¹Vanishree ,  ²Vishwambhara , ³B.A.Venkatesh , ⁴Bali Yogitha M.R

DOI : http://dx.doi.org/10.31142/ijahm/v9i4.05

¹Professor  Department Of Shalakya Tantra Sushrutha Ayurvedic Medical College, Bangalore

²Retired Principalmgovernment Ayurvedic Medical College, Bangalore

³Professor And Hod Department Of P G Studies In Shalakya Tantra Sri Kalabyraveshwara Swamy Ayurvedic Medical College & Hospital & Research Centre, Bangalore

⁴Associate Professor, Dept Of Shalya Tantra Sushrutha Ayurvedic Medical College, Bangalore

Ayurveda & Yoga Consultant Aayush- Multispeciality Ayurveda & Integrated Healthcare,

Corresponding Author : Yogitha Bali M.R

Associate Professor, Department of Shalya Tantra, Sushrutha Ayurvedic Medical College, Bangalore

Ayurveda & Yoga Consultant, AAYUSH- Multispeciality Ayurveda & Integrated Healthcare

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ABSTRACT :                                      

Background: Apeenasa is one of the nasagata rogas according to Ayurvedic classics that be considered as the paranasal sinusitis as per the conventional medicine. Peenasa and apeenasa are used based on the stages and the types of paranasal sinusitis.

Objectives: To evaluate the efficacy of nasya karma and vyoshadi vati in shirashoola, gandhagnananasha and shwasagurguratha of patients suffering from apeenasa.   

Design: This was a randomized controlled study with thirty patients divided into three groups, 10 in each.  In Group A, Nasya karma was given once a day for 7 days and in Group B, Vyoshadi vati was given twice a day for 7 days and in Group C, Nasya karma and Vyoshadi vati was given in combination for 7 days.      

Results: Statistically significant results were seen in reduction of shirashoola and shwasagurguratha and improvement in gandhagnananasha of patients suffering from apeenasa with p<0.001.

Conclusions: Group C (Nasya karma with vyoshadi vati) showed statistically significant results compared to Group A (nasya karma) and Group C (Vyoshadi vati) in reduction of shirashoola and shwasagurguratha and improvement in gandhagnananasha of patients suffering from apeenasa.

Keywords: Apeenasa, Paranasal sinusitis, Nasya karma, Peenasa.   

References: -

1.      Sinus and Allergy Health Partnership (2000) Antimicrobial treatment guidelines for acute bacterial rhinosinusitis. Otolaryngol Head Neck Surg 123:5–31.

2.      Lusk RP, Stankiewicz JA (1997) Pediatric rhinosinusitis. Otolaryngol Head Neck Surg 117:S53–S57.

3.      Gwaltney JM Jr, Phillips CD, Miller RD, Riker DK. (1994) Computed tomographic study of the common cold. N Engl J Med 330:25–30.

4.      Clinical Practice Guideline: Management of Sinusitis. PEDIATRICS Vol. 108 No. 3 September 2001

5.      Dalgorf, D. M., & Harvey, R. J. (2013). Sinonasal Anatomy and Function. American Journal of Rhinology & Allergy, 27(3_suppl), S3–S6. https://doi.org/10.2500/ajra.2013.27.3888

6.      Reddy, U. D., & Dev, B. (2012). Pictorial essay: Anatomical variations of paranasal sinuses on multidetector computed tomography-How does it help FESS surgeons?. The Indian journal of radiology & imaging, 22(4), 317–324. doi:10.4103/0971-3026.111486

7.      "Paranasal Sinus Anatomy: Overview, Gross Anatomy, Microscopic Anatomy". 2016-08-24.

8.      Harrison’s principles of internal medicine, 14th Edition, 1998, Published by Library of Congress cataloguing in – publication, Chapter 30 p.179-81

9.      Jayanta Sarmah et. al: Role of Vamana Karma in Management of Peenasa. IAMJ: Volume 1; Issue 4; July – Aug 2013.

10.  A.K. Pandey* and S.K. Tripathi. Shalakya Tantra in Sushrutha Samhitha- A literary review. World Journal of Pharmaceutical Research Vol 6, Issue 03, 2017.

11.  Jayanta Sarmah et. al: Role of Vamana Karma in Management of Peenasa. AMJ: Volume 1; Issue 4; July – Aug 2013

12.  JeevaniMaheshika Dahanayake,¹ Pathirage Kamal Perera,¹ PriyadarshaniGalappatty,² Hettiarachchige Dona Sachindra Melshandi Perera,³ and Liyanage Dona Ashanthi Menuka Arawwawala³ Comparative Phytochemical Analysis and Antioxidant Activities of Tamalakyadi Decoction with Its Modified Dosage Forms. Evidence-Based Complementary and Alternative Medicine Volume 2019, Article ID 6037137, 9 pages

13.  Vipin Kumar. A Conceptual Study on Mode of Action of Nasya. International Journal of Ayurveda and Pharma Research. 2017;5(7):100-102.

14.  Radhika, C., Kumar, G. V., & Mihirjan, K. (2012). A randomized controlled clinical trial to assess the efficacy of Nasya in reducing the signs and symptoms of cervical spondylosis. Ayu, 33(1), 73–77. doi:10.4103/0974-8520.100316

15.  Das, Banamali; Ganesh, Ravim; Mishra, PK; Bhuyan, Gurucharan (2010). "A study on Apabahuka (frozen shoulder) and its management by Laghumasha taila nasya". AYU. 31 (4):488–94. 

16.  Gupta, Durgeshprasad; Rajagopala, Manjusha; Dhiman, Kartarsingh (2010). "A clinical study on Akshlike itarpana and combination of Akshitarpana with Nasya therapy in Timira with special reference to myopia". AYU. 31 (4): 473–7. doi:10.4103/0974-8520.82045. PMC 3202262. PMID 22048542.

17.  Chaudhari, Varsha; Rajagopala, Manjusha; Mistry, Sejal; Vaghela, DB (2010). "Role of Pradhamana Nasya and Trayodashanga Kwatha in the management of Dushta Pratishyaya with special reference to chronic sinusitis". AYU. 31 (3): 325–31. doi:10.4103/0974-8520.77165. PMC 3221066. PMID 22131734. 

18.  Panigrahi, HK (2006). "Efficacy of ayurvedic medicine in the treatment of uncomplicated chronic sinusitis". Ancient Science of Life. 26 (1–2): 6–11. PMC 3335227. PMID 22557218.

19.  Parth P Dave et.al., Management of Dushta Pratishyaya with Ayurvedic Oral Medication and Nasya International Journal of Ayurvedic Medicine, 2016, 7(1), 49-55