Narrative review to unravel the link between symptoms and components of pathogenesis (Samprapti Ghatak) of Tamak Swasa (bronchial asthma)

Tamak Swasa is a disorder of Pranavaha Srotas. It highly correlates with the clinical picture of bronchial asthma. The non-recognition of Tamak Swasa in the early stages may lead to worsening of symptoms, frequent attacks of Swasa, and decreased quality of life. It is highly essential to recognize the underlining pathology and related Samprapti Ghataka (components of pathogenesis) based on clinical signs and symptoms of asthma. This understanding helps a physician to choose the most appropriate therapeutic approach. This review aims to explain the underlying pathology of symptoms of Tamak Swasa. A literature search was performed referring Bruhatrayee, Laghutrayee, and all other available classical texts of Ayurveda. Published articles were referred to using PubMed and google scholar search. This review analyzed that Vegavastha (exacerbation) and Avegavastha are important milestones of treatment. Identification of involvement of Vata and or Kapha Dosha, Aavaranajanya Samprapti (obstructed pathology), types of Srotodushti (Srotasas are the channels of transportation), deteriorated status of Jatharagni and functionality of Apan Vayu (a subtype of Vata Dosha) found to be vital components of pathogenesis linked with the major symptoms responsible for the manifestation of serious exacerbation stage of Tamak Swasa.  &nbsp