order to make it convenient to get expelled out as seen in mucolyic drugs) and pacification of ''vata''.		**Intake of unctuous food for increasing quantity of [[kapha]] (in order to make it convenient to get expelled out as seen in mucolyic drugs) and pacification of [[vata]].
	**Therapeutic emesis to expel out vitiated ''kapha dosha''		**Therapeutic emesis to expel out vitiated [[kapha]] [[dosha]]
	**Medicated smoking with drugs having hot potency to remove remaining ''kapha dosha''		**Medicated smoking with drugs having hot potency to remove remaining [[kapha]] [[dosha]]
	*''Anulomana'' (treating ''vata'' to move in normal direction) is the principle of management for obstructed ''vata'' in case of ''hikka'' and ''shwasa''.		*''Anulomana'' (treating [[vata]] to move in normal direction) is the principle of management for obstructed [[vata]] in case of ''hikka'' and ''shwasa''.
	*''Shwasa'' associated with cough and hoarseness of voice should be treated with ''vamana'' (therapeutic emesis)		*''Shwasa'' associated with cough and hoarseness of voice should be treated with [[vamana]] (therapeutic emesis)
	*In ''tamaka shwasa, virechana'' (therapeutic purgation) should be given with ''vata-~~kaphahara''~~ medicines.		*In ''tamaka shwasa, [[virechana]] (therapeutic purgation) should be given with [[vata]]-[[kapha]]hara medicines.
	*It is always required to keep the path of ''vata'', clean (respiratory tract) by frequent purification therapies and removing obstruction.		*It is always required to keep the path of [[vata]], clean (respiratory tract) by frequent purification therapies and removing obstruction.
	*Purification therapies like ''vamana'' and ''virechana'' shall be administered after assessing ''bala''(strength)of patient.		*Purification therapies like [[vamana]] and [[virechana]] shall be administered after assessing ''bala''(strength)of patient.
	*The food, drinks and drugs having ''kapha-vata'' alleviating properties, ''ushna'' (hot) potency and facilitating normal movement of ''vata'' (''vatanulomana'') should be given in the patient of ''hikka'' and ''shwasa''.		*The food, drinks and drugs having [[kapha]]-[[vata]] alleviating properties, ''ushna'' (hot) potency and facilitating normal movement of [[vata]] (''vatanulomana'') should be given in the patient of ''hikka'' and ''shwasa''.
	*''Brimhana'' (nourishment therapy) administered in ''hikka'' and ''shwasa'' and its complications make them curable. The ''shamana'' treatment (palliative therapy) prevents the complications. ''Karshana'' (depletion therapy) makes ''hikka'' and ''shwasa'' incurable.		*''Brimhana'' (nourishment therapy) administered in ''hikka'' and ''shwasa'' and its complications make them curable. The ''shamana'' treatment (palliative therapy) prevents the complications. ''Karshana'' (depletion therapy) makes ''hikka'' and ''shwasa'' incurable.