Ethno-medicinal and Ayurvedic Approach in the Management and Treatment of Asthma (Swash Roga)


Shwas Roga
Medicinal Plants


How to Cite

UPADHYAY, A. K., & KUMAR, K. (2016). Ethno-medicinal and Ayurvedic Approach in the Management and Treatment of Asthma (Swash Roga): A Scientific Review. Dev Sanskriti Interdisciplinary International Journal, 7, 27–37.


In Ayurveda, Asthma is known as 'Shwas Roga'. Samprapti (Pathogenesis) of the Shwas Roga according to Ayurveda is the vitiated 'Pranvayu' combined with vitiated 'Kapha dosha' in the lungs causing obstruction in the 'Pranavaha srotasa' (Respiratory system). This results in gasping and laboured breathing which is known as 'Shwas Roga'. Asthma is a chronic illness involving the respiratory system in which the airway occasionally constricts, becomes inflamed, and is lined with excessive amounts of mucus, often in response to one or more triggers. These episodes precipitate by exposure to an environmental stimulant (or allergen), cold air, warm air, moist air, exercise or exertion, or emotional stress. Ayurvedic medicines are very safe and cure the problem to a great extent. Researchers of various disciplines are working on this problem to find out the solutions. Various modern means and measures have been discovered in this regard. Even then the effective drug without any side-effects has not been established yet. Ayurveda is the rich source of the therapeutic measures that can control the disease. Out of such therapeutic measures, various herbs, poly-herbal and herbo-mineral compounds were selected in different studies for the benefit of the increasing number of asthma patients and have been found to be effective. The aims of the present review are to establish the importance of Ethno-medicinal and Ayurvedic approach in the management and treatment of Asthma and explore any new interventions needed.


Agrawal, B. & Mehta, A. (2008). Antiasthmatic activity of Moringa oleifera Lam: A clinical study. Indian Journal of Pharmacology, 40(1), 28-31.

Akah, P. A., Ezike, A. C., Nwafor, S. V., Okoli, C. O. & Enwerem, N. M. (2003). Evaluation of the anti-asthmatic property of Asystasia gangetica leaf extracts. Journal of Ethnopharmacology, 89(1), 25-36.

Alexandre, P., Rogerio, F. C., Borducchi, E., Alexandre, C. K., Soares, M. R. G., Albuquerque, D. A. & Lucia, H. F. (2008). Anti-inflammatory effects of Lafoensia pacari and ellagic acid in a murine model of asthma. European journal of Pharmacology, 580(1-2), 262-270.

Badara, V. A., Thawani, V. R., Wakodec, P. T., Shrivastava, M. P. Gharpureb, K. J., Hingoranid, L. L. & Khiyanie, R. M. (2005). Efficacy of Tinospora cordifolia in allergic rhinitis. Journal of Ethnopharmacology, 96(3), 445-449.

Bao, Z., Guan, S., Heng, C., Wu, S., Wong, S. H., Kemeny, D. M., Leung, B. P. & Wong, W. S. (2009). A novel antiinflammatory role for andrographolide in asthma via inhibition of the nuclear factor-kappab pathway. American Journal of Respiratory And Critical Care Medicine, 179(8), 657-65.

Bhat, J. V. & Broker, R. (1953). Action of some plant extracts on pathogenic staphylococci. Journal of Scientific and Industrial Research, 12(B), 540-542.

Binay, S., Dubey, S. D., Singh, V. P. & Tripathi, K. (2009). A study on Shvasahara Karma of Tamalaki (Phyllanthus fraternus Webster). An International Quarterly Journal of Research in Ayurveda, 30(1), 42-46.

Blackhall, K., Appleton, S. & Cates, C. J. (2003). Ionisers for chronic asthma. The Cochrane Database for Systematic Reviews, 3:CD002986

Blanc, P. D., Trupin, L. & Earnest, G. (2001). Alternative therapies among adults with a reported diagnosis of asthma or rhinosinusitis: Data from a population-based survey. Chest, 120(5),1461-1467.

Bordia, A., Verma, S. K. & Srivastava, K. C. (1997). Effect of ginger (Zingiber officinale Rosc.) and fenugreek (Trigonella foenumgraecum L.) on blood lipids, blood sugar and platelet aggregation in patients with coronary artery disease. Prostaglandins Leukot Essent Fatty Acids, 56(5), 379-384,

Boskabady, MH, Ramazani-Assari, M. (2001). Relaxant effect of Pimpinella anisum on isolated guinea pig tracheal chains and its possible mechanism(s). Journal of Ethnopharmacology, 74(1), 83-88.

Chainani-Wu, N. (2003). Safety and anti-inflammatory activity of curcumin: a component of tumeric (Curcuma longa). Alternative and Complementary Medicine, 9(1), 161-168.

Chemexcil (1992). Selected Medicinal Plants of India: A Monograph of Identity, Safety and Clinical Usage. Pharmaceuticals and Cosmetics Export Promotion Council, 1, 225-227.

Chopra, R. N. & De, P. K. (1928). Saussuria lappa: Indian Medical Gazette. A Monthly Journal of Indian Medicine, 63, 186.

Dahanukar, S. A., Karandikar, S. M. & Desai, M. (1984). Efficacy of Piper longum in childhood asthma. Indian Drugs, 21(9), 384-388.

Dhuley, J. N. (1999). Antitussive effect of Adhatoda vasica extract on mechanical or chemical stimulation-induced coughing in animals. Journal of Ethnopharmacology, 67(3), 361-365.

Dorsch, W. & Wagner, H. (1991). New anti-asthmatic drugs from traditional medicine? International archives of allergy and applied immunology, 94(1-4), 262-265.

Dorsch, W. Stuppner, H. Wagner, H. Gropp, M. Demoulin, S. & Ring, J. (1991). Antiasthmatic effects of Picrorhiza kurroa. International Archieve of Allergy Appllied Immunology, 95, 128-133.

Dorsch, W., Ettl, M. & Hein, G. (1987). Antiasthmatic effects of onions. Inhibition of platelet-activating factor-induced bronchial obstruction by onion oils. International Archieve of Allergy and Appllied Immunology, 82(3-4), 535-536.

Fernandes, A., Taraves, F. & Athavale, V. B. (1980). Asthma in children: a clinical controlled study of Piper longum in asthma. Paediatric Clinicians, 15(4), 45-52.

Gillani, A. H. Aziz, H., Khurram, I. M. Chaudhury, K. S. & Iqbal, A. (2001). Bronchodialator, spasmolytic and calcium-antagonist activities of Nigellia sativa. Journal Pakisthan Medical Association, 51, 115-120.

Govindan, S., Viswanathan, S., Vijayasekaran V. & Alagappan, R. (1999). A pilot study on the clinical efficacy of Solanum xanthocarpum and Solanum trilobatum in bronchial asthma. Journal of Ethnopharmacology, 66(2), 205-210.

Gupta, S. S. Rai, M. & Gupta, N. K. (1967). Histamine releasing effects of a few Indian medicinal plants used in bronchial asthma. Current Science, 36(2), 42-43.

Gupta, V. & Gupta, A. P. (1998). Effects of Boswellia serrata gum resin in patients with bronchial asthma. European. Journal of Medicine and Research, 3(11), 511-514.

Homma, M, Oka, K., Niitsuma, T. & Itoh, H. (1994). A novel 11 beta-hydroxysteroid dehydrogenase inhibitor contained in saiboku-to, a herbal remedy for steroid-dependent bronchial asthma. The Journal of pharmacy and pharmacology, 46(4), 305-309.

Hondras, M. A., Linde, K. & Jones, A. P. (2005). Manual therapy for asthma. The Cochrane Database for Systematic Reviews, 2:CD001002.

Huntley, A. & Ernst, E. (2000). Herbal medicines for asthma: a systematic review. Thorax, 55, 925-929.

Isabella, S. Erika, J. J. (2004). Allergenic Potency of Spices: Hot, Medium Hot, or Very Hot. International Archives of Allergy and Immunology, 135, 247-261.

Joshi, H. & Parle, M. (2006). Cholinergic basis of memory improving effect of Oscimum tenuifolium Linn. (O. Sanctum). Indian Journal of Pharmaceutical sciences, 68(3), 364-365.

Kala, M. S., Kumar, S. V. & Gauthaman, K. (2009). Relevance of the use of alternative medicine for bronchial asthma: A review. Journal of Young Pharmacists, 1, 184-189.

Kiritikar, K. R. & Basu, B. D. (1999). Indian Medicinal Plants (2nd Ed.) Dehadun: International Book Distributors.

Kumar, A. & Ramu, P. (2002). Effect of methanolic extract of Benincasa hispida against histamine and acetylcholine induced bronchospasm in guinea pigs. Indian Journal of Pharmacology, 34, 365-366.

Kumar, D., Bhujbal, S.S., Deoda, R. S. & Mudgade, S. C. (2010). Bronchodilator activity of aqueous extract of stem bark of Ailanthus excelsa Roxb. Pharmacognosy Research, 2,102-106

Kumar, S., Ziereis, K., Wiegrebe, W. & Miiller, K. (2000). Medicinal plants from Nepal: evaluation as inhibitors of leukotriene biosynthesis. Journal of Ethnopharmacology. 70(3), 191-195.

Lilly, C. M. (2005). Diversity of asthma: Evolving concepts of pathophysiology and lessons from genetics. The Journal of Allergy and Clinical Immunology, 115(4), 526-531.

Longmore, M. (2007). Oxford Handbook of Clinical Medicine (7th ed.). New Delhi: Oxford University Press.

Maddox, L. & Schwartz, D. A. (2002). The Pathophysiology of Asthma. Annual Review of Medicine, 53, 477-498.

Manocha, R., Marks, G. B. & Kenchington, P. (2002). Sahaja yoga in the management of moderate to severe asthma: A randomised controlled trial. Thorax, 57(2), 110-115.

Mans, D. R. A. Toelsie, J. Mohan, S. Jurgens, S. Muhringen, M. Illes, S. Macnack, R. & Bipat, R. (2004). Spasmogenic effect of a Solanum melongena leaf extract on guinea pig tracheal chains and its possible mechanism(s). Journal of Ethnopharmacology, 95(2-3), 329-333.

Marketos, S. G. & Ballas, C. N. (1982). Bronchial asthma in the medical literature of Greek antiquity. Journal of Asthma, 19(4), 263-9.

Massaki, A., Nobuyuki, F., Tomoko, K., Yuko, S. & Reiko, M. A. (1997). Anti-allergic effect of Tea-leaf saponin (TLS) from Tea leaves. Biological & pharmaceutical bulletin, 20(5), 565-7.

McCarney, R. W., Brinkhaus, B. & Lasserson, T. J. (2004). Acupuncture for chronic asthma. The Cochrane Database for Systematic Reviews, 1:CD000008.

McFadden, E. R. (2000). Asthma, Harrison's Principles of Internal Medicine (16th ed.) New York, NY: McGraw-Hill.

Murali, S., Rajasekaran, O. R., Krishnarajasekar, T., Perumal, K., Nalini, S. & Lakshmisubramanian, C. N. (2006). Plant-Based Formulation for Bronchial Asthma:A Controlled Clinical Trial to Compare Its Efficacy with Oral Salbutamol and Theophylline. Respiration, 73, 457-463

Muthaliar, M. (1998). Materia medica (vegetable section). (4th Ed.). Chennai: Tamilnadu Siddha Medical Council.

Nadkarni, K. M. (1993). Indian Materia Medica, Mumbai: Popular Prakashan.

Nadkarni, K. M. (1996). Indian Materia Medica (3rd ed.) Mumbai: Popular Prakashan Pvt. Ltd.

Nagai, H. K. Osuga, A. & Koda, A. (1975). Inhibition of hypersensitivity reactions by soluble derivatives of baicalein. Japanese Journal of Pharmacology, 25(6), 763-772.

Nagendra, H. R. & Nagarathna, R. (1986). An integrated approach of yoga therapy for bronchial asthma: a 3-54-month prospective study. Journal of Asthma, 23(3),123-137.

Pandit, P., Singh, A., Bafna, A. R., Kadam, P. V. & Patil, M. J. (2008). Evaluation of antiasthmatic activity of Curculigo orchioides gaertn. rhizomes. Indian Journal of Pharmaceutical Science,70, 440-444

Patel, K. G., Bhalodia, P. N., Patel, A. D., Patel, K. V. & Gandhi, T. R. (2008). Evaluation of bronchodilator and anti-anaphylactic activity of Myrica sapida. Iranian Biomedical Journal, 12(3), 191-196.

Patel, K. G., Rao, N. J., Gajera, V. G., Bhatt, P.A., Patel, K. V. & Gandhi, T. R. (2010). Anti-allergic activity of stem bark of Myrica esculenta Buch-Ham (Myricaceae). Journal of Young Pharmacists, 2, 74-78.

Pinnock, H. & Shah, R. (2007). Asthma. British Medical Journal, 334(7598), 847-850.

Rajaram, D. (1975). A preliminary clinical trial of Picrorrhiza kurroa in bronchial asthma. Indian Journal of Pharmacology, 7, 95-96.

Reilly, D., Taylor, M. A. & Beattie, N. G. (1994). Is evidence for homoeopathy reproducible? The Lancet: UK Medical Journal, 344(8937), 1601-1606.

Ringborn, T. Segura, L. Noreen, Y. Perera, P. & Bohlin, L. (1998). Ursolic acid from Plantago major, a selective inhibitor of cyclooxygenage-2 catalysed prostaglandin biosynthesis. Journal of Natural Products, 61(10), 1212-1215.

Rosner, F. M. (1981). Maimonides' treatise on asthma. Thorax, 36, 245-251.

Satyavati, G. V. Raina, M. K. & Sharma, M. (1992). Medicinal Plants of India (Vol.2). New Delhi: Indian Council of Medical Research.

Sekhar, V., Gandhi, D. N. Rao, N. M. & Rawal, U. D. (2003). An Experimental and Clinical Evaluation of Anti-Asthmatic Potentialities of Devadaru Compound (Dc). Indian Journal of Physiology and Pharmacology, 47(1), 101-107.

Shabana, C., Dar, A., Ahmedand, S. & Rahman, A. (2005). Evaluation of Alstonia scholaris leaves for broncho-vasodilatory activity. Journal of ethnopharmacology, 97(3), 469-476.

Shan, B. K. Kamat, S. R. & Sheth, U. K. (1977). Preliminary report of use of Picrorrhizakurroa root in bronchial asthma. Journal of Postgraduate Medicine, 23, 118-120.

Sharma, P. & Sharma, J. D. (1999). Evaluation of in-vitro schizontocidal activity of plant parts of Calotropis procera- an ethnobotanical approach. Journal of. Ethnopharmacology, 68(1), 83-95.

Sharma, P. V. (2002). Dravya Guna Vigyan (Vol.1). Varanasi: Chaukhambha Bharati Acadamy.

Shastri, K. & Chaturvedi, G. (1988). Charak Samhita Part-II (Chikitsa Sthana, Shwas Rog Chikitsa, 17/11-16). Varanasi: Chaukhamba Bharti Academy.

Shenfield, G. & Lim, E. (2002). Allen H. Survey of the use of complementary medicines and therapies in children with asthma. Journal of Paediatrics and Child Health, 38(3), 252-257.

Shukla, V. (2003). Kaya-Chikitsa (Vol. 2). Varanasi: Chaukhambha Subharati Prakashan.

Singh, R. K., Acharya, S. B. & Bhattacharya, S. K. (2000). Pharmacological activity of Elaeocarpus sphaericus. Phytotherapy Research, 14(1), 36-9.<36::AID-PTR541>3.0.CO;2-J

Singh, S. & Agrawal, S. (1991). Anti-Asthmatic and Anti-Inflammatory Activity of Ocimum sanctum. Pharmaceutical Biology, 29(4), 306-310.

Singh, T. J., Dasgupta, P., Khan, S. Y. & Mishra, K. C. (1970). Preliminary pharmacological investigations of Ocimum sanctum. Indian Journal of Pharmacy, 32(4), 92-94.

Singh, V. K. (1986). Selected Indian folk claims for the cure of bronchial asthma. Indian Journal of Applied and Pure Biology, 1(2), 92-97.

Szelenyi, I. & Brune, K. (2002). Herbal remedies for asthma treatment: Between myth and reality. Drugs Today, 38(4), 265.

Talalaj, S. & Czechowicz, A. S. (1989). Herbal Remedies Harmful and Beneficial Effects. Melbourne: Hill of Content.

Ubonwan, P. C., Torbjörn, M., Georg, W. & Jan, G. B. (2000). Adhatoda vasica: a critical review of ethnopharmacological and toxicological data. Journal of Ethnopharmacology, 72(1-2), 1-20.

Vats, V. Yadav, S. P. & Grover, J. K. (2004). Ethanolic extract of Ocimum sanctum leaves partially attenuates streptozotocin-induced alterations in glycogen content and carbohydrate metabolism in rats; Journal of Ethnopharmacology, 90(1), 155-60.

White, A., Slade, P. & Hunt, C. (2003). Individualised homeopathy as an adjunct in the treatment of childhood asthma: A randomised placebo controlled trial. Thorax, 58(4), 317-321.

Williamson, E. M. & Evans, F. J. (2000). Cannabinoids in clinical practice. Drugs, 60(6), 1303-1314

Zhao, J., Takamura, M., Yamaoka, A., Odajima, Y. & Iikura, Y. (2002). Altered eosinophil levels as a result of viral infection in asthma exacerbation in childhood. Pediatric allergy and immunology, 13(1), 47-50.

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