A Comparative Clinical Study to Evaluate the Therapeutic Effect of Vasa Arka and Tulasi Arka Nebulization in Immediate Management of Tamaka Shwasa

Tamaka Shwasa, comparable to bronchial asthma, is a chronic respiratory disorder of the Pranavaha Srotas marked by dyspnea, wheezing, cough, and chest tightness. Its prevalence is increasing globally due to environmental pollution, lifestyle changes, dietary factors, and psychological stress. Nebulization enables rapid drug delivery directly to the lungs with minimal systemic effects. Ayurvedic drugs possessing bronchodilator and anti-inflammatory properties may be beneficial in the immediate management of this condition. Objectives: To evaluate and compare the therapeutic efficacy of Vasa Arka and Tulasi Arka nebulization in the immediate management of Tamaka Shwasa (bronchial asthma). Methods: A randomized controlled clinical study was conducted on 60 clinically diagnosed patients of Tamaka Shwasa. Patients were randomly divided into two groups: Group A received nebulization with Vasa Arka and Group B received nebulization with Tulasi Arka. Assessment was done based on improvement in subjective symptoms and objective parameters before and after treatment. Results: Both Vasa Arka and Tulasi Arka nebulization showed significant improvement in the clinical features of Tamaka Shwasa. Vasa Arka demonstrated comparatively superior efficacy in reducing respiratory distress and associated symptoms. Conclusion: Nebulization with Vasa Arka and Tulasi Arka is effective in the immediate management of Tamaka Shwasa. Vasa Arka was found to be more potent, suggesting its potential role as an effective Ayurvedic nebulization therapy in bronchial asthma.