Clinical Evaluation of <i>Pippalyadi Avapeeda Nasya, Elakanadi Kashaya</i> and <i>Vyoshadi Ghrita</i> in Chronic Rhinosinusitis: Case Series

Introduction: Chronic Rhino Sinusitis (CRS) is an inflammatory disease of the nose and sinuses with clinical features such as nasal blockage, nasal discharge and hyposmia. Current treatment modalities are antibiotics, corticosteroids and surgical interventions but the recurrent rate is high. In classics, dushtaprathisyaya features are similar to chronic rhinosinusitis. Materials and Methods: To analyze the effect of pippalyadi avapeeda nasya, elakanadi kashaya and vyoshadi ghrita in reducing the symptoms of chronic rhino sinusitis using nasal signs and symptom score, anterior rhinoscopy, X-ray Para Nasal Sinus (PNS) Waters view and nasal endoscopy. The study discusses the Ayurvedic intervention of 30 cases diagnosed as CRS. Pachana - deepana with astachoorna, snehapana with vyoshadi ghrita and virechana with nimbamritadi eranda taila for kayashodhana followed by shira shodhana with pippalyadi avapeeda nasya. Orally Elakanadi kashaya and vyoshadi ghrita was administered. Results and Discussion: Combined use of sodhana and samana aushadhi showed significant reduction in nasal obstruction, nasal discharge and hyposmia with an improvement of 100, 100 and 56.66 % respectively. Statistical analyses were performed with SPSS software and are clinically significant with p < 0.0001. Conclusion: A combination of kayasodhana and sirasodhana is effective in improving subjective symptoms like nasal blockage, nasal discharge and hyposmia which was evident with anterior rhinoscopy, endoscopy and X-ray PNS Waters view.