AYURVEDIC MANAGEMENT OF CHRONIC NASAL POLYPOSIS THROUGH KSHARAKARMA: A CASE REPORT ON NASA ARSHAS

Dr. Sanjay Kumar Jain P.* and Dr. Hamsaveni V.

ABSTRACT

Nasal polyps are benign, non-neoplastic, inflammatory outgrowths of edematous nasal mucosa, often arising from the mucosa of the nasal cavity or paranasal sinuses. They typically result from chronic mucosal inflammation and are associated with conditions such as chronic rhinosinusitis, Samter’s triad, Churg-Strauss syndrome, and cystic fibrosis. Clinically, polyps may be asymptomatic in early stages but often present with nasal obstruction, anosmia, facial pressure, and snoring in advanced cases. Despite medical and surgical interventions, recurrence remains a major clinical challenge. In ayurvedic literature this condition closely corresponds to nasa arshas, a type of nasa roga attributed to the vitiation of kapha vata pradhana tridoshas. This case study presents a 61-year- old-female patient diagnosed with nasa arshas, exhibiting classical symptoms such as nasal obstruction, ghrana nasha(anosmia), nasa srava(rhinorrhea), nasal twang, sneezing(kshavathu) primarily affecting the left nasal cavity. This case study highlights the successful treatment of nasa arshas using ayurvedic interventions. The patient was treated with ksharakarma(application of alkali for chemical cauterisation), nasa pichu, nasa prakshalana, kavala and internal medicines targeting kapha vata pradhana tridoshas aggrevation. These treatment helped to reduce nasal obstruction, nasal twang, sneezing, rhinorrhea and anosmia, leading to significant resolution in symptoms without any complications. The case demonstrates that ayurvedic approaches, when applied judiciously, can offer effective and holistic management for conditions like nasa arshas, underscoring the relevance of traditional medical systems in contemporary clinical practice.

Keywords: Nasal polyps, Nasa arshas, Ksharakarma, Nasapichu.