Difficulty in Breathing Respiratory Disorders

Respiratory Illness

An upper respiratory issue, which is causing problems with breathing. Medically called Dyspnnoea or difficulty in breathing. Causes vary from severe infections to simple gas trouble or acidity in the stomach. Here the most predominant dosha is Vata. The average direction of Vata is downward, but when due for some reason the direction gets distracted and turns up, it gets localized in the chest and causes breathing difficulties and chest congestion. There are also certain serious chest infections causing difficulty in breathing, decreased lung capacity also leads to this, anemia can be another cause, and even some fatal conditions are there like those which affect the respiratory muscles and weaken them which might even lead to death. The most common cause is allergies to different substances.

Based on cause the treatment approach differs


Kasa is correlated to cough. It is a respiratory disorder caused due to various reasons.
It can be dry or productive. According to Ayurveda, Kasa has an involvement of Vata associated with Kapha. Kasa can be due to infections in the throat, respiratory disorders, allergies, or even acidity can also cause Kasa. You may wonder how. Acidity or indigestion in the stomach indicates Vata is a disoriented stomach. Movement of Vata gets disturbed and it pushes upward, the first route through which it can be expelled will be then mouth, which may take the form of cough. In kasa this disarranged Vata localizes in the chest region and causes pain and severe cough.

Based on the nature and root cause of cough, Ayurveda classifies it into 5 types,

  • Kasa due to Vata vitiation – Dry, loss of voice, chest pain, intermittent cough, and may also occur in fits.
  • Due to pitta – more intense, such as due to infections like pneumonia, more deep-rooted and indicated by large quantities of yellow sputum and also fever
  • Due to Kapha – productive, with thick white mucus, nausea/vomiting. runny nose continuous coughing
  • Due to Vata and pitta – kshataja Kasa – infection or internal bleeding causes mucus to be reddish /yellow/black, which may be associated with fever and joint pains. In severe cases can even see blood in the urine
  • Tuberculosis – known as kshyaja Kasa in Ayurveda, is considered as drying up and loss of tissue. Here there is the involvement of all 3 doshas


  • Vata balancing without vitiating Kapha
  • Reducing Kapha by lekhana therapy and lekhaneeya ( scraping property ) medicines
  • Use expectorants like Adathoda vasica etc
  • Use Kapoordi Tailam with a pinch of salt followed by proper sudation for clearing the channels
  • There are ayurvedic formulations in the form of lickable, powders, or decoction for each type of Kasa.
  • For Kasa, medicine is advised to be taken frequently

Line Of Management in Ayurveda


  • Difficulty in breathing
  • Wheezing
  • Chest congestion
  • Sleep apnoea
  • Palpitation
  • Sneezing
  • Running nose
  • Watering of eyes
  • Chocking


  • Focus on alleviating Vata imbalance in the chest by lehyas
  • In some cases there is an association of Kapha , specially with allergies and infections, try some choorna mixed with oil or honey
  • In case of anemia, due to poor quality of blood and decreased Hb, proper oxygen does not mix with blood, so in such instances medicines to improve the blood should be advised
  • For allergies, we need to do cleansing therapy like Vamana or virechana and also take medication for quite a specific time period


Peenasa is a running nose. It is sometimes associated with Kasa and shwasa . It can also be due to some morphological issues like polyps or deviation of the nasal bone, sinusitis, or even a common cold. It can also be due to allergies.

Sinusitis is a simple but very severe condition, where the air cavities or spaces in our forehead, nasal area, and maxillary area get filled by Kapha. It happens due to Vata imbalance, causing Kapha to solidify, and sometimes when these accumulations last longer, they become infected, and then there is pitta association.

Looking into the stage of sinusitis we chart the treatment.


  • Nasya – Marsha and Pratimarsa
  • Lepam – on the forehead
  • Sudation therapy
  • Thalam
  • Proper internal medication

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