Dushta pratishyaya (chronic sinusitis) and its Pradhamana Nasya.
Journal name: World Journal of Pharmaceutical Research
Original article title: Dushta pratishyaya (chronic sinusitis) and it’s management through pradhamana nasya – a case study
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
This page presents a generated summary with additional references; See source (below) for actual content.
Original source:
This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.
Deshmukh RD., Dhakate VG., Deshmukh PD., Ingle AM. and Barde RR.
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Dushta pratishyaya (chronic sinusitis) and it’s management through pradhamana nasya – a case study
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr202010-18623
Download the PDF file of the original publication
Summary of article contents:
Introduction
Dushta Pratishyaya, corresponding to chronic sinusitis in modern medical terminology, is a condition resulting from improper management of Pratishaya, characterized by the inflammation of the mucous membranes in the paranasal sinuses. The rising prevalence of chronic sinusitis, estimated at 27.5% in rural North India, is largely attributed to environmental pollution and changes in lifestyle. Traditional treatment approaches in modern medicine often include surgical interventions, while Ayurvedic methods leverage Panchakarma techniques, specifically Pradhamana Nasya, to address this chronic condition.
Role of Pradhamana Nasya in Treating Dushta Pratishyaya
Pradhamana Nasya, a therapeutic nasal procedure, is recognized as an effective means of treating Kapha and Vata dosha imbalances, which are predominant in Dushta Pratishyaya. This process is aimed at eliminating vitiated doshas through the nasal passages, thereby addressing symptoms such as nasal discharge, obstruction, headache, and tenderness of the sinuses. In the case study presented, the application of Pradhamana Nasya using Katphala churna was explored over three treatment settings, demonstrating its targeted efficacy in symptom relief.
Treatment Methodology
The study employed a clinical trial methodology involving a 44-year-old male patient with a three-year history of Dushta Pratishyaya. Following a comprehensive examination and diagnostic procedures, the treatment regimen included regular application of Pradhamana Nasya, complemented by the oral intake of Sitopaladi churna for supportive therapy. This multi-faceted approach, integrating both local and systemic interventions, aimed at reducing the inflammatory symptoms associated with chronic sinusitis.
Clinical Observations and Results
Throughout the treatment, significant improvements were observed in the patient's symptoms, such as a reduction in nasal discharge, nasal obstruction, and headache. Additionally, X-ray evaluations demonstrated reduced opacification in the maxillary sinuses post-treatment. These results underscore the potential of Ayurvedic practices, particularly nasal therapies, in managing chronic conditions that typically resist conventional medical treatments.
Conclusion
The case study highlights the effectiveness of Ayurvedic interventions, specifically Pradhamana Nasya, in managing Dushta Pratishyaya and associated chronic sinusitis symptoms. By facilitating the drainage of doshic imbalances and reducing the inflammatory response, these traditional practices can complement modern medical approaches for better overall management of chronic sinusitis. This integration of Ayurvedic therapies provides a promising avenue for treatment that could enhance patient outcomes in the face of prevalent environmental challenges.
FAQ section (important questions/answers):
What is Dushta Pratishyaya in Ayurvedic medicine?
Dushta Pratishyaya is considered a chronic phase of Pratishyaya, resembling chronic sinusitis. It results from improper management and leads to complications such as nasal discharge, obstruction, and headache due to vitiation of Kapha and Vata doshas.
How is chronic sinusitis treated in modern medicine?
Modern treatments for chronic sinusitis include broad-spectrum antibiotics, nasal decongestants, saline irrigation, steroid sprays, anti-allergy medications, and surgery if medical treatments fail, especially for correcting obstructive anatomical variants.
What role does Pradhamana Nasya play in managing Dushta Pratishyaya?
Pradhamana Nasya helps eliminate vitiated doshas, specifically Kapha, from the upper respiratory tract. It reduces symptoms of nasal congestion, discharge, and headache associated with Dushta Pratishyaya, effectively managing chronic sinusitis.
What were the treatment methods used in the case study?
The treatment involved Nidanparivarjana (lifestyle modifications), Pradhamana Nasya with Katphala Churna for five days, and Sitopaladi Churna taken orally over 30 days to help manage symptoms of Dushta Pratishyaya.
What were the observed results after treatment?
Post-treatment, there was significant improvement in nasal discharge, obstruction, headache, sneezing, and sinus tenderness. X-ray evaluations showed reduced opacification in the maxillary sinuses, indicating better sinus health.
What is the significance of Sitopaladi Churna in this treatment?
Sitopaladi Churna serves as a Shamana drug that helps alleviate Kapha dosha imbalances. It complements Pradhamana Nasya by further reducing symptoms associated with Dushta Pratishyaya, promoting overall respiratory health.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Dushta pratishyaya (chronic sinusitis) and its Pradhamana Nasya.”. 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) Pratishyaya (Pratisyaya):
Pratishyaya refers to a condition that resembles sinusitis in modern medicine. It is a term rooted in Ayurveda that describes a state of health impacted by systematic dysfunction, specifically in the respiratory area, leading to symptoms like nasal discharge and obstruction.
2) Nasya (Nashya):
Nasya is an Ayurvedic healing process that involves the administration of therapeutic substances through the nasal passages. This method is potent for treating ailments related to the head and neck, as it directly addresses imbalances in the Urdhwanga (upper body) region.
3) Dushta (Dusta):
Dushta signifies a chronic or severe state of a disease in Ayurveda. When associated with 'Pratishyaya', it indicates a long-standing or poorly managed condition that is difficult to treat and may result in complications without appropriate interventions.
4) Disease:
The term diseases encompasses various health conditions that can arise from dosha imbalances. Here, it specifically refers to respiratory ailments such as chronic sinusitis, illustrating the need to identify and treat underlying issues using holistic approaches.
5) Dosha (Dosa):
Dosha represents the fundamental energies in Ayurveda, which govern physiological functions. The balance of three doshas—Vata, Pitta, and Kapha—is essential for health. Imbalances or vitiation of these doshas can lead to various diseases, including chronic sinusitis.
6) Study (Studying):
The study focuses on the effects of Pradhamana Nasya on Dushta Pratishyaya, investigating Ayurveda's approach to managing chronic sinusitis. The objective is to evaluate therapeutic interventions and their outcomes, thereby contributing to a better understanding of alternative treatments.
7) Kapha:
Kapha is one of the three doshas in Ayurveda, associated with water and earth elements. Incompatibility or accumulation of Kapha can lead to conditions like chronic sinusitis, characterized by symptoms such as congestion, mucus production, and heaviness in the body.
8) Drug:
Drugs in Ayurveda encompass a wide range of natural substances utilized for therapeutic purposes. Understanding their properties is essential for formulating effective treatments for chronic diseases like sinusitis.
9) Shodhana (Sodhana):
Shodhana is a detoxification process in Ayurveda aimed at cleansing the body of vitiated doshas. It involves methods like Nasya, designed to eliminate toxins and restore balance in conditions like chronic sinusitis by enhancing the body's self-healing mechanisms.
10) Samhita:
Samhita refers to a collection of texts that systematically compile knowledge about Ayurveda. These ancient scriptures, such as the Sushruta Samhita, provide guidelines for diagnosing and treating diseases, including chronic illnesses linked to imbalances in doshas.
11) Science (Scientific):
Sciences encompass a systematic approach to understanding phenomena, including health and disease. The intersection of Ayurvedic and modern scientific principles aids in developing comprehensive treatment strategies for chronic conditions.
12) Karma (Karman):
Karma in Ayurveda refers to specific therapeutic actions or procedures employed to treat illnesses. In this study, it relates to the methods used in Pradhamana Nasya that aim to address dosha imbalances and promote healing in the respiratory system.
13) Sushruta-samhita (Susruta-samhita):
The Sushruta Samhita is a foundational text in Ayurvedic medicine, attributed to the ancient healer Sushruta. It contains detailed descriptions of various diseases and their treatments, including surgical methods, emphasizing the importance of holistic healing.
14) Varanasi (Varanashi):
Varanasi is a historic city in India known for its rich cultural and spiritual heritage. It is also home to institutions that preserve and disseminate Ayurvedic knowledge, including texts like Sushruta Samhita, which guide practitioners in holistic health.
15) Katphala:
Katphala, or Myrica esculenta, is an herb used in Ayurvedic formulations. Its properties are believed to benefit respiratory health, making it vital in the preparation of remedies aimed at alleviating symptoms of chronic sinusitis.
16) Sanskrit:
Sanskrit is an ancient language of India, in which many classical texts on Ayurveda, including the Sushruta Samhita, are written. The terminology used in these texts is crucial for understanding Ayurvedic principles and treatments.
17) Tantra (Tantrism, Tamtra):
Tantra refers to the traditional texts and practices in Ayurveda that detail the principles of health and disease management. It emphasizes the interconnectedness of body, mind, and spirit, guiding the therapeutic approaches used in treatments.
18) Pain:
Pain is a symptom often associated with chronic sinusitis. In Ayurvedic context, it signals an imbalance in doshas, particularly Vata and Kapha. Understanding its nature helps in tailoring appropriate treatments to alleviate distress in patients.
19) Shalakyatantra (Salakyatantra, Shalakya-tantra, Shalakyatamtra):
Shalakyatantra is a specialized branch of Ayurveda focused on the treatment of head and neck disorders. It embodies the application of therapeutic procedures, such as Nasya, to address ailments like chronic sinusitis effectively.
20) Inflammation:
Inflammation is a biological response that can be caused by infections like sinusitis. In Ayurveda, inflammation indicates a vitiation of doshas, particularly Pitta and Kapha, requiring appropriate Shodhana procedures for resolution.
21) Kaphadosha (Kaphadosa, Kapha-dosha):
Kapha-dosha is associated with stability, structure, and moisture in the body. Its imbalanced state often leads to respiratory issues such as sinusitis, highlighting the need for treatments focusing on its reduction and management.
22) Kshavathu (Ksavathu):
Kshavathu refers to sneezing, a common symptom of sinusitis. In Ayurveda, it is a natural reflex that serves to expel accumulated doshas and irritants from the nasal passages, demonstrating the body's attempt to restore balance.
23) Vitiation (Vitiated):
Vitiation denotes the process wherein doshas become imbalanced, leading to disease. Recognizing vitiation is fundamental in Ayurveda to enable effective interventions that restore health and equilibrium in the body.
24) Samana (Shamana):
Shamana refers to the pacification or alleviation of symptoms associated with dosha imbalances in Ayurveda. This principle emphasizes the use of gentle remedies to restore balance and comfort in individuals suffering from chronic conditions.
25) Madhu:
Madhu, or honey, is often used in Ayurvedic formulations for its soothing and healing properties. It serves as an effective carrier for herbs like Sitopaladi Churna, aiding in the management of conditions such as chronic sinusitis.
26) Water:
Water is vital in Ayurveda, both for its physiological role and as a base component in various herbal preparations. In the context of chronic sinusitis treatments, warm water is employed to assist in detoxification and mucus clearance.
27) Nasa (Nasha):
Nasa means 'nose' in Sanskrit, and it is the primary site for Ayurvedic treatments like Nasya. The administration of herbal preparations through the nose targets upper respiratory ailments and facilitates direct absorption of medicinal properties.
28) Vata:
Vata is one of the three doshas in Ayurveda, representing movement and change. An imbalance in Vata can lead to numerous health issues, including respiratory disorders, emphasizing the importance of maintaining equilibrium among the doshas.
29) Sign:
Sign refers to the observable manifestations of a disease, which in this study include nasal discharge and obstruction. Identifying these signs is critical for accurate assessment and tailoring effective treatment approaches.
30) Antibiotic (Antibacterial):
Antibiotics are modern medical treatments used to combat bacterial infections such as sinusitis. The study contrasts Ayurvedic approaches with conventional treatments, emphasizing the need for a holistic understanding of chronic health conditions.
31) Nostril:
The nostril serves as the entry point for Nasya therapy, where medicinal substances are applied to treat respiratory issues. Proper administration through the nostril maximizes therapeutic benefits by directly targeting affected areas.
32) Nagapura (Naga-pura):
Nagpur is a city in India known for its Ayurvedic colleges and practitioners. It serves as a center for the study and application of traditional medicine, reinforcing the relevance of research conducted within its institutions.
33) Matra:
Matra refers to the dosage or quantity of an Ayurvedic preparation that is recommended for consumption. Proper matra is crucial for achieving optimal therapeutic effects in treatments, particularly in chronic conditions like sinusitis.
34) India:
India is the origin of Ayurveda, an ancient system of medicine that encompasses a holistic approach to health and well-being. The practices and texts from this tradition continue to influence modern therapeutic techniques and research.
35) Blood:
Blood is integral to understanding bodily functions in Ayurveda, as it carries nutrition and oxygen throughout the body. Its quality and balance reflect the state of doshas and overall health, including respiratory conditions.
36) Roga:
Roga means 'disease' in Sanskrit and encompasses various health issues outlined in Ayurvedic texts. Understanding the principles of Rogas helps in diagnosing and treating environmental and lifestyle-related health issues.
37) Katu:
Katu denotes a pungent taste in Ayurveda and is often associated with stimulating digestion and cleansing. Herbs with a 'Katu' quality may be used therapeutically to counter excessive Kapha in conditions like sinusitis.
38) Pradhana-karma:
Pradhana-karma refers to the primary therapeutic action in Ayurvedic treatments. In the study, it highlights the specific actions performed during Pradhamana Nasya that are essential for addressing dosha imbalances and alleviating symptoms.
39) Sutrasthana (Sutra-sthana):
Sutra-sthana is a classification within Ayurvedic texts that pertains to the implementation of treatment guidelines. It serves as a framework for practitioners to follow while addressing complex conditions like chronic sinusitis.
40) Observation:
Observation in the context of clinical studies pertains to the careful monitoring and assessment of patient conditions and responses to treatments. This enables practitioners to determine the efficacy and adapt strategies as needed.
41) Ghrananasha (Ghrananasa):
Ghrananasha refers to the loss of smell, often resulting from persistent nasal blockage in conditions like sinusitis. Understanding this symptom within the Ayurvedic framework aids in the comprehensive treatment of chronic sinus disorders.
42) Accumulation (Accumulating, Accumulate):
Accumulated describes the build-up of doshas or toxins within the body, which can lead to disease. Addressing accumulated substances is essential in Ayurveda for restoring health, especially in chronic conditions such as sinusitis.
43) Shothaghna (Sothaghna, Shotha-ghna):
Shothaghna refers to substances or therapies that alleviate swelling or inflammation. In treating sinusitis, utilizing Shothaghna properties aids in reducing inflammation in the nasal passages and restoring normal function.
44) Tugakshiri (Tugaksiri):
Tugakshiri is an ingredient traditionally used in Ayurvedic formulations that aid in respiratory health. It plays a role in addressing excess Kapha dosha and promoting overall well-being in conditions like chronic sinusitis.
45) Krimiroga (Krmiroga, Krimi-roga):
Krimi-roga refers to diseases caused by parasitic infections, as described in Ayurvedic texts. Understanding the distinction between chronic sinusitis and Krimi-roga is crucial for accurate diagnosis and treatment in clinical settings.
46) Vatadosha (Vatadosa, Vata-dosha):
Vata-dosha signifies one of the three foundational energies associated with movement and communication within the body. An imbalance in Vata can lead to respiratory issues, including chronic sinusitis, necessitating targeted Ayurvedic interventions.
47) Nasyakarman (Nasyakarma, Nasya-karma):
Nasyakarma is the therapeutic practice of administering herbal preparations through the nasal route. It's particularly relevant in treating upper respiratory ailments, as it capitalizes on the nasal cavity's direct link to the brain and senses.
48) Discussion:
Discussion refers to the analysis and interpretation of findings from the study. It serves to contextualize observations within broader Ayurvedic practices, enabling practitioners to refine future treatments for chronic sinus conditions.
49) Purvakarma (Purvakarman, Purva-karman):
Purvakarma describes the preparatory procedures in Ayurveda that set the stage for therapeutic actions. In treatments like Nasya, proper Purvakarma enhances effectiveness by ensuring the body is primed for intervention.
50) Kandughna (Kandu-ghna):
Kandughna refers to agents or therapies that relieve itching or irritation in the nasal passages. This property is beneficial in treating conditions where excess mucus or inflammation creates discomfort.
51) Urdhvanga:
Urdhvanga refers to the upper part of the body, including the head and neck, in Ayurvedic medicine. Focus on Urdhvanga is essential in diagnosing and treating conditions like sinusitis, where symptoms manifest in this area.
52) Pradhmana:
Pradhmana is a specific type of Nasya therapy aimed at purging vitiated doshas from the head and neck region. It is a central aspect of managing chronic sinusitis in Ayurvedic practice.
53) Attending:
Attending describes the act of being present for evaluation and treatment. In clinical settings, attending healthcare practitioners play a crucial role in diagnosing and treating chronic diseases like sinusitis.
54) Medicine:
Medicine refers to the science and practice of diagnosing and treating illness. The integration of traditional and modern medical practices is essential for effective treatment outcomes, especially in chronic diseases such as sinusitis.
55) Abhyanga (Abhyamga):
Abhyanga is an Ayurvedic practice involving warm oil massage, which is believed to improve circulation and promote healing. It is often utilized as a preparatory step in treatment protocols for various ailments.
56) Pradhana:
Pradhana indicates the principal or main aspect of a treatment process. In Pradhamana Nasya, identifying the Pradhana elements of therapy is critical for effectively addressing chronic conditions like sinusitis.
57) Vomiting:
Vomiting may occur as a symptom of severe illness or as a side effect of certain medications. In the context of sinusitis treatment, it underscores the need for careful management of patient comfort during herbal therapies.
58) Activity:
Activity refers to the physiological or therapeutic actions taken to aid healing in patients. In Ayurveda, promoting proper activity is vital for revitalizing body systems and alleviating chronic health issues.
59) Pippali (Pippalin):
Pippali is an Ayurvedic herb known for its warming properties and efficacy in enhancing digestion and respiratory health. It is often included in formulations aimed at balancing Kapha dosha and alleviating chronic sinus symptoms.
60) Apathya:
Apathya refers to the dietary and lifestyle practices that should be avoided to prevent disease. Understanding Apathya in the context of chronic sinusitis can help patients make informed choices to support their health.
61) Tikshna (Tiksna):
Tikshna describes a sharp or intense quality, often associated with Ayurvedic herbs that stimulate bodily function or eliminate waste. Its inclusion in formulations aims at enhancing the therapeutic action against chronic ailments.
62) Kashaya (Kasaya):
Kashaya denotes an astringent taste in Ayurveda that can aid in reducing excess moisture and Kapha. It is often utilized in formulations aimed at alleviating symptoms associated with sinusitis.
63) Allergy:
Allergy refers to hypersensitivity reactions that can exacerbate respiratory conditions such as sinusitis. Understanding allergy mechanisms is crucial in developing effective treatment strategies in both modern and Ayurvedic medicine.
64) Sthana:
Sthana signifies the specific site of a disease in Ayurvedic terminology. Identifying the Sthana of chronic conditions, like sinusitis, is essential for targeting therapeutic approaches effectively.
65) Pathya:
Pathya refers to the appropriate regimen in Ayurveda, including diet and lifestyle, that promotes health. Following Pathya principles can greatly assist in managing chronic conditions and enhancing recovery.
66) Urdhva:
Urdhva translates to 'upper' or 'above' in Sanskrit, indicating the focus on areas like the head and neck in treatments. Many Ayurvedic interventions target Urdhva regions to alleviate conditions like chronic sinusitis.
67) Nausea:
Nausea is a feeling of discomfort and unease often accompanying other symptoms, particularly in respiratory conditions. Its management is an important aspect of patient care, especially during treatment interventions.
68) Sharman (Sarma, Sarman, Sharma):
Sharma may refer to the traditional Ayurvedic practitioner or scholar who contributes to the field through teachings and text. This highlights the importance of lineage and knowledge in preserving Ayurvedic wisdom.
69) Shiras (Siras, Siro, Shirash):
Shirah refers to 'head' in Sanskrit and signifies the anatomical area often affected by respiratory conditions. Treatments targeting Shirah are crucial for addressing symptoms associated with chronic sinusitis.
70) Cotton:
Cotton is often used in Ayurvedic therapies, especially for preparing materials for treatments or as a dressing. Its relevance in this context includes ensuring patient comfort during procedures such as Nasyakarma.
71) Sutra:
Sutra translates to 'thread' in Sanskrit and represents a concise aphorism or aphorism in Ayurvedic texts. Sutras provide foundational principles guiding practitioners in their treatment methodologies.
72) Laghu:
Laghu indicates a light or gentle quality in Ayurvedic terminology. Treatments characterized as Laghu may be advantageous in managing conditions like chronic sinusitis by promoting ease of digestion and metabolic processes.
73) Taila (Thaila):
Taila refers to oil in Ayurveda, which is frequently used in therapies to nourish tissues and promote healing. Its application in nasal therapies, such as Nasya, enhances absorption and therapeutic efficacy.
74) Tikta:
Tikta denotes a bitter taste in Ayurveda associated with detoxification effects. Herbs with Tikta qualities are utilized for their ability to alleviate excess Kapha and promote clearer respiratory pathways.
75) Ushna (Usna):
Ushna signifies heat or warmth in Ayurvedic terminology. The application of Ushna properties in treatments can help balance doshas, especially Kapha, in conditions like chronic sinusitis.
[Note: The above list is limited to 75. Total glossary definitions available: 85]
Other Science Concepts:
Discover the significance of concepts within the article: ‘Dushta pratishyaya (chronic sinusitis) and its Pradhamana Nasya.’. Further sources in the context of Science might help you critically compare this page with similair documents:
Nasa, Kshavathu, Nasyakarman, Vatadosha, Kaphadosha, Nasal obstruction, Environmental pollution, Dushta Pratishyaya, Clinical trial, Chronic Sinusitis, Anosmia, Sitopaladi Churna, Pradhamana Nasya, Shodhana Nasya, Haematological investigation, Ayurvedic Shodhana karma, X-ray PNS, Shirahshoola, Nidanparivarjana.