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Management of Dushta Pratishyaya A Case Study
Management of Dushta Pratishyaya A Case Study
Management of Dushta Pratishyaya A Case Study
Volume 7 Issue 3, May-June 2023 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
INTRODUCTION:
Pratishyaya is flow of Kaphadi Doshas in the leads to complications like Bhadirya (deafness),
opposite direction of Vata Dosha1. The etiological Andhata (blindness), Nayanamaya (ocular pain),
factors for it being excessive consumption of cold Agrhana (anosmia), Kasa (bronchitis) and Agnisaada
food items, exposure to dusty, smoky and cold (reduced appetite) 5.Chronic Rhino-sinusitis (CSR)
weather, withholding urges of micturition and having similar symptoms as Dushta Pratishyaya
defeacation and excess sexual activity2. There are 5 affects 5-15% of the urban population6. It is
types of Pratishyaya (viz.Vataja, Pittaja, Kaphaja, characterized by inflammatory mucosal thickening in
Raktaja and Sannipataja). Dushta Pratishyaya is a paranasal sinuses and nasal mucosa. Inflammation
chronic stage of Pratishyaya and hence has not been involves accumulation of activated eosinophils in
included under the classification. Due to the influence sinus mucosa and submucosa. CSR presents with
of etiological factors, Pitta, Kapha and Raktha symptoms like nasal congestion (obstruction), muco-
undergoes accumulation in the head region either purulent nasal discharge, facial pain/pressure and
individually or in combined state. Further these tenderness, post nasal drip, headache, halitosis, ear
Doshas get aggravated and move along with Vata ache or fullness, anosmia or hyposmia and fatigue. It
Dosha in the opposite direction and manifests can occur with or without nasal polyps. Treatment
Pratishyaya3. Dushta Pratishyaya with excess Dosha involves use of oral corticosteroids, steroidal sprays,
Dushti (vitiation) exhibits clinical features like decongestants and antihistamines. The data on the
Praklidha nasa (nasal discharge), Punaha adverse effects associated with short courses of oral
Parishushya Nasa (alternating dryness of nasal corticosteroids indicate that there may be an increase
cavity), Muhu Anaha (nasal congestion sometimes), in insomnia and gastrointestinal disturbances7.
Muhu Vivreeyate (clearance of nasal mucosa Steroidal sprays have reportedly caused local burning
sometimes), Uchwasa Durganda (foul smelling sensation, dryness, crusting and occasional
breath) and Gandham na Veti (anosmia or hypersensitive reactions8.Hence Ayurveda treatment
hyposmia)4. If Dushta Pratishya is left untreated it by Shamanoushadhis and Shodhana karmas for
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Chaukambha Sanskrit Sansthan, Varanasi, Fifth
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controlled trial to evaluate effect of Gandhaka Samhita of Agnivesha, Chakrapani Datta’s
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post-operative pain management in ano-rectal Chaukambha Sanskrit Sansthan, Varanasi, Fifth
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