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In a patient of ''tamaka shwasa'' if ''jwara'' (fever) and unconsciousness are occurring as complication, then it is called as ''pratamaka shwasa''. The ''shwasa'' produced due to ''udavarta'' (upward movement of ''vayu'' in ''koshtha''), dust, indigestion, excessive liquid accumulation in the body (''klinna kaya''), and suppression of natural urges results in increase of ''tama''. This gets relieved by following of cooling regimen. The person suffering from this ''shwasa'' feels as if he is submerged in darkness, thus it is known as ''santamaka''.[63-64]

In a patient of ''tamaka shwasa'' if ''jwara'' (fever) and unconsciousness are occurring as complication, then it is called as ''pratamaka shwasa''. The ''shwasa'' produced due to ''udavarta'' (upward movement of [[vayu]] in ''koshtha''), dust, indigestion, excessive liquid accumulation in the body (''klinna kaya''), and suppression of natural urges results in increase of ''tama''. This gets relieved by following of cooling regimen. The person suffering from this ''shwasa'' feels as if he is submerged in darkness, thus it is known as ''santamaka''.[63-64]

=== ''Kshudra shwasa'' ===

=== ''Kshudra shwasa'' ===