Charaka Samhita, Vimanasthana 5.8
Hridayam moola Pranavaha Srotasam — The heart is the root of the Pranavaha channels. Impairment of these channels produces: Atipravritta (excessive activity — laboured breathing), Vimarga Gamana (movement in wrong direction — reflux of air), Sanga (obstruction — asthma-type conditions), and Siragranthi (vascular constriction in the channels).

Classical documentation

Roots: Hridaya (heart) and Rasavaha Srotas (plasma channels)

Primary Dosha: Primarily Vata — Prana Vayu governs respiration; Pitta involvement in inflammatory respiratory conditions

Classical conditions: Shwasa (dyspnoea/asthma), Kasa (cough), Hikka (hiccough), Rajayakshma (tuberculosis-type wasting), Prana Vaha Srotas Dushti (channel impairment) producing breathlessness

How these channels are impaired

Suppression of natural urges (Vega Vidharana) — especially suppression of breathing during exertion; excessive running or strenuous activity when unfit; emaciation; sleeping in awkward positions that compress the chest

Classical significance

The Pranavaha Srotas maps directly to the respiratory tract — upper airways, bronchial tree, and alveoli. The documented root in the Hridaya (heart) reflects the classical understanding that respiratory and cardiovascular function are inseparable — the heart drives pulmonary circulation, and impairment of one directly impairs the other.

Primary herbs for this Srotas
Vasaka (primary bronchodilatory herb), Pippali (Rasayana for Pranavaha Srotas), Tulsi, Licorice (Yashtimadhu)
The four types of Srotas impairment
Charaka Samhita documents four ways any Srotas can be impaired: Atipravritta (excessive flow — too much output); Sanga (obstruction — blockage stopping normal flow); Vimarga Gamana (flow in wrong direction — reflux, bleeding upward, etc.); Siragranthi (knotting/constriction — localised channel narrowing). These four apply to every Srotas — the specific disease produced depends on which channel is impaired and in which of these four ways.