What is Allergic Bronchopulmonary Aspergillosis (ABPA)?

Allergic Bronchopulmonary Aspergillosis (ABPA) is a fungal infection of the lung due to a hypersensitivity reaction to antigens of Aspergillus fumigatus after colonization into the airways. It commonly presents in the third to fifth decade of life. It is also common in children. It usually found in severe asthmatics and patients with cystic fibrosis.  It causes airway inflammation, leading to bronchiectasis, if left untreated, the immune system and fungal spores can damage sensitive lung tissues and lead to scarring.

In Ayurveda, Allergic Bronchopulmonary Aspergillosis (ABPA) may be included in Shwasa and  Kasaroga mentioned in ayurvedic texts due to the similarity in aetiopathogenesis and clinical presentation. As per the ayurvedic principles, respiratory diseases have the predominance of Vata dosha (one among the functional pillars of the body) along with vitiation of Kapha dosha and Pranavahasrotas (cardio-respiratory system).

Causes of Allergic Bronchopulmonary Aspergillosis (ABPA)

It is a condition characterized by an exaggerated response of the immune system (a hypersensitivity response) to the fungus Aspergillus. Aspergillus colonization prompts vigorous antibody (IgE and IgG) and cell-mediated immune responses (type I, III, and IV hypersensitivity reactions) to Aspergillus antigens, leading to frequent, recurrent asthma exacerbations.

Symptoms of Allergic Bronchopulmonary Aspergillosis (ABPA)

  • Almost all patients have clinically diagnosed asthma, and present with wheezing (usually episodic in nature) 
  • Cough
  • Shortness of breath 
  • Exercise intolerance (especially in patients with cystic fibrosis)
  • Bronchiectasis
  • Pleuritic chest pain
  • Fever

Ayurvedic Reference of Allergic Bronchopulmonary Aspergillosis – Shwasaroga


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Ayurvedic Treatment for Allergic Bronchopulmonary Aspergillosis (ABPA)

The treatment principle for respiratory disorders as per Ayurveda is to balance both Vata and Kapha, so the drugs used for these diseases should possess qualities like Vata-kapha-shamaka (alleviating Vata & Kapha dosha), Ushna (hot by potency), and vatanulomana (carminative). Ayurveda has also potent single drugs and compound formulations for breaking the pathology of these respiratory ailments.

Internal Medicines for Allergic Bronchopulmonary Aspergillosis (ABPA)

  • Vasa Vyaghri kashaya
  • Dashmoola Katutraya kashaya
  • Bharangyadi kashaya
  • Talishadi churna
  • Sitopladi churna
  • Shringyadi churna
  • Vyaghri haritaki
  • Swasnanda gutika
  • Haridra khanda
  • Vasavaleha
  • Kantakaryavaleha
  • Vasa  ghrita
  • Kantakari ghrita
  • Abhraka bhasma
  • Sameerpannaga rasa
  • Swasa kuthara rasa
  • Kankasava

External therapies for Allergic Bronchopulmonary Aspergillosis (ABPA)

  • Abhyanga (massage)  with Sarsapataila (mixed with saindhava lavana)  on the chest  
  • Swedana  (hot  fomentation)

Purificatory Therapies

  • Vamana  (emesis  therapy), 
  • Virechna (purgation  therapy)

Single Herbs Used in Allergic Bronchopulmonary Aspergillosis (ABPA)

  • Kantkari (Solanum surattense)
  • Vasa (Adhatoda vasica)
  • Madhuyasti (Glycyrrhiza glabra)
  • Bharangi (Clerodendrum serratum)
  • Pushkarmoola(Inula racemosa)
  • Vibhitaka (Terminalia bellerica)
  • Shati (Hedychium spicatum)
  • Tulsi (Ocimum sanctum
  • Shirisha (Albizia lebbeck)
  • Haridra (Curcuma longa
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Diet in Allergic Bronchopulmonary Aspergillosis (ABPA)

Pathya (Do’s)

  • Godhuma (Wheat), Old rice, Mudga (Green gram), Kulattha (Horse gram), Yava (barley), Patola (Snake gourd) 
  • Use of Garlic, Turmeric, Ginger, Black pepper 
  • Lukewarm water, Goat Milk, Honey.

Apathya (Don’ts)

  • Heavy, cold diet, Masha (black gram)
  • Deep-fried items, Mustard leaves, Fish 
  • Exposure to Cold & Humid atmosphere 
  • Sweets, Chilled water, Stored food items, Curd 
  • Suppression of natural urges 
  • Excessive physical exertion
  • Exposure to Smoke, Dust and fumes, Pollutants and Pollens

Yoga Therapy for Allergic Bronchopulmonary Aspergillosis (ABPA)

Postures include:-

  • Ustrasana
  • Dhanurasana
  • Baddhakonasana

Pranayama include:-

Nadi-shodhana Pranayama leads to a marked improvement in the lung functions by strengthening the respiratory muscles and decreasing the resistance to the airflow in the lungs.

Frequently Asked Questions

Question: What is Allergic Bronchopulmonary Aspergillosis (ABPA)?

Answer: It is a condition characterized by an exaggerated response of the immune system (a hypersensitivity response) to the fungus Aspergillus.

Question: What are the causes of Allergic Bronchopulmonary Aspergillosis (ABPA)?

Answer: The cause is due to an allergic reaction, which causes the immune system to overreact to Aspergillus leading to lung inflammation.

Question: What is the Ayurvedic Treatment for Allergic Bronchopulmonary Aspergillosis (ABPA)?

Answer: If the patient is healthy then sodhan chikitsa (purificatory) should be done with vaman, virechan, and then shaman (palliative) chikitsa should be done with advised diet and medicines.

Question: Is ABPA an infectious disease?

Answer: Allergic Bronchopulmonary Aspergillosis (ABPA) is a fungal infection in uncontrolled asthmatics and immunocompromised patients.

Question: How common is ABPA?

Answer: ABPA affects between 1 and 15% of cystic fibrosis and asthmatic patients.

Question: How can you prevent ABPA?

Answer: Avoid going in the areas with lot of dust like construction or excavation sites and avoid activities that involve close contact to soil or dust.

Question: Can Ayurveda treat ABPA?

Answer: Ayurveda can effectively treat ABPA without causing any side effects.

Question: Can ABPA Be Cured by Ayurveda?

Answer: Ayurveda has researched and developed herbal medications to manage the symptoms of ABPA effectively. The treatment includes subsiding the inflammation of bronchioles and balancing the doshas involved.

Question: What is the Best Ayurvedic Medicine for ABPA?

Answer: ABPA is the hypersensitivity to fungal spores resulting in attenuation of lungs so, to support the wellness of lungs Ayurveda suggests single herbs like Chhoti dudhi (Euphorbia Thymifolia) and Shirish (Albizia Lebbeck).

Question: Can You Live a Long Life with ABPA?

Answer: Yes, long life with ABPA can be achieved by following the principles of ancient Ayurveda and treatment to balance the vitiated Kapha and Vata dosha which are the main cause of symptoms like breathlessness, haemoptysis with coughing.

Question: What Kills Aspergillus in Lungs?

Answer: Pulmonary Aspergillosis is well managed by antifungal Ayurveda medications such as IAFA AF-7 Tablet and single herb Shirish Swaras (Albizia Lebbeck Juice). These Ayurvedic medicines are proven to be the best treatment for ABPA because of their antimicrobial action.

Question: Can You Recover from ABPA?

Answer: ABPA peoples can recover faster with the addition of Ayurvedic antifungal medicines as well as immune system rejuvenators. To avoid the triggering factors like fungal spores exposure, humidity and mycotoxins will also escalate the recovery. Ayurvedic antifungal medications generally have no side effects.

Question: What Foods Should You Avoid If You Have ABPA?

Answer: Ayurveda says sheet virya i.e cold in potency foods is to be avoided strictly for sufferers of ABPA. Keep in mind that refrigerated, fermented and synthetic foods would trigger the symptoms of ABPA. It is also very important that one avoids foods that have high lactose and high gluten content.

Question: How Serious is ABPA?

Answer: ABPA in initial stages is fully recovered with the right Ayurvedic medications, Pathya and Apathya (dietary restrictions) and Yoga and Pranayam (breathing exercises). In later stages, the lung fibrosis and scarring are permanent but the symptoms can be managed with single herbs.

Question: What is the Best Antifungal for ABPA?

Answer: Pulmonary aspergillosis (ABPA) is treated with antifungals formulation specifically for respiratory fungal infection like IAFA AF-7 Tablets; which is a combination of Khadira, Nimba, Chakarmard etc. These medicines taken for a long period of time are found to be responsive to Aspergillomas.

Question: Which Fruit is Best for the Lungs?

Answer: Blueberries contain a flavonoid known as anthocyanin, which is proven to slow down the decline of respiratory functions and lungs. Eating 2 blueberries a day can keep ABPA at bay.

Question: What Foods Help Clear Your Lungs?

Answer: Compounds called tocopherol found in Swiss chard, Kale, Broccoli plays a key role in clearing out the lungs. Vitamin D in Salmon (cooked) plays an important role in boosting immune responses and aids to reduce airway inflammation.


  1. Ayurvedic Aspects of Allergies and Fungal Infections, Edition 2021, by Sahil Gupta, Broncho-pulmonary Aspergillosis Chapter No. 11, Page No. 248-249.
  2. Sushruta Acharaya, Sushruta Samhita edited with Ayurved tattva sandipika, Uttartantra, editor Kaviraja Ambika Dutta Shastri, Chaukhambha Sanskrit Sansthan, Varanasi, Reprint 2017.
  3. Charak Acharya, Charak Samhita edited with Vidyotni commentary, Sutra Sthana, Nidan Sthana & Chikitsa Sthana, editor Pt. Kasinatha Shastri & Dr. Gorakha Natha Chaturvedi, Chaukhambha Bharati Academy, Varanasi, Reprint 2018.

Dr. Gupta’s IAFA offers successful Ayurvedic Management for Allergic Bronchopulmonary Aspergillosis (ABPA). IAFA is committed towards providing the best care with compassion and excellence in service.

The skill to heal, The spirit to care!!!… For your better health, Reach Dr. Gupta’s IAFA

Dr. Sahil Gupta completed his Bachelor of Ayurveda in Medicine and Surgery (B.A.M.S.) and Master’s Degree in Health Administration (MHA) India. He is Registered Ayurvedic Doctor & Vaidya in India having Registration No. 23780. He is the CEO and founder of IAFA. After completing BAMS, Dr. Sahil Gupta started practicing Ayruveda by giving prime importance to allergic disorders management. He became the first Ayurvedic doctor to cure Food Allergies through Ayurveda. Read More About Dr. Sahil Gupta.

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