DMD is a progressive muscle weakness with an unfavourable prognosis and a limited life expectancy. Causes of death is acute pneumonia, cardiac arrest, acute respiratory distress and multi-organ failure. Main cause remains cardio-respiratory failure. Ventilatory failure from muscle weakness requires mechanical support for ventilation and coughing. Today non-invasive positive-pressure ventilation is the method of choice for supportive long-term mechanical ventilation in DMD. Mechanical in-insufflator is popular device for assisted coughing. Though DMD is ultimately a fatal disease, quality of life and life expectancy can be markedly improved if cardiopulmonary manifestations are adequately treated. The effect of yogic practices on the cardio-autonomic functions has been demonstrated in various neurological conditions and may prove beneficial in DMD.

It is the vital force Prana that makes us alive. The main operative site of Prana is two vital organs, the lung and heart which operate 24/7 effectively for us to live healthily. These major organs require a lot of nutrition, a balanced diet and proper care to ensure it works well. As per the World Health Organization, 92% of the world’s population is breathing polluted air. The harmful tiny toxic elements can diffuse deep into the respiratory and cardiovascular system damaging them and leading to untimely death.

In several Indian metro cities, air pollution is the primary trigger for breathing problems in children and the elderly. There are several therapies and remedies that support our Prana system. Ayurvedic Nasyam Karma is simple therapy includes the installation of medicated drops through the nostrils which prevents allergies caused by air pollutants. Yogic breathing exercises like pranayama, kapal bhati etc. can be of significant help in cleansing the airway and combating the ill effects of pollution. Some Rasayana medicines like Mamsagni and Sukumar Guggul Rasayana can be consumed on a regular basis to strengthen the respiratory and immune system. Herbal support of Arjuna and Pippali can protect your heart and lung.

Heart rate variability (HRV) is shown to be a predictor of cardio-autonomic function. Physiotherapy along with Yogic support (Physio-Yoga) is advised for these children as a regular treatment for maintaining their functional status.

Arjuna (Terminalia arjuna) promotes heart health. The efficacy of Arjuna as an anti-ischemic agent, a potent antioxidant, and an antiatherogenic agent has been amply demonstrated in various clinical studies. The arjuna extract significantly lowered systolic blood pressure, total cholesterol, and triglyceride levels. Arjuna as supportive supplement is safe for lasting relief in symptoms and signs of heart failure along with improvement in left ventricular ejection phase indices with definite improvement in quality of life.

Sukumar Guggul Rasayana is unique blend of Guggulipids, Withania somnifera, Inula racemosa, processed with Shilajeet and Yashad bhasma. It is efficient formula to prevent cardiomyopathy. Similarly Mamsagni Rasayana is excellent formula of Boswellia serrata, Withania somnifera processed with Curcumin and gold bhasma.

Pippali is an ultimate safe ayurvedic remedy for all sorts of respiratory disorders like asthma, bronchitis, cough and cold. Pippali provides relief from cough and congestion and also helps in removing phlegm deposits from the respiratory tract. It removes the obstruction of mucus and improve flow of Prana. The small (Chhoti) variety of Pippali suppresses inflammation of both acute and sub acute phase while large (Badi) variety of Pippali is efficient in acute phase of respiratory distress.

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