ROLE OF AVAPEEDANA NASYA IN THE MANAGEMENT OF CHRONIC SINUSITIS WITH SPECIAL REFFERNCE TO KAPHAJA SHIROROGA- A CASE REPORT

*Dr. Pradnya Raju Bhumbur and Dr. Ashok Bhaurao Deshmukh

ABSTRACT

Chronic sinusitis is one of the major problem in society due to its recurring nature and complications. The sinus most commonly involved is the maxillary sinus followed in turn by ethmoid, frontal and sphenoid. In ayurveda it can be correlated with Kaphaja shiroroga. In this disease, there is heaviness in head along with dull pain and numbness in head, feeling of head being covered with wet cloth and stiffness associated with drowsiness, laziness and anorexia.[1] The clinical picture of chronic sinusitis shows the predominance of Kapha-Vata dosha in Jatrurdhwa.[2] An inflammatory process that involves the paranasal sinuses persists for 3months or longer is the chronic sinusitis. The conventional treatment is either conservative or surgical. But there is chances of recurrence. The sinus headache is caused by mucous build up as a result of inflammation and pressure within the sinuses during a sinus infection.[12] The avapeedana nasya by Tikshna-ushna guna dravya and having vata-kaphahara propertiesare used which is shodhana nasya followed by dhumpana and internally SaptamritaLauha and Pathyadi kwatha(decoction) which is indicated in shirorogas.[3]

Keywords: Chronic sinusitis, Kaphaja shiroroga, Avapeedana nasya.