Abstract

ROLE OF PIPPALYADI NASYA IN THE MANAGEMENT OF DUSHTA PRATISHYAYA WITH SPECIAL REFERENCE TO CHRONIC SINUSITIS

Dr. Nidhi Puniya*, Prof. Dr. Girish Narain Rai, Dr. Suranyashu Sharma and Dr. Gauri Shankar Yadav

Abstract

Introduction: Nose is considered as the gateway of head according to Ayurveda and medicine instilled through the nose provides strength to the structures above neck.[1] Dushta Pratishyaya is the chronic stage of Pratishyaya, which occurs due to neglect or improper administration of the disease Pratishyaya.[2] In modern perspective, chronic sinusitis can be correlated with Dushta Pratishyaya on the basis of the signs, symptoms, complications and prognosis. Changing lifestyles, rapid urbanization, and the increase in cases of antibiotic resistance are responsible for the increase in the prevalence of sinusitis. Ayurveda treatment modalities especially Nasya Karma and other local treatment procedures are found effective in treating such cases of Dustapratishyaya. This study was carried out to explore a clinical trial conducted on the efficacious of Pippalyadi Nasya in management of Dushtapratishyaya. Methods: This Randomized controlled clinical trial study was conducted on 36 subjects of age between 16 - 60 years. Dushta Pratishyaya of the subjects was assessed. Wilcoxon signed rank test, Paired t test, Mann Whitney test and Unpaired t tests was used for analysis. The assessment of mean and SD value of the symptoms of Dushta Pratishyaya as per therapeutic assessment was done. Results: A statistically significant association was found between the efficacies of Pippalyadi Nasya in management of Dushtapratishyaya. Statistical data and progressive information’s were collected & analyzed on day 7, day 14, day 21 and day 28. Conclusion: Clinically both the drugs used for Nasya karma gave statistically significant results. Among both the drugs used for Nasya karma, Pippalyadi Nasya showed better result in comparison to controlled drug therapy as Katphala churna pradhmana Nasya but the overall difference in result of both the groups was insignificant.

Keywords: Ayurveda, Chronic Rhinosinusitis, Dusta pratishyaya, Nasya Karma.