Nasal Polyp (Nasarsha) understanding and management through Ayurveda – A Case Study

Abstract

Nasa is the most important organ of Urdhwajatru and is the gateway for cranial cavity as well as respiratory system. Nasarshas is one among the thirty-one Nasagata Rogas mentioned in our classics. Nasarshas can be correlated to nasal polyps. Nasal polyps are non-neoplastic masses of oedematous nasal or sinus mucosa. Prolonged use of antihistamines and antibiotics leads to drug resistance and decreases immunity; nasal decongestants bring about, rebound congestion. Fear of surgery, its complications and cost have restricted many patients from undergoing surgery. Hence the present case study was taken to evaluate the efficacy of Ksharakarma in the management of Nasarshas w.s.r to Nasal Polyp along with internal medications for reducing its recurrence and improve the immunity. Kshara is an excellent Anusastra in the management of Arsha, as it has Lekhana, Tridoshaghna, Teekshna and Ushna property. Shirovirechana being one of the Shodhana Karma, hence Nasya with Apamarga Kshara Taila and Anu Taila was planned. Internally Hamsapadadi Kashaya, Chitrakadi Vati, Triphala Guggulu and Agasthya Rasayana was prescribed. The results were encouraging to start with just after the application of the Kshara, there was complete relief of the symptoms of Nasal Polyp. Overall, there was significant improvement in the condition.