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CHAPTER LI.

Now we shall discourse on the chapter which deals with the (symptoms and) medical treatment of Asthma

(Śvása-Pratishedha). 1.

Ætiology:— To the same group of exciting factors which bring in an attack of hiccough should be attributed the origin of that voilent disease which is known as Śvása (asthma). The vital Váyu known as the Prána-Váyu foregoing its normal function rises upward in unison with the deranged Kapha of the body and produces that gasping and laboured breathing which is called Śvása (asthma). This dreadful disease though virtually one in its nature and origin is divided into five spicific types, viz., Kshudra-Śvása, Tamaka-Śvása, Chhinna-Śvása, Mahá-Śvása and Urddhva-Śvása. 2 - 4.

Premonitory Symptoms:— Pain in the region of the heart and at the sides, aversion to food as well as to all other pursuits, suppression of stool and urine and a bad taste in the mouth, may be regarded as the premonitory symptoms of the disease. 5.

Specific Symptoms:— The type in which the least movement or exertion brings on an aggravation of the disease, and a distinct amelioration or relief is restored in a sitting posture, is called Kshudra-Śvása. The type which is accompained by such symptoms as thirst, perspiration, vomiting and a rattling sound in the throat and finds aggravation specially in foul weather is called Tamaka-Śvasa. In a case of Tamaka-Śvása the patient is weak and has a loud (wheezing) sound in the throat, as also cough, the symptoms of (bronchial) catarrh and an aversion to food. He is oppressed with difficult breathing even in sleep which