Thursday, 23 January 2014



Sinus and allergy
(Pratisyaya & peenasam)
Allergy:
·          
      Individual sensitivity to a foreign substance that is usually harmless. These substances are called as allergens & antigen which is introduced in the immune system by a number of different routes.
·         An allergic reaction can occur almost anywhere in the body. The symptom of reaction often occurs at the site of reaction.
·         Inflammation of nasal passage caused by allergic reaction to air borne substance is known as allergic rhinitis.

Symptoms:
·          
     10-20 sneezing in rapid succession
·         Nasal discharge – watery, thin discharge
·         Consists of itching & lacrimation in eyes.
·         Purulent discharge
·         Hearing is decreased
·         Severe nasal congestion.

When this allergic rhinitis is neglected without treating it heads to sinusitis ( pratisyaya)

Sinus (pratisyaya):
·       
           Sinus is the empty space in between the nasal bones.
·         The inflammation in the sinus is called as sinusitis (pratisyaya)
·         Acc to ayurveda the fundamental principles of vata, pitta & kappa jointly & separately as well as of blood becoming aggravated by various causes bring on an attack of nasal catarrh ( pratisyaya).

Causes:
·      
           Exposure to minute particles of dust or smoke into nostrils
·         Excessive application of cold or heat
·         Voluntary retention of stool & urine
·         Day sleep, right awakening
·         Excessive indulgence in sexual intercourse
Are the causes which may instantly usher in an attack of pratisyaya.

Premonitary symptoms:
·     
            Heaviness of head
·         Sneezing
·         Aching in limbs
·         Appearance of goose – flesh upon the body
·         Hoarseness of voice
In ayurveda acc to dosha predominance symptoms have been explained.

Vataja             - harness of voice sense of stuffiness in nostrils dynes of throat,
  Palate , lips, excursive sneezing.
Pittaja            - hot & yellowish secretion from nose thirst & heated skin emaciation &
  Yellow ness of complexion
Kaphaja        - constant running of nose secretion being white & cold paleness &
   swelling   of yes. Heaviness of  head.
Tridoshaja    -spontaneous disappearance   as well as   appearance of pratisyaya.
Raktaja          - discharge of blood redness of eyes. Bruised pain chest seems as it
  Struck with a blow betide smell in breath & mouth.

Prognosis:
·     
             If neglected or not properly remedied at the outset of an attack, any type of pratisyaya may bring on cases of malignant peens a which it time gives rise to number of diseases & produce deafness, blindness & loss of smell.
·         Constant alternate sliminess & dryness as well as alternate contraction expansion of nostrils such a case is regarded as hard to cure.

Treatment:
·      
           Various sorts of emetics & fomentations (sveda) prescribed in pratisyaya except in fresh & acute cases.
·         The mucous found matured thick & pendant should be made to secrete by applying sirovireka ( head purgatives)
·         Acc to ayurveda we can give general treatment (sananya) & specific treatment (vishesha)
·         In general treatment langhana (fasting) is to be done for five days.
·         Under specific treatment we have
1.    Grithapana – medicated clarified butter
2.    Swedhana – hot fomentation
3.    Vamana – medicationemesics
4.    Avapida nasya – medicine inserted through
5.    Dumas pans – ayurvedic smoking
6.    Kavalla graham – garbling of salted water.

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