REVIEW - EMERGENCY AYURVEDIC MANAGEMENT OF ANGINA PECTORIS (HRIDSHULA)

Emergency is a situation that poses an immediate risk to health or life. Emergency medicine is a medical specialty involving care for patient with acute illness of injuries which requires immediate medical attention. Angina Pectoris is such an emergency condition with risk for life, if there is no treatment immediately provided. It is chest pain due to ischemia of the heart muscle generally due to obstruction or spasm of coronary artery mainly coronary artery disease. It may occur whenever there is an imbalance between myocardial oxygen supply and demand. The pain is felt retrosternal to the left of the sternum or left or right shoulder and characteristically varing intensity with movement and the phase of the respiration.In Ayurveda we can co relate angina with Hridshoola. Sushruta has mentioned that vitiated Dosha settles into heart and also vitiate Rasa Dhatu and generate pain in heart. In our classics symptoms resembling to Angina Pectoris are mentioned by Aacharya, like Mathyate(Churning), Tudhyate(Pricking), Deeryate(tearing) and Atyarth Vedana(severe pain). Vatanulomak Chikitsa should be done to relieve exertion to avoid strain on Hridaya. Various kind of Ayurvedic formulations like Hemgarbhapotali Rasa, Hridyarnava Rasa, Arjunarishta, Prabhakara Vati etc, are mentioned for the treatment of Hridroga in our classics. So we can say that with the help of Ayurveda, we can manage emergency situation of Anginal pain.