This article provides a comprehensive comparative analysis of Ayurveda ayush with allopathic approaches in the management of chronic respiratory diseases. In this paper we reviewed concepts, diagnostic methodologies or therapeutic modalities and their results in bronchitis of asthma and COPD comparing two available systems. Once we studied the literature and indexes of some clinical studies to make deep comparison between those two medical paradigms, where it works better or not work at all; also how one paradigm could be complement other. From this data, we infer that while allopathic therapy is quick to work and offers prime response & also has defined care protocols, on the other hand Ayurveda provides a holistic approach of addressing root cause with patient specific management plans for long-term. These might provide certain options with wide-ranging implications for patient outcomes and understanding of general health status because the way is used, concentrating on active chronic respiratory syndrome.