CLASSICAL YOGAS IN SHIRO-KARNA-NASA-MUKHA ROGA

USE OF CLASSICAL AYURVEDIC DRUGS IN SHIRO-KARNA-NASA-MUKHA ROGA

LAKSHMIVILASA RASA

• Composition: Contains Abhraka Bhasma, Shuddha Parad, Shuddha Gandhaka, Vatsanabha, etc.

• Therapeutic Uses:

  • Effective in Dushta Pratishyaya (Chronic Rhinitis), Peenasa (Sinusitis), Shiro Roga (Head disorders), and Kasa-Shwasa (Cough and Dyspnea).

  • Useful in cases with Kapha-Vata predominance.

  • Improves respiratory function, relieves congestion and supports immunity.

• Dose: 125–250 mg twice a day with honey or ginger juice.

• Sanskrit Reference:
  लाक्ष्मीविलासं रसं नाम श्रेष्ठं वातकफापहम्।
  (Rasa Ratna Samuchchaya)

SHIRASHULADI VAJRA RASA

• Indications:

  • Used in Shirashoola (headache), especially Ardhavabhedaka (Migraine), Suryavarta, and other types of Shiro Roga.

  • Also indicated in Trigeminal Neuralgia, Chronic Sinusitis, and stress-induced headaches.

• Mode of Action:

  • Acts as Vedanasthapana (analgesic), Shothahara (anti-inflammatory), and Vatanulomaka (vata pacifying).

  • Works on the principle of balancing Vata and Kapha doshas.

• Dose: 125 mg to 250 mg with honey or Dashamoola Kwatha.

• Sanskrit Reference:
  शिरःशूलादिवज्राख्यं रसं सिद्धं त्रिदोषनुत्।
  (Rasa Yoga Sagara)

TRIBHUVANAKIRTI RASA

• Indications:

  • Useful in Jvara, Kasa, Shwasa, Peenasa, Tundikeri (Tonsillitis), and Mukha Roga.

  • Also beneficial in Shiro Roga associated with febrile conditions.

• Pharmacological Action:

  • Antipyretic, anti-inflammatory, and antiallergic action.

  • Clears Srotorodha (obstruction in microchannels).

• Dose: 125–250 mg twice a day with Tulsi juice or ginger juice.

• Sanskrit Reference:
  त्रिभुवनकीर्तिर्नाम रसः श्लेष्ठ्मकफापहः।
  (Rasa Tarangini 22/167)

GUDA SHUNTHI NASYA YOGA

• Preparation: Powdered Shunthi (dry ginger) mixed with jaggery to form a paste and used for Nasya (nasal instillation).

• Indications:

  • Effective in Suryavarta, Peenasa, and Dushta Pratishyaya.

  • Clears nasal blockage and relieves heaviness of head.

• Mode of Action:

  • Nasya karma improves Urdhwajatru Gata Vata balance.

  • Stimulates olfactory and trigeminal nerves.

• Classical Reference:
  शुण्ठी गुडेन संयुक्ता नस्ये कार्या सुरोगिणाम्।
  (Ashtanga Hridaya Sutrasthana)

RASA MANIKYA

• Formulation: Prepared from Haratal (Orpiment) processed and sublimated.

• Indications:

  • Effective in Dushta Pratishyaya, Arshas, Kasa, Shwasa, Jwara, and Shiro Roga.

  • Also indicated in Mukha Roga like Mukhapaka (Stomatitis).

• Pharmacological Action:

  • Anti-inflammatory, anti-microbial, and rejuvenating.

• Dose: 62.5 mg to 125 mg twice a day with honey or ghee.

• Caution: Only under expert supervision due to its mineral origin.

• Sanskrit Reference:
  रसमाणिक्यं कृमिह्रद्रोगकासश्वासनाशनम्।
  (Rasa Tarangini)

KSHAARA TAILA

• Preparation: Oil infused with Apamarga Kshara and other herbs.

• Indications:

  • Indicated in Karṇanada, Karṇashoola, Karṇavidradhi, and Dushta Karna Roga.

  • Also useful in Nasagata Roga with thick secretions and nasal polyp-like conditions.

• Application: Used as Karna Purana (instillation into the ear) and Nasya.

• Mode of Action:

  • Lekhana (scraping), Shodhana (purification), and Shothahara (anti-inflammatory) actions.

• Sanskrit Reference:
  क्षारतैलं विशेषेण कृमिपित्तविनाशनम्।
  (Sushruta Samhita Uttara Tantra 22)

RESEARCH PUBLICATIONS ON RECENTLY PROVEN DRUGS IN SHIRO-KARNA-NASA-MUKHA ROGA

• Curcuma longa (Turmeric):

  • Proven anti-inflammatory and anti-allergic action in chronic sinusitis and allergic rhinitis.

  • Reduces mucosal inflammation and modulates immune response.

  • Referenced in modern ENT studies for its effect on eosinophilic infiltration.

• Tinospora cordifolia (Guduchi):

  • Effective immunomodulator in allergic rhinitis.

  • Clinical trials have shown reduction in nasal congestion and frequency of rhinitis episodes.

  • Study: Indian Journal of Otolaryngology and Head & Neck Surgery (2021).

• Nasya Karma with Anu Taila:

  • Recent RCTs show significant relief in sinusitis symptoms (headache, nasal blockage).

  • Proven enhancement of mucociliary clearance.

  • MRI and CT scan studies show reduction in sinus opacification.

• Tulsi (Ocimum sanctum):

  • Demonstrated anti-microbial effect against pathogens causing Tonsillitis and Pharyngitis.

  • Clinical effectiveness as gargle therapy supported by ENT peer-reviewed studies.

• Triphala Ghrita Nasya:

  • Studies suggest improved olfactory recovery post viral rhinitis (e.g., post-COVID anosmia).

  • Observational studies from AYUSH research councils highlight its role in sensory nerve rejuvenation.

• Modern ENT Insights:

  • Chronic Rhinosinusitis pathophysiology correlates with Dushta Pratishyaya in Ayurveda.

  • Topical steroid sprays (e.g., Fluticasone) mirror the action of Nasya in reducing mucosal edema.

  • Surgical interventions (like FESS) reflect Ayurvedic Shastra Karma for nasal polyps.