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=== Introduction ===
 
=== Introduction ===
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''Hikka'' (hiccups) and ''shwasa'' (dyspnea/shortness of breath) may be caused due to ''pandu roga''. (Chakrapani Cha. Chi 17/1). That is why this chapter follows the chapter on [[Pandu Chikitsa]]. ''Hikka'' and ''shwasa'' have common etiological factors like raja (pollen or dust particles), ''dhuma'' (smoke) etc. (''karana''), location (''sthana'') and treatment or ''mula''. For that reason, both conditions are described in the same chapter.
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''Hikka'' (hiccups) and ''shwasa'' (dyspnea/shortness of breath) may be caused due to ''pandu roga''. (Chakrapani Cha. Chi 17/1). That is why this chapter follows the chapter on [[Pandu Chikitsa]]. ''Hikka'' and ''shwasa'' have common etiological factors (''karana'') like raja (pollen or dust particles), ''dhuma'' (smoke) etc., location (''sthana'') and treatment or ''mula''. For that reason, both conditions are described in the same chapter.
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''Hikka'' and ''shwasa'' are two diseases of serious nature and can cause death if not treated properly. The etiological factors, site, origin of both ''hikka'' and ''shwasa'' are same, and hence the line of treatment is also common. The etiological factors related to food, regimen and mental faculties lead to the aggravation of ''vata'' in the ''pranavahasrotas'' and derangement of ''kapha'' situated in the chest region producing lethal blockage of ''pranavayu''.  
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''Hikka'' and ''shwasa'' are two diseases of serious nature and can cause death if not treated properly. The etiological factors, site, origin of both ''hikka'' and ''shwasa'' are same, and hence the line of treatment is also common. The etiological factors related to food, regimen and mental faculties lead to the aggravation of ''vata'' in the ''pranavaha srotas'' and derangement of ''kapha'' situated in the chest region producing lethal blockage of ''prana vayu''.  
    
The ''maha'' (severe form), ''gambhira'' (having depth) and ''vyapeta'' (originating after food and with complications) types of ''hikka'' are incurable.  If the ''vyapeta'' or ''yamala hikka'' (with two hiccups together) is associated with symptoms of emaciation, delirium, pain, excess thirst and stupor then it is incurable for treatment, while it is curable in non emaciated and mentally strong individual with unimpaired ''dhatus'' and ''indriyas'' performing their normal function. ''Kshudra hikka'' (minor variety)  and ''annaja hikka'' (due to improper food intake)  are curable types of ''hikka''. ''Maha'' (severe form), ''urdhva'' (shallow respiration) and ''chinna'' (irregular pattern dyspnea) ''shwasa'' are incurable and lead to death very fast. ''Tamaka'' (with black outs) and ''kshudra shwasa'' (minor variety) are curable if patient is strong, and disease is in early stage, while in weak patients they are ''yapya'' (work as palliatives).  
 
The ''maha'' (severe form), ''gambhira'' (having depth) and ''vyapeta'' (originating after food and with complications) types of ''hikka'' are incurable.  If the ''vyapeta'' or ''yamala hikka'' (with two hiccups together) is associated with symptoms of emaciation, delirium, pain, excess thirst and stupor then it is incurable for treatment, while it is curable in non emaciated and mentally strong individual with unimpaired ''dhatus'' and ''indriyas'' performing their normal function. ''Kshudra hikka'' (minor variety)  and ''annaja hikka'' (due to improper food intake)  are curable types of ''hikka''. ''Maha'' (severe form), ''urdhva'' (shallow respiration) and ''chinna'' (irregular pattern dyspnea) ''shwasa'' are incurable and lead to death very fast. ''Tamaka'' (with black outs) and ''kshudra shwasa'' (minor variety) are curable if patient is strong, and disease is in early stage, while in weak patients they are ''yapya'' (work as palliatives).