Management of nasal synechiae with Kshara Sutra - A case report
Journal name: Journal of Ayurveda and Integrative Medicine
Original article title: Management of nasal synechiae with Kshara Sutra - A case report
The Journal of Ayurveda and Integrative Medicine (JAIM) is an open-access publication promoting collaboration between Ayurveda, traditional medicine, and biomedicine, publishing research on integrative health sciences
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K. Sivabalaji, Ashitha Ali, Ashwini BN, Anandaraman PV, Rabinarayan Tripathy
Journal of Ayurveda and Integrative Medicine:
(A monthly peer-reviewed publication)
Full text available for: Management of nasal synechiae with Kshara Sutra - A case report
Year: 2021 | Doi: 10.1016/j.jaim.2021.03.010
Copyright (license): CC BY-NC-ND 4.0
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Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Management of nasal synechiae with Kshara Sutra - A case report”. 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) Kshara (Ksara):
Kshara refers to an alkaline substance derived from specific plants, used in Ayurvedic medicine for its therapeutic effects. It is often utilized in surgical procedures for its ability to dissolve tissues and promote healing, particularly in conditions like fistula-in-ano and potentially in nasal synechiae as displayed in Ayurvedic practices.
2) Sutra:
Sutra signifies a thread or a set of rules in Sanskrit. In the context of Kshara, 'Kshara Sutra' represents a medicated thread used in treating conditions like fistula by promoting tissue cutting and healing through its active ingredients. The application of Sutra signifies the blend of surgical and pharmacological interventions.
3) Table:
Table refers to a structured arrangement of data, often used in research to present findings clearly. In this case, 'Table 1' provides a timeline of treatments and outcomes for the patient, helping to visualize the efficacy of Ayurvedic interventions over time, which is essential for both analyzing results and communicating findings.
4) Apamarga:
Apamarga, also known as Achyranthus aspera, is a medicinal plant whose parts are used in Ayurvedic formulations for their therapeutic properties. In this study, Apamarga Kshara is instrumental in treating conditions like nasal synechiae, reflecting its healing powers in dissolving adhesions and promoting recovery in nasal passages.
5) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian system of medicine emphasizing balance among body, mind, and spirit. It integrates various treatment modalities, including herbal remedies, dietary practices, and surgical techniques. This study highlights Ayurveda's relevance in managing nasal synechiae through innovative applications of time-tested practices like Kshara Sutra.
6) Snuhi:
Snuhi refers to the plant Euphorbia nerifolia, known for its latex, which possesses medicinal properties such as anti-inflammatory and wound healing effects. In the context of Kshara Sutra preparation, Snuhi latex is crucial for its healing properties, aiding in the treatment of conditions by facilitating tissue management.
7) Post:
Post refers to actions taken after a primary procedure or treatment. In this study, post-procedure strategies like nasal packing with Apamarga Kshara taila and Ghondaphaladi Nasavarthi play significant roles in preventing recurrence of synechiae and ensuring healing, thus underscoring the importance of thorough post-operative care.
8) Drug:
Drug encompasses any chemical substance that, when introduced into the body, alters physiological functions. In Ayurveda, 'drugs' are often herbal preparations like Kshara, which are utilized for their healing potential in various conditions. Their appropriate application is vital for effective treatment outcomes.
9) Ksharasutra (Ksarasutra, Kshara-sutra):
Ksharasutra, synonymous with Kshara Sutra, combines the healing properties of Kshara applied through a medicated thread. This methodology is particularly highlighted for its efficacy in cutting through fibrous tissues, such as in fistulas and nasal synechiae, marking a significant advancement in Ayurvedic surgical practices.
10) Cutting:
Cutting in this context refers to the surgical action of dividing adhesions, such as those seen in nasal synechiae. The process is critical in restoring normal passage and airflow within the nasal cavity, demonstrating how surgical techniques and traditional Ayurvedic treatments can converge for effective patient management.
11) Sthana:
Sthana translates to 'site' or 'place' in Sanskrit, indicating the specific location where treatment is applied. In the context of this study, understanding the anatomical and pathological characteristics of nasal synechiae is essential for targeting interventions accurately, contributing to optimal clinical outcomes.
12) Kumar:
Kumar is a common Indian surname, often denoting a male individual. In this case report, it refers to the patient demographic, highlighting the significance of age and gender in the presentation and management of conditions like nasal synechiae, offering insight into target populations for similar treatments.
13) Life:
Life in this context refers to health-related quality of life (HRQoL), which is crucial in evaluating treatment effectiveness in chronic conditions. The study emphasizes how interventions like Kshara Sutra can significantly enhance patients' well-being and overall health perceptions, demonstrating the broader implications of Ayurvedic treatments.
14) Medicine:
Medicine refers to the science of diagnosing, treating, and preventing diseases. The integration of Ayurvedic principles alongside medicinal herbs like Kshara and Snuhi indicates a holistic approach to treatment that extends beyond mere symptom relief to encompass overall wellness and recovery.
15) Samgraha (Sangraha):
Sangraha denotes a comprehensive compilation or collection of knowledge. In Ayurvedic context, it refers to systematic documentation of practices and remedies, as seen in classical texts. A thorough understanding of such compilations can guide practitioners in effectively addressing conditions like nasal synechiae through established methodologies.
16) Samhita:
Samhita translates to 'compendium' or 'collection' in Sanskrit, typically referring to ancient texts like Sushruta Samhita, which encompass surgical techniques and therapeutic methods in Ayurveda. The reference underscores the foundational principles governing traditional treatment modalities and their application in modern clinical practices.
17) Dhalana:
Dhalana, referring to a specific commentary or contributor to Ayurvedic texts, emphasizes the scholarly aspect of Ayurvedic medicine. Understanding the interpretations and modifications made by figures like Dhalana can enhance the modern application of traditional methods, ensuring continuity and evolution in clinical practice.
18) Karma (Karman):
Karma in Ayurveda refers to action or treatment methods. The term is often associated with specific therapeutic techniques used to address health issues. In this document, the different karmas related to Kshara and Kshar Sutra therapies illustrate the multifaceted approach to healing within Ayurvedic practice.
19) Taila (Thaila):
Taila translates to 'oil' or 'fat' in Sanskrit, commonly used in Ayurvedic therapies for its nourishing and healing properties. In this case, Apamarga Kshara taila is crucial for promoting healing and preventing further adhesions following the application of Kshara Sutra in nasal synechiae treatment.
20) Sushruta-samhita (Susruta-samhita):
Sushruta-samhita is a pivotal ancient text in Ayurveda, detailing surgical procedures and therapeutic practices. Its principles underpin many contemporary Ayurvedic treatments, including surgery for conditions like nasal synechiae, solidifying its relevance in both historical and modern contexts of medical care.
21) Aragvadhadi (Aragvadha-adi):
Aragvadhadi is a compound remedy used in Ayurveda, typically addressing a variety of ailments, particularly in surgical contexts. Understanding its components and applications can provide insights into the multifaceted approaches of traditional healing modalities for conditions like nasal synechiae.
22) Ksharana (Ksarana):
Ksharana refers to the action of 'cutting' or 'dissolving.' In Ayurvedic practices, Ksharana techniques, including those applied in Kshara Sutra, promote healing by removing tissue or resolving adhesions, emphasizing an integral component of surgical treatment modalities within this ancient medical system.
23) Haridra:
Haridra, also known as turmeric (Curcuma longa), is celebrated in Ayurveda for its anti-inflammatory, antibacterial, and healing properties. Its inclusion in therapeutic regimens highlights the crucial role of herbal components in enhancing the effectiveness of treatments for conditions like nasal synechiae.
24) Quality:
Quality, especially when discussing health-related quality of life (HRQoL), is essential for assessing the effectiveness of treatments. Evaluating patient-reported outcomes post-intervention helps gauge improvements in symptoms and overall well-being, showcasing the integrative nature of Ayurvedic practices in enhancing life quality.
25) Nostril:
Nostril refers to the external openings of the nasal cavity, playing a crucial role in breathing. Treatment conditions, such as nasal synechiae, directly affect nostril function, and understanding its anatomy is fundamental in designing effective interventions within the Ayurvedic framework.
26) Allergy:
Allergy indicates hypersensitivity reactions to certain stimuli, often exacerbating nasal conditions. Recognizing and managing potential allergies is vital in treating nasal synechiae, ensuring comprehensive care that addresses not only structural issues but also underlying physiological responses.
27) Siddha:
Siddha refers to a traditional system of medicine practiced mainly in South India, closely related to Ayurveda. This term illustrates the rich tapestry of Indian medicinal practices, emphasizing the significance of holistic approaches in managing health conditions across different regional traditions.
28) Ropana:
Ropana signifies healing or wound closure in Ayurveda. The role of Ropana in the context of treating nasal synechiae underscores the therapeutic emphasis on promoting tissue recovery and restoration, pivotal in safeguarding the health of the nasal cavity post-intervention.
29) Vaidya:
Vaidya indicates a practitioner of Ayurvedic medicine, often denoting expertise in herbal remedies, surgical techniques, and holistic treatment approaches. The role of a Vaidya is crucial in guiding patient management and ensuring adherence to traditional practices while adapting to contemporary needs.
30) Sharman (Sarma, Sharma, Sarman):
Sharma is a common surname in India and may denote a person's identity in academic discussions. Contextually, it could refer to a co-author or contributor in a relevant Ayurvedic study, highlighting collaborative efforts in advancing research and treatment methodologies.
31) Study (Studying):
Study denotes a systematic investigation aimed at discovering or confirming facts. In this context, the research illustrates the utility of Ayurvedic interventions in managing nasal synechiae, contributing significant knowledge to the effectiveness of traditional practices in treating contemporary medical conditions.
32) Katu:
Katu translates to 'pungent' in Sanskrit, designating one of the six tastes recognized in Ayurveda. Many herbal medicines possess Katu properties, implicating their role in enhancing digestion and circulation. Understanding these properties helps in the formulation of effective Ayurvedic treatments.
33) Arka:
Arka refers to the plant Arka (Calotropis procera) within Ayurvedic practices. It is valued for its medicinal properties, particularly in treating certain ailments. Its role in remedies showcases the diversity of plant-based treatments integral to Ayurvedic medicine.
34) Nasa (Nasha):
Nasa translates to 'nasal' in Sanskrit, referring directly to anything pertaining to the nose. Considering its anatomical and physiological significance, Nasa is pivotal in discussing conditions like nasal synechiae where treatment directly impacts nasal function and patient quality of life.
35) Sahu:
Sahu is a common surname in India, often denoting a person's identity or lineage. In the context of Ayurvedic studies, Sahu might refer to a contributor or researcher, emphasizing the collaborative effort in enhancing traditional medical practices.
36) Wall:
Wall refers to the structural components of the nasal cavity that define airflow paths between passages. Understanding the anatomy of nasal walls is vital for effective interventions in conditions like nasal synechiae, emphasizing the need for anatomical awareness in healing strategies.
37) Pain:
Pain signifies an unpleasant sensory experience associated with injury or illness. In Ayurveda, the management of pain is crucial in treatment plans. Identifying effective measures to alleviate pain post-intervention in nasal synechiae significantly enhances patient comfort and recovery.
38) Male:
Male refers to the gender of the patient's demographic. Gender can influence the presentation and severity of nasal conditions, thus recognizing such factors becomes essential in tailoring personalized treatment approaches within Ayurvedic practice.
39) Cinnamomum zeylanicum:
Cinnamomum zeylanicum, commonly known as Ceylon cinnamon, is valued for its anti-inflammatory properties. Its potential inclusion in Ayurvedic remedies further exemplifies the medicinal plant diversity leveraged for enhancing therapeutic regimens in addressing conditions like nasal synechiae.
40) Curcuma longa:
Curcuma longa, known as turmeric, is widely used in Ayurvedic medicine for its anti-inflammatory, antioxidant, and healing properties. Its application underscores the emphasis on natural ingredients in treatments, especially in enhancing wound healing and overall well-being.
41) Peer review:
Peer review signifies the evaluation of scientific work by individuals in the same field to ensure quality and reliability. It plays a fundamental role in academic publishing, assuring that the study's findings and methodologies meet established standards before publication.
42) Tankanakshara (Tankanaksara, Tankana-kshara):
Tankana-kshara, derived from borax, is utilized in Ayurvedic practices for its therapeutic properties, particularly its ability to aid in healing and cleansing. Its effectiveness in treatments emphasizes the role of mineral-based substances in holistic medicinal approaches.
43) Antibiotic (Antibacterial):
Anti-bacterial denotes the capability of a substance to counteract bacteria. Many Ayurvedic herbs exhibit anti-bacterial properties, which contribute to their therapeutic effects, particularly in managing infections and promoting healing in various health conditions.
44) Paschat-karma:
Paschat-karma refers to post-operative care and procedures in Ayurvedic practices. It emphasizes the significance of aftercare in ensuring proper healing and minimizing complications like recurrence in conditions such as nasal synechiae following initial treatment interventions.
45) Cauterisation (Cauterization):
Cauterization is a surgical technique that burns tissue to remove or close a wound. While it has historical significance, resorting to methods like Kshara Sutra can offer alternative strategies that may prevent complications or recurrence associated with traditional cauterization approaches.
46) Ksharataila (Ksarataila, Kshara-taila):
Ksharataila refers to medicated oils infused with Kshara, known for its healing properties. This oil is particularly relevant in post-operative care and aids in tissue recovery, signaling Ayurveda's integrated use of both herbaceous and oily preparations in comprehensive treatment plans.
47) Kaphapitta (Kapha-pitta):
Kapha-pitta refers to two of the three doshas in Ayurvedic philosophy, signifying body humor linked to qualities like heaviness and heat. Understanding these concepts aids in tailoring Ayurvedic treatments, ensuring they align with patients' constitution and specific health needs.
48) Discussion:
Discussion denotes the analytical part of the study where results are interpreted to derive conclusions. In this research, discussions focus on the implications of using Kshara Sutra for nasal synechiae management, thus enhancing understanding of its practicality and effectiveness.
49) Developing:
Developing indicates the process of growth or progress. In the context of Ayurveda, developing new methodologies or refining existing techniques through research and clinical studies contributes to the evolution of practices, enhancing patient care and treatment strategies.
50) Pugiphala (Pugi-phala, Pugaphala):
Pugiphala refers to the areca nut, known for its traditional use in Ayurvedic medicines. Its potential inclusion serves to illustrate the diversity of plants used in treatments, emphasizing the intricacies of Ayurvedic pharmacology and its holistic nature.
51) Shodhana (Sodhana):
Shodhana denotes purification in Ayurveda, a crucial aspect of treatment that enhances healing efficacy. This process ensures the removal of impurities, thus preparing the body for subsequent therapeutic interventions, demonstrating Ayurveda's commitment to holistic health.
52) Chedana:
Chedana translates to 'cutting' or 'division' in Ayurveda, denoting surgical procedures. These techniques are vital in managing conditions like fistula or nasal synechiae, emphasizing the surgical aspects of Ayurvedic medicine and its holistic approach to care.
53) Lekhana:
Lekhana signifies scraping or exfoliating in Ayurvedic treatment, typically aimed at enhancing local circulation or reducing excess tissues. This principle can be applied in various contexts, showcasing traditional methods to manage health conditions effectively.
54) Samaka (Shamaka):
Shamaka translates to 'pacifying' in Ayurveda, particularly relating to balancing doshas. Understanding pacification methods is integral in treating conditions characterized by excessive heat or inflammation, ensuring a holistic approach that aligns with the patient's overall constitution.
55) Tankana (Tamkana):
Tankana, referring to borax in Ayurvedic uses, is recognized for its therapeutic advantages. Its incorporation in treatments exemplifies Ayurveda's toolset, leveraging mineral-based resources for healing and health promotion within various medicinal contexts.
56) Disease:
Disease denotes a pathological condition disruptively affecting bodily functions. Understanding diseases' nature is essential to developing effective Ayurvedic treatments that address symptoms and encourage holistic recovery, targeting the root causes within the patient’s constitution.
57) Science (Scientific):
Science involves systematic study of the structure and behavior of the physical and natural world. In the context of Ayurveda, integrating scientific methods with traditional practices can validate and enrich the understanding of Ayurvedic treatments in modern health care.
58) Surface:
Surface refers to the outer layer or boundary of an organ or tissue. In nasal conditions, understanding surface anatomy helps tailor interventions targeted at improving airflow and healing within the nasal cavity after interventions like Kshara Sutra.
59) Laksha (Laksa):
Laksha is typically referenced as a resin or gum; in Ayurvedic practices, it aids in wound healing and managing various conditions. Understanding its applications can enhance awareness of Ayurvedic medicinal properties and their practical implications in treatment.
60) Vipaka:
Vipaka refers to the post-digestive effect of food or drugs in Ayurveda. Acknowledging the Vipaka of ingredients used in treatments aids practitioners in formulating effective plans that maximize therapeutic outcomes for patients.
61) Powder:
Powder in Ayurvedic contexts often refers to ground preparations of herbal substances, used in formulations for their medicinal effects. Understanding the preparation and characteristics of powders aids in their proper application in diverse treatments.
62) Indian:
Indian signifies the cultural and geographical context from which Ayurveda originates. The indigenous knowledge embedded within this tradition underpins the principles and practices that shape Ayurvedic medicine, offering unique insights into holistic healing methods.
63) Pitta:
Pitta represents one of Ayurveda's three doshas, associated with metabolic processes and thermal characteristics. Understanding Pitta traits is vital in developing treatment plans that address imbalances and support the natural physiological functions within the body.
64) Kapha:
Kapha is one of the three doshas in Ayurveda, characterized by qualities such as stability and heaviness. Recognizing Kapha imbalances informs treatment directions, offering a framework for managing health conditions through individualized Ayurvedic approaches.
65) Tikta:
Tikta translates to 'bitter' in Ayurveda, indicating one of the six tastes important in diet and herbal preparations. Tikta substances are revered for their detoxifying properties and usefulness in balancing bodily humors in Ayurvedic therapies.
66) Ushna (Usna):
Ushna translates to 'hot' in Sanskrit, signifying temperature qualities of foods and herbs. In Ayurveda, Ushna substances are used to manage conditions associated with cold or excess Kapha, reflecting the nuanced application of dietary principles in healthcare.
67) Virya:
Virya refers to the potency of a medicinal herb as understood in Ayurveda. Knowing the Virya of treatments helps practitioners utilize substances effectively to achieve desired therapeutic outcomes, underscoring their significance in health management.
68) India:
India signifies the geographical origin of Ayurvedic practices, representing a rich heritage of medicinal knowledge and philosophy. The historical context of Ayurvedic medicine informs its principles, treatment strategies, and integration into modern healthcare systems.
69) Ulcer:
Ulcer refers to a lesion on the skin or mucous membrane, crucial in understanding nasal synechiae. Studying ulcer properties and management principles can provide insights into effective treatments within both conventional and Ayurvedic frameworks.
70) Rules:
Rules govern the methodologies and practices within specific frameworks, including Ayurvedic medicine. Understanding these rules can aid practitioners in delivering consistent and effective treatments, aligning practices with established Ayurvedic principles.
71) Field:
Field refers to a domain of study or practice. The field of Ayurveda encompasses various treatment techniques, herbal knowledge, and therapeutic practices, reflecting a holistic approach to health.
72) Visit:
Visit refers to appointments or consultations between patients and healthcare practitioners, essential for evaluating treatment progress. Regular visits enable adjustments to treatment plans, ensuring that patient needs are continually met throughout the healing process.
73) Borax:
Borax, known in Ayurveda as Tankana-kshara, is a mineral compound utilized for its therapeutic properties, especially in cleansing and wound healing. Its application in Ayurvedic formulations signifies the importance of incorporating naturally occurring minerals for health enhancement.
74) Roga:
Roga translates to 'disease' in Sanskrit within Ayurvedic literature, emphasizing the condition being treated. Understanding Rogas is essential for developing successful treatment strategies, ensuring alignment of interventions with patients' unique health challenges.
75) Mura:
Mura often refers to sediment or impurities in Ayurveda. Understanding how Mura affects bodily functions aids practitioners in implementing purification methods within treatment protocols, highlighting the holistic approach of Ayurveda in health restoration.
[Note: The above list is limited to 75. Total glossary definitions available: 78]