Concept of karnanada (tinnitus) in correlation with modern counterpart
Journal name: Ayushdhara
Original article title: Concept of karnanada (tinnitus) in correlation with modern counterpart
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Narender Chanchal
MS Scholar, PG Department of Shalakya Tantra, Patanjali Bhartiya Ayurvigyan Evum Anusandhan Sansthan, Haridwar, India.
Dayashankar Singh
Assosiate Professor, PG Department of Shalakya Tantra, Patanjali Bhartiya Ayurvigyan Evum Anusandhan Sansthan, Haridwar, India.
Jyoti Gupta
Assosiate Professor, PG Department of Shalakya Tantra, Patanjali Bhartiya Ayurvigyan Evum Anusandhan Sansthan, Haridwar, India.
Rajesh Mishra
Assistant Professor, PG Department of Dravyaguna Vigyan, Patanjali Bhartiya Ayurvigyan Evum Anusandhan Sansthan, Haridwar, India.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Concept of karnanada (tinnitus) in correlation with modern counterpart
Year: 2020 | Doi: 10.47070/ayushdhara.v7i4.571
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
Karnanada, commonly referred to as tinnitus, is a condition addressed within the Ayurvedic practice of Salakya Tantra, which focuses on ailments affecting the region above the neck, including the ears. It is one of the 28 ear-related disorders outlined in classical texts such as Susruta Samhita and Bhavaprakasa. Tinnitus is characterized by the perception of sound in the ears or head without external auditory stimuli, manifesting various psychological and physiological reactions among patients. The prevalence of tinnitus in adults ranges between 6% to 19%, necessitating a deeper understanding of this condition from both Ayurvedic and modern medical perspectives.
The Role of Vata Dosha in Karnanada
A significant aspect of Karnanada is its classification as a Vata Dosha Pradhana Vyadhi, or a disorder primarily influenced by the Vata humor. Vata is linked to the body’s nervous functions, and when it becomes localized within the ear's channels, individuals report hearing sounds reminiscent of musical instruments such as Bheri, Mrudanga, and Shankha. General etiological factors contributing to this condition involve various lifestyle aspects, such as exposure to cold environments, excessive swimming, and the use of sharp objects in the ear, which can lead to Vata aggravation. In Ayurveda, treatments focus on balancing Vata, employing techniques such as Vatahara Cikitsa, Snigdha Ausadha, and Karnapurana to alleviate symptoms and restore auditory function.
Treatment Approaches: Ayurveda vs. Modern Medicine
Ayurveda offers a comprehensive treatment paradigm for Karnanada that contrasts with modern approaches. The Ayurvedic methodologies, which include a combination of herbal medications, therapeutic treatments (like Nadi Sweda, Pinda Sweda, and Abhyanga), and dietary adjustments, aim to address the root cause of the condition holistically, focusing on dosha balance and systemic health. In contrast, modern medicine often resorts to pharmacological and surgical methods that have shown limited efficacy in alleviating tinnitus, with treatments such as cognitive behavioral therapy, acoustic therapy, and medications providing only temporary relief. This highlights the potential for Ayurvedic treatment to be more effective and sustainable in managing tinnitus.
Conclusion
In summary, Karnanada (tinnitus) represents a complex auditory condition that requires early intervention to prevent long-term impact on an individual’s quality of life. Ayurveda provides a unique and holistic approach to treating this disorder, focusing on balancing the Vata dosha and employing natural therapeutic methods that address both the symptoms and underlying causes. As modern medical treatments increasingly fall short of providing substantial relief, the Ayurvedic approach offers promising alternatives that not only minimize adverse drug reactions but also foster comprehensive wellness through dietary and lifestyle interventions. Therefore, integrating Ayurvedic principles with contemporary understanding may enhance therapeutic outcomes for those suffering from tinnitus.
FAQ section (important questions/answers):
What is Karnanada and how is it related to tinnitus?
Karnanada, derived from Ayurveda, refers to a condition involving hearing sounds without external stimuli, correlating with tinnitus in modern medicine. It occurs when Vata is localized in the ear channels, causing the perception of various sounds.
What are some modern treatments for tinnitus?
Modern treatments for tinnitus include medical therapies, surgical options, acoustic therapies, cognitive behavioral therapy, and electrical stimulation. However, these methods often yield limited success in addressing this distressing condition.
How does Ayurveda address Karnanada or tinnitus?
Ayurveda treats Karnanada through various methods such as Snigdha Virecana, Nadi Sweda, and Karnapurana, aiming to restore balance and reduce Vata dosha, thus alleviating the root causes of tinnitus without side effects.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Concept of karnanada (tinnitus) in correlation with modern counterpart”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Karnanada:
Karnanada, delineated in Ayurvedic texts, refers to hearing various sounds in the ear without external stimuli, equivalent to tinnitus in modern literature. It's caused by vitiation of Vata-dosa, where the patient perceives sounds like a drum, conch, or other rhythmic noises due to disturbed ear channels.
2) Vata:
Vata is one of the three main doshas in Ayurveda responsible for movement and physiological functions in the body. Its imbalance, especially when it affects the auditory system, can lead to conditions like Karnanada (tinnitus), demonstrating disturbances like noise perception in the ear.
3) Dosha (Dosa):
Dosa in Ayurveda denotes the fundamental bodily bio-elements: Vata, Pitta, and Kapha. Imbalances among these dosas lead to various diseases. In the context of Karnanada, the predominance of Vata-dosa causes the auditory disorder characterized by hearing sounds without external stimuli.
4) Karna:
Karna refers to the human ear, pertinent for auditory perception and maintaining balance. It is susceptible to conditions like Karnanada (tinnitus) caused by Vata-dosa. Ayurvedic treatments such as Karnapurana aim to treat ear diseases and restore the balance of dosas affecting the ear.
5) Disease:
A disease in Ayurveda is understood as an imbalance in the body's dosas, leading to various health disturbances. Karnanada (tinnitus) is considered a Vata-dosa-related disease causing patients to perceive sounds in the ear canal without external auditory stimuli, impacting quality of life.
6) Ayurveda (Ayus-veda):
Ayurveda is a holistic healthcare system originating in ancient India, emphasizing balance between mind, body, and spirit. It employs therapies, herbal medicines, and lifestyle changes to treat disorders. For Karnanada (tinnitus), treatments include Vatahara cikitsa, snigdha virecana, and Karnapurana.
7) Acarya:
Acarya refers to a revered teacher or scholar in Ayurveda. Acaryas like Susruta, Charaka, and Vagbhata authored significant Ayurvedic texts. Their works include descriptions and treatments of diseases like Karnanada, proposing various herbal, dietary, and therapeutic measures to manage Vata-dosa.
8) Transmission:
[see source text or glossary: Transmission]
9) Perception:
Perception in the context of Karnanada involves hearing sounds without external auditory stimuli due to Vata-dosa disturbances. The sensory misinterpretation occurs in the auditory pathways, leading to the patient's belief in non-existent noises, recognized and treated through Ayurvedic methods.
10) Drug:
Drugs in Ayurveda refer to herbal and natural formulations used for treating diseases. Ayurvedic drugs for Karnanada (tinnitus) aim to balance Vata-dosa and include remedies like Guggulu, Ksauma, and oils used in procedures like Karnapurana and Nasya, providing therapeutic relief.
11) Purvarupa (Purva-rupa):
Purvarupa refers to the premonitory or early symptoms indicating the onset of a disease. In Karnanada, it signifies initial quieter or intermittent sounds in the ear due to Vata-dosa imbalance before full-blown symptoms manifest, guiding early diagnosis and intervention in Ayurveda.
12) Roga:
Roga denotes disease or illness in Ayurvedic terminology. Karnanada (tinnitus) is classified under Karna Roga, diseases affecting the ear, primarily caused by Vata-dosa imbalance, managed through various Ayurvedic treatments focusing on detoxification, nourishment, and dosha balance.
13) Cikitsa:
Cikitsa signifies treatment or therapy in Ayurveda. Treating Karnanada involves Vatahara cikitsa to reduce Vata-dosa, using therapies like Snigdha virecana, Nadi sweda, Pinda sweda, Karnapurana, and medicinal herbs. These methods aim to alleviate auditory disturbances and restore ear health.
14) Karnapurana (Karna-purana):
Karnapurana is an Ayurvedic treatment involving the instillation of medicated oils into the ear canal to treat conditions like Karnanada (tinnitus). It helps alleviate Vata-dosa-related auditory disturbances, providing relief from perceived noises and promoting ear health through nourishment and balance.
15) Vatadosha (Vatadosa, Vata-dosha):
Vata-dosa is one of the three doshas in Ayurveda, governing movement and physiological activity. Imbalanced Vata-dosa is central to conditions like Karnanada, where its disturbed state causes auditory hallucinations akin to tinnitus. Treating Vata-dosa is crucial in managing such Vata-pradhana vyadhi.
16) Snigdha:
Snigdha refers to unctuous treatments in Ayurveda, emphasizing lubrication and nourishment. In conditions like Karnanada caused by Vata-dosa, Snigdha treatments such as Snigdha virecana (unctuous purgation) and Snigdha ausadha (unctuous medicines) help alleviate symptoms by pacifying Vata.
17) Vyadhin (Vyadhi):
Vyadhi means disease or ailment in Ayurveda. Karnanada (tinnitus) is a vyadhi classified under Karna Roga, primarily due to Vata-dosa imbalance. Ayurvedic interventions for vyadhi focus on rebalancing doshas, detoxifying the body, and enhancing tissue health through personalized treatments.
18) Yoga:
Yoga, along with Ayurveda, forms an integral part of holistic health practices. In managing Karnanada, yoga practices like pranayama (breathing exercises) help manage stress and anxiety, which are often exacerbated by tinnitus, thereby supporting overall Vata-dosa balance and symptom relief.
19) Shalakyatantra (Salakyatantra, Shalakya-tantra, Shalakyatamtra):
Salakya-tantra is one of the eight branches of Ayurveda, dealing with diseases affecting body parts above the neck, including ear-related disorders like Karnanada (tinnitus). Treatments focus on correcting Vata-dosa imbalances using procedures like Karnapurana, Abhyanga, and herbal therapies.
20) Tantra (Tamtra, Tantrism):
Tantra in the context of Ayurveda refers to systematic methods or approaches for health and wellness. Salakya-tantra, focusing on head and neck disorders, includes treatments for Karnanada, leveraging traditional Ayurvedic practices to restore balance and alleviate auditory disturbances caused by Vata-dosa.
21) Nidana:
Nidana refers to the etiological factors or causes of a disease in Ayurveda. For Karnanada (tinnitus), nidana includes factors like cold exposure, improper ear hygiene, and Vata-dosa imbalances, guiding treatment protocols aimed at addressing these root causes through holistic Ayurvedic approaches.
22) Karma (Karman):
Karma in Ayurveda pertains to therapeutic actions or procedures. Treatments for Karnanada involve various karmas like Snigdha virecana, Basti Karma, and Karnapurana, designed to balance Vata-dosa and alleviate symptoms of tinnitus by correcting the underlying pathological processes.
23) Shabda (Sabda):
Sabda refers to sound. In the context of Karnanada (tinnitus), it encompasses the various types of phantom sounds perceived due to Vata-dosa imbalance. Knowledge of sabda helps in diagnosing and treating auditory disorders in Ayurveda, utilizing therapies that pacify Vata and restore ear health.
24) Bastikarman (Bastikarma, Basti-karman, Basti-karma):
Basti-karma is an Ayurvedic enema therapy used for detoxification and balancing doshas, particularly Vata-dosa. It is employed in treating Karnanada (tinnitus) as part of a comprehensive therapy to cleanse the body, reduce Vata disturbances, and support auditory health through internal healing.
25) Karnaroga (Karna-roga):
Karna-roga refers to ear diseases in Ayurveda. Karnanada, a type of Karna-roga, involves hearing phantom sounds due to Vata-dosa imbalance. Ayurvedic treatments for Karna-roga include Karnapurana, Snigdha virecana, and Abhyanga, which aim to restore balance and alleviate auditory symptoms.
26) Karnashula (Karnasula, Karna-shula):
Karnasula denotes ear pain, often associated with various Karna-roga. In the case of Karnanada (tinnitus), accompanying Karnasula may result from Vata-dosa aggravation. Ayurvedic treatments focus on reducing Vata and relieving pain through Snigdha virecana, Karnapurana, and other holistic methods.
27) Virecana:
Virecana is a purgation therapy in Ayurveda, particularly effective in balancing aggravated doshas. For Karnanada caused by Vata-dosa imbalance, Snigdha virecana involves using unctuous substances to cleanse the body, helping reduce Vata accumulation and mitigate the symptoms of tinnitus.
28) Abhyanga (Abhyamga):
Abhyanga is an Ayurvedic therapeutic oil massage that balances doshas, particularly Vata. In treating Karnanada (tinnitus), Abhyanga helps nurture ear health, alleviate stress, and reduce Vata disturbances, thus providing relief from persistent auditory noise perceptions associated with tinnitus.
29) Samhita:
Samhita refers to classical Ayurvedic texts compiled by ancient scholars like Susruta and Charaka. These texts describe Karnanada (tinnitus), its causes, symptoms, and treatments, providing detailed protocols for managing the auditory condition through Ayurvedic practices and herbal remedies.
30) Dhupana:
Dhupana involves the use of medicated fumes in therapy. For Karnanada (tinnitus), Dhupana with substances like Ksauma, Guggulu, and Agaru helps address Vata-dosa imbalances causing auditory disturbances, thus aiding in the relief of symptoms like phantom sounds in the ear.
31) Ashtanga (Astanga, Ashtan-anga):
[see source text or glossary: Astanga]
32) Navana:
Navana is a nasal administration treatment in Ayurveda, particularly useful for head and neck disorders. In treating Karnanada (tinnitus), Navana helps clear obstructions in ear channels caused by Vata-dosa imbalance, thereby reducing tinnitus symptoms through targeted herbal therapies.
33) Bheri:
Bheri refers to a drum-like sound. In the context of Karnanada (tinnitus), hearing Bheri-like sounds is indicative of Vata-dosa imbalance in the ear's auditory pathways. Ayurveda addresses such sound perceptions through therapies that pacify Vata and restore auditory health.
34) Basti:
Basti is an enema therapy used in Ayurveda for detoxification, particularly beneficial for Vata-dosa. In treating Karnanada (tinnitus), Basti helps cleanse the body, reduce Vata imbalances, and alleviate symptoms, promoting overall physiological balance and auditory well-being.
35) Blood:
[see source text or glossary: Blood]
36) Hair:
[see source text or glossary: Hair]
37) Sushruta-samhita (Susruta-samhita):
The Susruta-samhita is an ancient Ayurvedic text authored by Acarya Susruta, detailing surgical techniques and treatments for various conditions, including Karnanada (tinnitus). It provides insights on etiology, symptomatology, and therapeutic procedures like Vatahara cikitsa and Snigdha virecana.
38) Pharmacological:
Pharmacological approaches in Ayurveda involve using herbal medicines to treat diseases. For Karnanada (tinnitus), Ayurveda employs a range of pharmacological agents like Guggulu, Ksauma, and Agarau, targeting Vata-dosa imbalances and providing holistic relief from auditory disturbances.
39) Pratishyaya (Pratisyaya):
Pratisyaya refers to common cold, a factor aggravating Vata-dosa and causing ear conditions like Karnanada (tinnitus). Managing Pratisyaya in Ayurveda involves therapies that prevent its progression into more severe ear disorders, maintaining the balance of bodily doshas and overall health.
40) Samprapti:
Samprapti is the pathogenesis process of disease manifestation in Ayurveda. For Karnanada (tinnitus), it involves Vata-dosa getting localized in ear channels, leading to phantom sounds. Understanding samprapti guides treatment plans focusing on detoxifying, nourishing, and restoring dosha balance.
41) Ratnakara (Ratna-akara, Ratna-kara):
Ratnakara refers to Yoga Ratnakara, an Ayurvedic text listing various ear diseases like Karnanada (tinnitus). It provides descriptions and treatments for these conditions, emphasizing procedures to balance Vata-dosa and alleviate tinnitus symptoms through holistic therapeutic approaches.
42) Pradhana:
Pradhana means predominant. In Karnanada (tinnitus), Vata-dosa is the pradhana dosha responsible for the condition. Ayurvedic treatments focus on reducing the predominance of Vata to restore auditory health, alleviate phantom sound perceptions, and promote overall dosha balance.
43) Medicine:
Medicine in Ayurveda involves using herbal and natural formulations to treat diseases. For Karnanada (tinnitus), Ayurvedic medicine targets Vata-dosa imbalances, employing remedies like Snigdha ausadha and Karnapurana to alleviate symptoms and improve auditory health effectively.
44) Guggulu:
Guggulu is a medicinal herb used in Ayurveda with anti-inflammatory and detoxifying properties. In treating Karnanada (tinnitus), Guggulu helps balance Vata-dosa, reduces inflammation, and supports the overall healing process, contributing to the alleviation of auditory disturbances.
45) Shastra (Sastra):
Sastra refers to surgical instruments or techniques in Ayurveda. Procedures involving sastra, like removing foreign bodies from the ear, must be performed cautiously to avoid exacerbating conditions like Karnanada, ensuring proper care and preventing the vitiation of Vata-dosa.
46) Shankha (Sankha, Samkha, Shamkha):
Samkha or conch sound is an auditory hallucination type perceived in Karnanada (tinnitus) due to Vata-dosa imbalance in the ear. Ayurvedic treatments focus on pacifying Vata to reduce such phantom sound perceptions and restore normal auditory function using therapies like Karnapurana.
47) Pinda (Pimda):
Pinda sweda is a fomentation therapy in Ayurveda involving hot medicated boluses. For Karnanada (tinnitus), Pinda sweda helps alleviate Vata-dosa imbalances, providing relaxation and reducing auditory symptoms through the application of herbal heat treatments focused on ear health.
48) Nadi (Nadin):
Nadi sweda is a sweating therapy using steam from medicated decoctions. In treating Karnanada (tinnitus), Nadi sweda aims to balance Vata-dosa, open ear channels, and reduce phantom auditory perceptions, promoting overall auditory health and well-being in conjunction with other therapies.
49) Sthanasamshraya (Sthanasamsraya, Sthana-samshraya):
Stanasamsraya refers to the localization phase of disease pathogenesis in Ayurveda. For Karnanada (tinnitus), it describes Vata-dosa settling in ear channels, leading to auditory disturbances. Understanding sthanasamsraya guides targeted treatments that address localized dosha imbalances effectively.
50) Ashtangahridaya (Astangahrdaya, Ashtanga-hridaya):
[see source text or glossary: Astanga-hrdaya]
51) Mithyayoga (Mithya-yoga):
Mithyayoga means improper or incorrect usage, contributing to Vata-dosa disturbances leading to Karnanada (tinnitus). It encompasses actions like exposure to loud noises or improper ear hygiene. Rectifying Mithyayoga involves lifestyle adjustments and Ayurvedic therapies to restore balance.
52) Vatavyadhi (Vata-vyadhi):
Vata-vyadhi signifies disorders primarily caused by Vata-dosa imbalance. Karnanada (tinnitus) is classified as a Vata-vyadhi, where disturbed Vata leads to phantom sound perceptions. Ayurvedic treatments focus on reducing Vata through therapies like Snigdha virecana, Abhyanga, and Karnapurana.
53) Dravyaguna (Dravya-guna):
[see source text or glossary: Dravyaguna]
54) Depression:
Depression is a psychological condition commonly associated with Karnanada (tinnitus), exacerbating the distress caused by perceived sounds. Ayurvedic treatments for tinnitus include therapies that address both Vata-dosa imbalances and provide mental health support to alleviate depressive symptoms.
55) Patanjali:
[see source text or glossary: Patanjali]
56) Jalakrida (Jala-krida):
Jalakrida involves playing in water, which can lead to water entering the ear canal, causing Karnanada (tinnitus) due to Vata-dosa aggravation. Ayurvedic advice includes avoiding excessive water exposure and using treatments like Karnapurana to manage and prevent auditory disturbances.
57) Education:
Education in Ayurveda emphasizes patient awareness and lifestyle management to prevent and treat diseases like Karnanada (tinnitus). Educating patients about Vata-dosa balance, proper ear hygiene, and therapeutic interventions is critical to managing auditory health and preventing tinnitus.
58) Vitiation (Vitiated):
Vitiation in Ayurveda refers to the imbalance or disturbance of doshas. Vata-dosa vitiation is the root cause of Karnanada (tinnitus), leading to phantom sounds in the ear. Ayurvedic treatments aim to correct dosha vitiation through therapies that restore equilibrium and auditory health.
59) Vatahara (Vata-ahara):
Vatahara refers to treatments that alleviate Vata-dosa. In managing Karnanada (tinnitus), Vatahara cikitsa includes therapies like Snigdha virecana, Abhyanga, and Karnapurana, aiming to reduce Vata disturbances and relieve symptoms of phantom auditory perceptions in the ear.
60) Avyakta:
Avyakta, meaning unclear or undistinguished symptoms, can be early signs of Vata-vyadhi like Karnanada (tinnitus). Recognizing avyakta laksanas helps in early diagnosis and intervention, employing Ayurvedic treatments to address Vata-dosa imbalances before pronounced symptoms manifest.
61) Aushadha (Ausadha):
Ausadha denotes medicinal treatments. In Ayurveda, Snigdha ausadha involves using unctuous herbal remedies to treat conditions like Karnanada (tinnitus). These treatments pacify Vata-dosa and promote auditory health, alleviating symptoms of phantom sound perception through targeted therapies.
62) Caraka:
[see source text or glossary: Caraka]
63) Mishra (Misra):
[see source text or glossary: Mishra]
64) Hridaya (Hrdaya):
[see source text or glossary: Hrdaya]
65) Mithya:
[see source text or glossary: Mithya]
66) Srotas (Shrotas):
Srotas are channels within the body that facilitate the flow of doshas, nutrients, and wastes. In Karnanada (tinnitus), Vata-dosa imbalances disrupt srotas in the ear, leading to auditory disturbances. Ayurvedic treatments aim to clear and balance these channels, restoring normal auditory function.
67) Animal:
[see source text or glossary: Animal]
68) India:
India is the origin of Ayurveda and remains a center for its practice and research. Ayurvedic treatments for Karnanada (tinnitus) are extensively developed and practiced in India, offering holistic solutions rooted in ancient medicinal wisdom to address auditory health issues.
69) Hara:
[see source text or glossary: Hara]
70) Rupa:
Rupa refers to the clinical signs and symptoms of a disease. In Karnanada (tinnitus), rupa includes the perception of various phantom sounds due to Vata-dosa imbalance. Ayurvedic diagnosis and treatment focus on these symptomatic manifestations to provide effective relief and balance.
71) Pain:
[see source text or glossary: Pain]
72) Wind:
[see source text or glossary: Wind]
[Note: The above list is limited to 75. Total glossary definitions available: 131]
Other Science Concepts:
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