title: Clinical efficacy of Vyaghriharitaki Avaleha in the management of chronic bronchitis.
abstract: BACKGROUND
  Vyaghriharitaki Avaleha (VHA), a polyherbal classical Ayurvedic formulation has been used in Kasa (cough), Swasa (asthma), Rajayakshma (tuberculosis) etc., conditions.
  
  
  OBJECTIVE
  To evaluate the clinical efficacy of VHA in the management of chronic bronchitis.
  
  
  METHODS
  Patients of chronic bronchitis were given 10 g of VHA twice a day with lukewarm water before meals for 12 weeks. Improvement in clinical symptoms of chronic bronchitis as the primary outcome measures and St. George's Respiratory Questionnaire scores as secondary outcome measure was studied.
  
  
  RESULTS
  Out of 66 enrolled patients, 61 completed the treatment schedule. The results show that VHA provides statistically significant improvement with P < 0.001 in both primary and secondary outcome measures.
  
  
  CONCLUSIONS
  VHA can be considered as a safe and effective formulation in the management of chronic bronchitis.
authors.affiliation: Department of Kaumarbhritya, Shri Shirdi Saibaba Ayurved College, Renwal, Jaipur, Rajasthan, India.
authors.forename: Jaiprakash
authors.initials: J
authors.lastname: Ram
authors.affiliation: Ayurveda Chair, Department of Pharmacology and Phytotherapy, Medical School, University of Debrecen, Debrecen, Hungary.
authors.forename: Madhav Singh
authors.initials: MS
authors.lastname: Baghel
keywords: Chronic bronchitis; Kasa; Vyaghriharitaki Avaleha