Abstract

THE EFFICACY OF SHIROSHOOLAGHNA NASYA AND NIMBADI GUGGULU IN THE MANAGEMENT OF KAPHAJA SHIRO ROGA WITH SPECIAL REFERANCE TO SINUSITIS

*Dr. Sanjay Yadav and Dr. Ganesh Sawalke Professor

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Abstract

Shalakya Tantra is one among eight branches of Ayurveda which deals with the diseases of eye, ear, nose and throat along with teeth, oral cavity and diseases of head. Since it treats ailments above the neck, this branch of Ayurveda is also known as Urdhawanga chikitsa. All great classical texts of Ayurveda deal with Shalakya Tantra but in Sushruta Samhita there is detail description of the diseases pertaining to Shalakya Tantra. Almost all our ancient Acharyas have mentioned about the Shiroroga of which Shirahshoola i.e. headache is the leading symptom and also they have taken Shirah shoola as the synonym of Shiroroga. Acharaya Sushruta has mentioned 11 types of Shiroroga in Uttar Tantra and Kaphaja Shiroroga is one of them .On the basis of these clinical features, Kaphaja Shiroroga can be correlated to sinusitis in modern science. Sinusitis is a major problem in the society due to its recurrent exacerbations and complications. The treatment of sinusitis includes antibiotics, decongestants, antihistamines, analgesics and surgical procedures. Although these treatments provide their best contributions towards the healing process, but sinusitis is not successfully combated due to its recurrence. The side – effects of the analgesics and antibiotics are well – known. Nasal decongestants have the potential for rebound congestion and development of rhinitis medicamentosa. Antihistamines dry and thicken nasal secretions; they make sinus drainage difficult and may worsen sinusitis. Added to this, the surgical procedures are expensive, and invite complications. In view of magnitude of the problem, there is a need to elucidate a therapy within reach of the patient, free from side effects and having curative properties. Considering all the above factors, Nasya with Shiroshoolaghna and Nimbadi Guggulu orally were selected which are specifically indicated in Kaphaja Shiroroga. Randomized, open label, and parallel group trial was conducted involving 30 patients divided into two groups.

Keywords: Nasal decongestants have the potential for rebound congestion and development of rhinitis medicamentosa.