Importance of Nasya Karma in Patho-physiological Nourishment of Urdhwa-jatrugata-anga wsr to Apeenasa

Abstract

In Ayurveda, the term sinusitis is referred to as either Peenasa or Apeenasa which is described as a Vatakaphaja Krichasadhya Vyadhi. Some authors opine that both Peenasa and Apeenasa are one and the same and some are of different opinion. In both these conditions, therapies that have been mentioned above will be very effective if applied after the proper diagnosis and assessment. According to some literatures, the Apeenasa which occurs as a complication of Dusta Pratishyaya is termed as Peenasa. Both the terms Peenasa and Apeenasa have been used interchangeably. Charaka Samhita and Susruta Samhita describe Samshamana Krama especially Deepana, Paachana, and Langhana to be administered to patients suffering from Apeenasa. In Charaka Samhita and Susrutha Samhita, it is advised to conduct Vamana Karma, Virechana Karma, Aasthapna Vasti and Nasya Karma in the management of Apeenasa. Sri Lankan traditional physicians perform Rakta Mokshana using leeches on nasal polyps which may occur as a complication of Peenasa. Sweda Karma, Dhoomapana, Gandoosha, Kawalagraha, Karna Poorna, Anjana Karma are also carried out as therapeutic measures. Additionally, Hisgellum, Engagellum, Veidu and Nila Vedakama are used as therapeutic measures in management of Peenasa by traditional physicians. Among these all it has to be noted that the procedure called ad Nasya Karma have very crucial impacts for Urdgwa-jatrugata roga.