Sinusitis and its Ayurvedic Management
MODERN DISEASE EXPLANATION
Sinusitis,
also known as a sinus infection or rhinosinusitis, is inflammation of the
sinuses resulting in symptoms.. Healthy sinuses are filled with air. But when
they become blocked and filled with fluid, germs can grow and cause an
infection.
CLASSIFICATION
1. Acute rhinosinusitis – A new
infection that may last up to four weeks and can be subdivided symptomatically
into severe and non-severe. Some use definitions up to 12 weeks.
2. Recurrent acute rhinosinusitis –
Four or more full episodes of acute sinusitis that occur within one year
3. Subacute rhinosinusitis – An
infection that lasts between four and 12 weeks, and represents a transition
between acute and chronic infection
4. Chronic rhinosinusitis – When the
signs and symptoms last for more than 12 weeks.
5. Acute exacerbation of chronic
rhinosinusitis – When the signs and symptoms of chronic rhinosinusitis
exacerbate, but return to baseline after treatment
All
these types of sinusitis have similar symptoms, and are thus often difficult to
distinguish. Acute sinusitis is very common. Roughly ninety percent of adults
have had sinusitis at some point in their life.
SYMPTOMS
At
least two of the four primary signs and symptoms of chronic sinusitis must be
present with confirmation of nasal inflammation for a diagnosis of the
condition. They are:
·
Thick,
discolored discharge from the nose or drainage down the back of the throat (postnasal
drainage)
·
Nasal
obstruction or congestion, causing difficulty breathing through your nose
·
Pain,
tenderness and swelling around your eyes, cheeks, nose or forehead
·
Reduced
sense of smell and taste in adults or cough in children
·
Other
signs and symptoms can include:
Ear
pain
·
Aching
in your upper jaw and teeth
·
Cough
that might worsen at night
·
Sore
throat
·
Bad
breath (halitosis)
·
Fatigue
or irritability
·
Nausea
Chronic
sinusitis and acute sinusitis have similar signs and symptoms, but acute
sinusitis is a temporary infection of the sinuses often associated with a cold.
The signs and symptoms of chronic sinusitis last longer and often cause more
fatigue. Fever isn't a common sign of chronic sinusitis, but you might have one
with acute sinusitis.
DISEASE-
AYURVEDA CONCEPT
As
per Ayurveda the root cause of sinusitis is a improper digestion. Due to mand
Agni – low fire, food is not properly digested. It creates the nasal
inflammation, low immunity etc. agni is the fire element, the jathar agni
contributes the metabolic process of the stomach and the upper part of the
small intestine jathar agni resembles to the hydrochloric acid secretion by the
stomach. With the enzymes secreted by the pancreas, it breaks down the food
into small particles and decompose it into absorbable substance. Insufficient
secretion of the digestive fluids may be described as a mand agni. the digested
food is absorbed by the lower part of the small intestine and the large
intestine, and the undigested part is excreted out of body in the form of stool
– mala. Ama is useless excreta, it should be excreted otherwise contributes to
phlegm.
Due
to weak agni of digestive system kapha gets unbalanced and overburden of fluid.
. the weaker secretion mechanism for excess fluid creates imbalance of kapha.
The un secreted fluid accumulates at several sites of sinuses. Kapha is
responsible for dosha of phlegm. The accumulation of phlegm disturbs the vata.
The prahna vata agitated by obstruction of phlegm unable to regulate smooth
flow. Due to the disturbance to the smooth flow it is transferred in to
agitated flow, it is a disease inducing factor.
Pitta
is a transporter of the metabolic nutrients with energy for metabolism. The
pachak pitta resembles with the bile secretion of gall bladder and spleen. It
is responsible for creating digestive fire. Deficiency of is a dosha of fire,
which looses control on digestive fire the agni. Excessive kapha and disturbed vata
leads to manifestation of mucus and breath. All these three doshas contribute
to sinusitis.
Among
various causes (common for all the type of Shiro-Roga’s), the below said may be
considered causative towards Sinusitis –
Raja
– Exposure to dust (allergens)
Tushara
– Fog, Dew
Ambukreeda
– Playing in water (swimming etc)
Atisvapna
– Excessive sleep
Atijagara
– Excessive awakening at night
Utsedha
– Swelling / inflammation in the sinuses
Atipurovata
– excessive exposure to breeze
Bashpanigraha
– Habit of controlling tears
Rodana
– Excessive weeping
Atyambupana
– Drinking lot of water (when not needed, like while hungry)
Atimadhyapana
– Excessive consumption of alcohol
Krimi
– Affliction / infection by microorganisms
Upadhana
– Sleeping with elevated pillows (using many pillows and sleeping with high
head position)
Asatmyagandha
– unwholesome smell / irritating odours
Dushtaanna
– Contaminated / unwholesome foods
TREATMENT
PROTOCOL
General
line of treatment:
External
treatment –
·
Lepa
– Application of medicinal pastes
·
Seka
– Stream pouring of medicated liquids
·
Upanaha
– Poultices
·
Kavala
/ Gandusha – Gargles
Internal
treatment –
Nasya
therapy: Nasya means nasal instillation of medicaments.
Virechana
– Therapeutic purgation
Vamana
– Therapeutic Emesis
CLASSICAL
MEDICINES
·
Amrithotharam
Kashayam
·
Amritarishtam
·
Dasamoola
Kadutrayam
·
Punarnavasavam.etc
·
Pathyashadangam.
·
Gulguluthikthakam.
·
Varanadi
kashayam.
·
Indukantham
Kashayam
·
Asaneladi
Tailam.
·
Anu
tailam
·
Amrutadi
Tailam.
·
Rasnadi
churnam.
·
Nagaradi
Tailam.
·
Taleesapatradi
churnam.
·
Nirgundyadi
Tailam
·
Sudarsanam
churnam
SITARAM
PP PRODUCTS
·
KRIMIGHNA
GULIKA
·
ALLER
G TABLET
·
ALLERKHAND
POWDER
·
AROGYAVARDHINI
VATI
·
ANTUSSIN
CAPSULE
·
TWAGELADI
LEHYAM
·
ALLERKHAND
TABLET
·
HEMOLITE
A
·
HEPAMRUTH
AHARA
VIHARAM
Tips
to prevent Sinusitis:
·
Avoid
Kapha aggravating foods and activities – Cold food, drinks and places, cold
water shower or bath, especially head bath, day sleep, excessive sleep,
sedentary life, foods which are oily, sweet, sour and salty in taste, heavy to
digest foods, etc
·
Take
seasonal fruits like pomegranate, orange, sweet orange, papaya, apple, pears
etc
·
Avoid
milk, sugar, coffee, fried products, refrigerated products, sweets, oily
products, dishes prepared with flour, fast food, carbonated drinks, cigarette,
chocolates, white flour, liquor, meat, bread, junks etc
·
Do
good exercise and walking
·
Garlic
and onion as a part of diet
·
Follow
Vata-Kapha pacifying diet. They are responsible for accumulation / stagnation
of morbidity in the body (sinuses in this case).
·
Eat
foods that are neither too hot nor too cold.
·
Favour
cooked warm meals that are light, nurturing and easy to digest.
·
Kichri
(light and nourishing porridge) or Pongal (south) prepared with green gram,
rice and kitchen spices like ginger, cumin seeds, turmeric, fennel seeds,
pepper and cinnamon is good for sinusitis
·
Keep
your bowels clear – Eat fibre rich vegetables (green leaves), organic fruits
and vegetables, avoid brinjal (egg-plant), banana, tomato, curds etc which can
clog your channels
·
Don’t
skip or delay meals – They will disturb your gut fire (agni) and cause errors
of digestion. This will supply less nutrition to your tissues and also will
form lot of ama in the cells (intermediate products of metabolism with a sticky
nature and capacity to block the body channels). Ama will further predispose to
the formation of many diseases including sinusitis.
·
Best
options in kitchen – Regularly use – Cinnamon, Black pepper, cumin seeds, mint,
onion, basil, garlic, honey, coriander, rock salt, fennel, clove, turmeric,
ginger, liquorice, etc
·
Use
well fitting eyeglasses, if your glasses pinch your nasal bridge, your symptoms
may get worse
Avoid:
·
Cigarette
smoke
·
Air
pollutants
·
Swimming
in the pool treated with chlorine
·
Air
travel – too is a risk factor for exacerbation of sinusitis since the air
pressure changes. Take caution and some medicine during air travel
·
Rainstorm
and damp weather – Symptoms of sinusitis worsen before a rainstorm due to
changes in air pressure. Protect yourself during windy and rainy seasons.
·
Dust,
mould, pollens or any known food allergies; know your allergies with the help
of your doctor
·
Curds,
banana, ice-cold drinks, beverages
·
Frequent
head baths
·
Mosquito
repellents
Pathya (beneficial /
wholesome things) in Sinusitis
· Swedana – fomentation / sweating
treatment / sudation with medicated decoctions or processed milk
· Nasya – Instillation of herbal
decoctions, processed milk, powder, juices etc in the nose
· Dhumrapana – Herbal smoking
· Virechana – Therapeutic purgation
· Lepa – Application of pastes made
with medicinal drugs
· Seka – Stream pouring of medicated
fluids
· Langhana – Fasting
· Upanaha – Poultices
· Purana ghrita – old ghee
· Shali – rice
· Yusha – Soups
· Dugdha – milk
· Patola – Pointed gourd
· Shigru – Drumstick
· Draksha – Raisins
· Karavellaka – Bitter gourd
· Amalaki – Indian gooseberry
· Dadima – Pomegranate
· Taila – oil
· Takra – Buttermilk
· Narikelakam – Coconut
· Pathya – Terminalia chebula
· Bhringaraja – Eclipta alba
· Kumara – Aloe vera
· Musta – Cyperus rotundus
Apathya (unwholesome things) in
Sinusitis
· Vega dharana – Forcibly controlling
the impending urges (reflexes) of sneeze, yawning, tear, urine and faeces
· Viruddha bhojana – Incompatible
foods
· Dugdha – Milk
· Jalam – Water
· Vibuddha jalamajjanam – Diving into
water with head-down position
· Dantakashtam – Brushing with brush
made of herbal sticks (twigs)
· Divaswapna – Sleeping during day
time
MODERN
DISEASE EXPLANATION
Sinusitis,
also known as a sinus infection or rhinosinusitis, is inflammation of the
sinuses resulting in symptoms.. Healthy sinuses are filled with air. But when
they become blocked and filled with fluid, germs can grow and cause an
infection.
CLASSIFICATION
1. Acute rhinosinusitis – A new
infection that may last up to four weeks and can be subdivided symptomatically
into severe and non-severe. Some use definitions up to 12 weeks.
2. Recurrent acute rhinosinusitis –
Four or more full episodes of acute sinusitis that occur within one year
3. Subacute rhinosinusitis – An
infection that lasts between four and 12 weeks, and represents a transition
between acute and chronic infection
4. Chronic rhinosinusitis – When the
signs and symptoms last for more than 12 weeks.
5. Acute exacerbation of chronic
rhinosinusitis – When the signs and symptoms of chronic rhinosinusitis
exacerbate, but return to baseline after treatment
All
these types of sinusitis have similar symptoms, and are thus often difficult to
distinguish. Acute sinusitis is very common. Roughly ninety percent of adults
have had sinusitis at some point in their life.
SYMPTOMS
At
least two of the four primary signs and symptoms of chronic sinusitis must be
present with confirmation of nasal inflammation for a diagnosis of the
condition. They are:
·
Thick,
discolored discharge from the nose or drainage down the back of the throat (postnasal
drainage)
·
Nasal
obstruction or congestion, causing difficulty breathing through your nose
·
Pain,
tenderness and swelling around your eyes, cheeks, nose or forehead
·
Reduced
sense of smell and taste in adults or cough in children
·
Other
signs and symptoms can include:
Ear
pain
·
Aching
in your upper jaw and teeth
·
Cough
that might worsen at night
·
Sore
throat
·
Bad
breath (halitosis)
·
Fatigue
or irritability
·
Nausea
Chronic
sinusitis and acute sinusitis have similar signs and symptoms, but acute
sinusitis is a temporary infection of the sinuses often associated with a cold.
The signs and symptoms of chronic sinusitis last longer and often cause more
fatigue. Fever isn't a common sign of chronic sinusitis, but you might have one
with acute sinusitis.
DISEASE-
AYURVEDA CONCEPT
As
per Ayurveda the root cause of sinusitis is a improper digestion. Due to mand
Agni – low fire, food is not properly digested. It creates the nasal
inflammation, low immunity etc. agni is the fire element, the jathar agni
contributes the metabolic process of the stomach and the upper part of the
small intestine jathar agni resembles to the hydrochloric acid secretion by the
stomach. With the enzymes secreted by the pancreas, it breaks down the food
into small particles and decompose it into absorbable substance. Insufficient
secretion of the digestive fluids may be described as a mand agni. the digested
food is absorbed by the lower part of the small intestine and the large
intestine, and the undigested part is excreted out of body in the form of stool
– mala. Ama is useless excreta, it should be excreted otherwise contributes to
phlegm.
Due
to weak agni of digestive system kapha gets unbalanced and overburden of fluid.
. the weaker secretion mechanism for excess fluid creates imbalance of kapha.
The un secreted fluid accumulates at several sites of sinuses. Kapha is
responsible for dosha of phlegm. The accumulation of phlegm disturbs the vata.
The prahna vata agitated by obstruction of phlegm unable to regulate smooth
flow. Due to the disturbance to the smooth flow it is transferred in to
agitated flow, it is a disease inducing factor.
Pitta
is a transporter of the metabolic nutrients with energy for metabolism. The
pachak pitta resembles with the bile secretion of gall bladder and spleen. It
is responsible for creating digestive fire. Deficiency of is a dosha of fire,
which looses control on digestive fire the agni. Excessive kapha and disturbed vata
leads to manifestation of mucus and breath. All these three doshas contribute
to sinusitis.
Among
various causes (common for all the type of Shiro-Roga’s), the below said may be
considered causative towards Sinusitis –
Raja
– Exposure to dust (allergens)
Tushara
– Fog, Dew
Ambukreeda
– Playing in water (swimming etc)
Atisvapna
– Excessive sleep
Atijagara
– Excessive awakening at night
Utsedha
– Swelling / inflammation in the sinuses
Atipurovata
– excessive exposure to breeze
Bashpanigraha
– Habit of controlling tears
Rodana
– Excessive weeping
Atyambupana
– Drinking lot of water (when not needed, like while hungry)
Atimadhyapana
– Excessive consumption of alcohol
Krimi
– Affliction / infection by microorganisms
Upadhana
– Sleeping with elevated pillows (using many pillows and sleeping with high
head position)
Asatmyagandha
– unwholesome smell / irritating odours
Dushtaanna
– Contaminated / unwholesome foods
TREATMENT
PROTOCOL
General
line of treatment:
External
treatment –
·
Lepa
– Application of medicinal pastes
·
Seka
– Stream pouring of medicated liquids
·
Upanaha
– Poultices
·
Kavala
/ Gandusha – Gargles
Internal
treatment –
Nasya
therapy: Nasya means nasal instillation of medicaments.
Virechana
– Therapeutic purgation
Vamana
– Therapeutic Emesis
CLASSICAL
MEDICINES
·
Amrithotharam
Kashayam
·
Amritarishtam
·
Dasamoola
Kadutrayam
·
Punarnavasavam.etc
·
Pathyashadangam.
·
Gulguluthikthakam.
·
Varanadi
kashayam.
·
Indukantham
Kashayam
·
Asaneladi
Tailam.
·
Anu
tailam
·
Amrutadi
Tailam.
·
Rasnadi
churnam.
·
Nagaradi
Tailam.
·
Taleesapatradi
churnam.
·
Nirgundyadi
Tailam
·
Sudarsanam
churnam
SITARAM
PP PRODUCTS
·
KRIMIGHNA
GULIKA
·
ALLER
G TABLET
·
ALLERKHAND
POWDER
·
AROGYAVARDHINI
VATI
·
ANTUSSIN
CAPSULE
·
TWAGELADI
LEHYAM
·
ALLERKHAND
TABLET
·
HEMOLITE
A
·
HEPAMRUTH
AHARA
VIHARAM
Tips
to prevent Sinusitis:
·
Avoid
Kapha aggravating foods and activities – Cold food, drinks and places, cold
water shower or bath, especially head bath, day sleep, excessive sleep,
sedentary life, foods which are oily, sweet, sour and salty in taste, heavy to
digest foods, etc
·
Take
seasonal fruits like pomegranate, orange, sweet orange, papaya, apple, pears
etc
·
Avoid
milk, sugar, coffee, fried products, refrigerated products, sweets, oily
products, dishes prepared with flour, fast food, carbonated drinks, cigarette,
chocolates, white flour, liquor, meat, bread, junks etc
·
Do
good exercise and walking
·
Garlic
and onion as a part of diet
·
Follow
Vata-Kapha pacifying diet. They are responsible for accumulation / stagnation
of morbidity in the body (sinuses in this case).
·
Eat
foods that are neither too hot nor too cold.
·
Favour
cooked warm meals that are light, nurturing and easy to digest.
·
Kichri
(light and nourishing porridge) or Pongal (south) prepared with green gram,
rice and kitchen spices like ginger, cumin seeds, turmeric, fennel seeds,
pepper and cinnamon is good for sinusitis
·
Keep
your bowels clear – Eat fibre rich vegetables (green leaves), organic fruits
and vegetables, avoid brinjal (egg-plant), banana, tomato, curds etc which can
clog your channels
·
Don’t
skip or delay meals – They will disturb your gut fire (agni) and cause errors
of digestion. This will supply less nutrition to your tissues and also will
form lot of ama in the cells (intermediate products of metabolism with a sticky
nature and capacity to block the body channels). Ama will further predispose to
the formation of many diseases including sinusitis.
·
Best
options in kitchen – Regularly use – Cinnamon, Black pepper, cumin seeds, mint,
onion, basil, garlic, honey, coriander, rock salt, fennel, clove, turmeric,
ginger, liquorice, etc
·
Use
well fitting eyeglasses, if your glasses pinch your nasal bridge, your symptoms
may get worse
Avoid:
·
Cigarette
smoke
·
Air
pollutants
·
Swimming
in the pool treated with chlorine
·
Air
travel – too is a risk factor for exacerbation of sinusitis since the air
pressure changes. Take caution and some medicine during air travel
·
Rainstorm
and damp weather – Symptoms of sinusitis worsen before a rainstorm due to
changes in air pressure. Protect yourself during windy and rainy seasons.
·
Dust,
mould, pollens or any known food allergies; know your allergies with the help
of your doctor
·
Curds,
banana, ice-cold drinks, beverages
·
Frequent
head baths
·
Mosquito
repellents
Pathya (beneficial /
wholesome things) in Sinusitis
· Swedana – fomentation / sweating
treatment / sudation with medicated decoctions or processed milk
· Nasya – Instillation of herbal
decoctions, processed milk, powder, juices etc in the nose
· Dhumrapana – Herbal smoking
· Virechana – Therapeutic purgation
· Lepa – Application of pastes made
with medicinal drugs
· Seka – Stream pouring of medicated
fluids
· Langhana – Fasting
· Upanaha – Poultices
· Purana ghrita – old ghee
· Shali – rice
· Yusha – Soups
· Dugdha – milk
· Patola – Pointed gourd
· Shigru – Drumstick
· Draksha – Raisins
· Karavellaka – Bitter gourd
· Amalaki – Indian gooseberry
· Dadima – Pomegranate
· Taila – oil
· Takra – Buttermilk
· Narikelakam – Coconut
· Pathya – Terminalia chebula
· Bhringaraja – Eclipta alba
· Kumara – Aloe vera
· Musta – Cyperus rotundus
Apathya (unwholesome things) in
Sinusitis
· Vega dharana – Forcibly controlling
the impending urges (reflexes) of sneeze, yawning, tear, urine and faeces
· Viruddha bhojana – Incompatible
foods
· Dugdha – Milk
· Jalam – Water
· Vibuddha jalamajjanam – Diving into
water with head-down position
· Dantakashtam – Brushing with brush
made of herbal sticks (twigs)
· Divaswapna – Sleeping during day
time
Comments
Post a Comment
If you have any doubts on about Ayurveda treatments about different diseases, different Panchakarma Procedure, Home Remedy, Alternative Medicine, Traditional medicine,Folk medicine,Medicinal Plants, Special diets, Ayurveda medicine ,Complementary medicine LET ME KNOW