Evaluation of comparative efficacy of Anuloma Viloma Pranayama versus Nadishodhana Pranayama as an add on therapy with standard therapy in Shwas Bronchial Asthma

Abstract

newline ABSTRACT newlineIntroduction: In Ayurveda, Shwas Roga is comparable to bronchial asthma. It occurs due to newlineKapha Vata Avarana, where aggravated Kapha obstructs the Pranavaha Srotas, causing newlinePratiloma Gati of Vata. Weak Agni leads to Ama formation, which further combines with newlineKapha and blocks the airways. Rasa and Rakta Dhatus become depleted. Clinically, it presents newlinewith dyspnoea, wheezing, chest tightness, and persistent cough. newlineMaterial andMethods:IECapprovalwasobtainedpriortothestudy. Kantakari wascollected newlinefrom the MGACH and RC herbal garden, authenticated by the Dravyaguna department and newlineFRLHT Bangalore, and processed into Kantakari Ghan Vati as per Sharangdhar Samhita at newlineDattatraya Rasashala. The study was conducted after CTRI registration, with 144 Shwas newline(bronchial asthma) patients randomized into two groups. newlineGroup A (Control): 72 patients practiced Anuloma Viloma pranayama for 10 minutes daily at newline7 a.m., along with Kantakari Ghan Vati 500 mg twice daily for six months. newlineGroup B (Experimental): 72 patients performed Nadishodhana pranayama similarly, with the newlinesame medication.Pranayama techniques were taught by a qualified instructor. Participants newlinewere monitored online via Zoom, and data were collected using a validated case record form. newlineObservation and Results: Peak Expiratory Flow Rate (PEFR), Forced Vital Capacity (FVC), newlineFEV1, FEV1/FVC and FEF 25-75 have shown significant improvement in the Nadishodhana newlinePranayama group. The statistical data have shown that Nadishodhana Pranayama with newlineTab.Kantakari Ghan Vati demonstrated greater effectiveness than Anuloma Viloma newlinePranayama with Tab.Kantakari Ghan Vati in the management of Shwas (bronchial asthma). newlineDiscussion: Koshtha showed a statistically significant effect (p lt 0.001) on the combined newlinerespiratory parameters (PEFR, FEV1, FVC, FEV1/FVC, FEF 25 75), indicating that newlinedemographic factors especially Koshtha meaningfully influence outcomes. The newlineinterventions improved oxygen saturation, aiding asthma management. Nadishodhana newlinePranayama also demonstrated greater weig