Manimendra Sashini Piumika*, OTMRKSB Kalawana


A systematic review attempts to collect all empirical evidence which fits pre-specified eligibility criteria in order to answer a specific research question. Tamaka shwasa is a very broad term in Ayurveda, which includes many more symptoms where dyspnea is predominant and it is correlate with Bronchial Asthma. Aim of this study was to assess the methodological quality of researches, on efficacy and methods that used for the management of Tamaka shwasa in Ayurveda aspect. In this study EMBASE, MEDLINE, AMED, PubMed were screened which published from September 2019 to February 2020.Randamized clinical trials were considered if they investigated any type of Ayurveda management of Tamaka shwasa. The five point of Jadad scale was used to assess methodological quality of studies. As a results, 56 Randomized clinical trials (RCT) met inclusion criteria. Only one study completed the score range five among them. One study was scored 4 and 2 studies were scored 3 points on Jadad scale.11 were scored as 2, 33 were scored 1 point and 8 were unable to score any point. According to the treatment procedure Shamana karma were used in 88% of included randomized controlled trials It can be concluded that Ayurveda management has potential effect on symptoms of Tamaka shwasa. There were many researches done regarding this topic, but RCTs were few (54%). Among them 4 RCTs were of high quality (≥3 in Jadad score) and 52 RCTs were of low methodological quality (≤ 2in Jadad score). So methodologically large proportion (98.2%) of them were failed according to the Jadad score. Hence, further RCTs concerning Ayurveda management of Tamaka shwasa should be conducted according to a recommended standard methodological process to maintain a higher quality and for global acceptance.

Keywords: Ayurveda, Bronchial asthma, Jadad score, Systematic review, Tamaka shwasa.

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