Hello Thanks for sharing all that info. I really respect how you’ve handled your asthma for so long. But dont worry we are here to help you out 😊
YOUR CONCERN
Age: 67 Asthma for: About 27 years (since you were 40) How bad is it?Pretty bad, daily shortness of breath. What you’re taking now: Ipratropium + Albuterol nebulizer (twice a day) Nin Jiom Pei Pa Koa (that herbal syrup) Thinking about Lobelia inflata tincture Energy -So-so Triggers: You haven’t found any specific ones.
AYURVEDIC UNDERSTANDING
This really looks like something called Tamaka Shwasa in Ayurveda. Basically, it means:
–A mix of Vata and Kapha imbalances. –Your breathing channels have been messed up for a long time. –Vata naturally goes up as we age. –Your lungs aren’t as stretchy, and there’s ongoing inflammation.
For long-term stuff like yours, Ayurveda aims to: –Keep symptoms in check. –Lessen how often and how bad the attacks are. –Make your lungs stronger. –Just help you live better – not yank you off your modern meds all at once.
ABOUT LOBELIA INFLATA
Lobelia inflata can help open up your airways and perk up your breathing.
But seriously: – It’s a bit tricky to get the dose right. – Too much can make you sick: nausea, throwing up, low blood pressure, heart flutters.
DO NOT mix it with your bronchodilators without someone watching over you.
My suggestion: If you really want to keep using Lobelia, please do it with a qualified herbalist or doctor. Don’t just up the dose yourself. Ayurveda actually has safer things for the long run.
AYURVEDIC PLAN OF TREATMENT
INTERNAL MEDICATION
1.Sitopaladi Churna: Half a teaspoon twice a day with honey. This helps clear Kapha and makes breathing easier.
2.Talisadi Churna: Half a teaspoon twice a day after meals with honey. Good for strengthening lungs and cutting down on chronic coughs and wheezing.
3.Vasavaleha:One teaspoon twice a day. Great for chronic asthma and inflammation in your airways.
4. Chyawanprash (the Vata-friendly kind): One teaspoon in the morning with warm milk or water. It’s like a tonic for your lungs and immune system.
NASYA (Super Important for You)
1 Anu Taila Nasya: Two drops in each nostril, morning, on an empty stomach, five days a week. This lubricates your airways, calms Vata, and protects your lungs.
PANCHAKARMA THERAPY Do this with supervision:
Nadi Sweda: Localized steam on your chest. Mridu Virechana A gentle detox once or twice a year. No strong Vamana for someone your age.
Breathing Exercises (Pranayama) Do these daily on an empty stomach:
* Anulom Vilom: 10 minutes. * Bhramari: 7–9 rounds. * Skip Kapalbhati – it can make asthma worse.
DIET PLAN
INCLUDE * Warm, freshly made food. * Ginger, turmeric, black pepper (a little bit). * Old rice, wheat. * Warm soups.
AVOID * Cold drinks. * Ice cream. * Loads of dairy at night. * Fried, heavy food.
DON’T stop your inhalers suddenly. * The idea is to slowly lower the dose over time, not just quit. * Keep an eye on: * Night symptoms. * How much you rely on your nebulizer. * Shortness of breath when you move around.
If you stick with this Ayurvedic plan:
* Attacks might not be as bad. * You might need your rescue meds less often. * You could sleep better and breathe easier. * Your stamina and lung strength should get better.
When it comes to chronic asthma, it’s about managing it, not fighting it. And you’re doing a lot right already.
Warm Regards Dr. Snehal Vidhate
Some regime you should follow
✔️Do’s:✔️ Eat freshly cooked food. Chew an inch of fresh ginger half an before meal. Eat only fruit vegetables.
🧘♀️Yoga🧘♀️ Virabhadrasana Trikonasana Vrukshasan Prasavkonasan Bhujangasan Balasan Shavana
🧘♀️Pranayam🧘♀️ Anulom Vilom Bhastrika Kapalbhati
❌Dont’s:❌ Sitting directly under a fan or right in front of the A.C Oily, spicy, processed food. Packed food products. Sour and fermented items. Bakery items. Fried food products. Potatoes. Dairy products
💊Medication💊
Cap. Nelsin 2 caps twice a day before food Tab. Shwaskuthar Ras 2 tabs twice a day before food
Syp. Vasakasav 3 tsp twice a day after food
Chitrak Haritaki Avleham 2 tsp in the morning with a cup of hot water.
Tab. Gandharva Haritaki 3 tabs at bed time with hot water
Heat carrom seeds in a pan and take steam with the fumes of carrom seeds. Also foment on the check below the eyes with the roasted carrom seeds packed in a piece of cloth.
Avoid chilled, fermented and bakery products. Regular exercise. Increase intake of raw vegetables and fruits. Use boiled water for drinking. Kanakasav 20ml twice with lukewarm water Tab.Bresol 2-0-2 Tab Immunocin 2-0-2 Follow up after 2 weeks.
Don’t worry Rx avilable in Ayueveda
Take swaskutararas 1tab bd after food, swasakasachitamani ras 1tab after food Kanakasava 20ml bd after food, lavangadhi vati 1tab bd after food enough u ll get results
Dr RC BAMS MS
LONG STANDING CHRONIC ASTHMA WITH DAILY SYMPTOMS WHICH MEANS IS A STABLE BUT DEEP ROOTED RESPIRATORY DISORDER AND AT YOUR AGE THE LUNGS AND NERVOUS CONTROL OF BREATHING ARE MORE SENSITIVE SO ANY HERB THAT HAS A STRONG ACTION MUST BE USED WITH CAUTION
ABOUT LOBELIA INFLATA IS A POWERFUL HERB THAT ACTS STRONGLY ON THE RESPIRATORY AND NERVOUS SYSTEM IT IS NOT A GENTLE DAILY TONIC IT CAN CAUSE NAUSEA WEAKNESS DIZZINESS AND HEART PALPITATIONS ESPECIALLY IN ELDERLY PATIENTS AND ESPECIALLY WHEN COMBINED WITH BRONCHODILATORS LIKE IPATROPIUM AND ALBUTEROL USING LOBELIA ALONG WITH YOUR CURRENT INHALATION SOLUTION IS NOT ADVISABLE WITHOUT DIRECT SUPERVISION AS IT MAY OVERSTIMULATE THE AUTONOMIC SYSTEM AND WORSEN INSTABILITY OF BREATHING
THE FACT THAT YOU ARE DEPENDENT ON INHALERS MORNING AND NIGHT MEANS YOUR CONDITION IS NOT MILD AND ANY ADDITIONAL HERB SHOULD BE SUPPORTIVE AND STABILIZING NOT AGGRESSIVE
NIN JIOM PEI PA KOA IS SAFE FOR SOOTHING THE AIRWAYS AND YOU MAY CONTINUE IT AS YOU ARE USING PROVIDED IT DOES NOT CAUSE EXCESS MUCUS OR DIGESTIVE HEAVINESS
AS ASTHMA AT THIS STAGE OF LIFE IS MAINTAINED BY A COMBINATION OF DRYNESS STIFFNESS OF THE AIRWAYS AND LONG TERM IRRITATION SO THE APPROACH SHOULD BE TO NOURISH LUBRICATE AND STRENGTHEN THE RESPIRATORY SYSTEM RATHER THAN FORCEFUL EXPECTORATION
INSTEAD OF LOBELIA SAFER SUPPORTIVE PLAN IS MORE APPROPRIATE
INTERNAL MEDICINES
TALISADI CHURNA HALF TEASPOON TWICE DAILY WITH HONEY AFTER FOOD
SITOPALADI CHURNA HALF TEASPOON TWICE DAILY WITH HONEY
VASAKA SYRUP TEN ML TWICE DAILY AFTER FOOD
CHYAWANPRASH ONE TEASPOON IN THE MORNING
THESE ARE BETTER TOLERATED FOR LONG TERM USE DO NOT INTERACT WITH INHALERS
DO NOT STOP YOUR INHALERS SUDDENLY CONTINUE THEM AS PRESCRIBED AND ANY REDUCTION SHOULD ONLY BE DONE GRADUALLY AND UNDER MEDICAL SUPERVISION
AVOID COLD DRINKS ICE CREAM REFRIGERATED FOODS AVOID HEAVY DAIRY AT NIGHT AVOID SMOKY DUSTY AND COLD AIR EXPOSURE EAT WARM COOKED FOOD REGULARLY USE WARM WATER FOR DRINKING DO GENTLE BREATH EXERCISES NOT FORCEFUL BREATH HOLDING
long standing severe asthma for and dependent on inhalation therapy which tells that lungs are reactive sensitive and easily exhausted so any additional herb must be approached with great care
Lobelia inflata even in fresh tincture form is strong respiratory herb it works by relaxing bronchial spasm and helping expel deep mucus but it is not a gentle tonic herb it can be unpredictable in elderly patients and in those already using bronchodilators like ipratropium and albuterol combining can sometimes lead to nausea dizziness weakness palpitations excessive mucus release or sudden drop in energy so it is not advisable for regular or unsupervised use of lobelia in your case
As current medicines are already doing the job of bronchodilation and mucus control so the aim should be lung nourishment inflammation control and nervous system calming
The Nin Jiom Pei Pa Koa you are taking is supportive as it soothes the throat reduces irritation and helps chronic cough and it is acceptable if it does not increase mucus or acidity for you
Asthma without triggers often indicates long term dryness weakness and hypersensitivity of the lung tissue along with nervous system involvement so treatment should be slow steady and strengthening rather than forceful
Warm cooked foods easy to digest meals avoid cold drinks excess raw foods very dry foods fried foods and late night eating will support lung , breathing practices avoiding breath holding and maintain regular sleep timing are equally important
If lobelia is to be used at all it should only be in small occasional doses and preferably under direct guidance of a practitioner who can monitor your response otherwise it is safer to avoid it and focus on milder lung supportive herbs and lifestyle measures that do not clash with your current inhalers
The goal at this stage is not sudden reversal but reducing daily severity improving breath reserve and preventing further decline and with the right gentle consistent approach many patients do experience meaningful improvement over time even after many years of asthma
1.Chyawanprash 1 tsp with warm milk empty stomach in the morning 2.Sitopladi churna 1 tsp twice daily with honey 3.Kantkari avaleha 1 tsp twice daily with warm milk after meals 4.Kankasava 20 ml with 20 ml water twice daily after meals
🍎 Diet & Lifestyle Tips Avoid cold, heavy foods: Ice cream, cold drinks, fried and oily foods can worsen asthma.
Favor warm, light meals: Soups, khichdi, cooked vegetables, and herbal teas.
Spices for breathing: Small amounts of ginger, black pepper, and turmeric can help clear phlegm.
Breathing practices: Gentle pranayama (like anulom vilom or alternate nostril breathing) can improve lung capacity. Avoid forceful practices if breathless.
Steam inhalation: With tulsi or mint leaves may help relieve congestion.
Regular routine: Consistent sleep and meal times stabilize vata and kapha.
Start with Vasavaleh 1tsp twice daily after food with water Kanakasav 10ml. Twice daily after food with 20ml. Water. Mix yastimadhu churan 1/2tsp+ sitopaladi churan 1/2tsp. + Talisadi churan 1/2tsp. with 2tsp. Honey and take twice daily after food with water. Steam inhalation once daily with few drops of eucalyptus oil. Have warm haldi doodh at bedtime. Do pranayam lom -vilom bhastrika kapalbhati daily for 5-10mins twice. Do Nasya with 2 drops of Anu tel in both nostril twice daily.
Avoid citrus fruits, cold drink icecream sugary foods fried foods. Drink warm water through out the day.
