Abstract
Chronic Rhinosinusitis is defined as persistent symptomatic inflammation of the nasal and sinus mucosa. Ayurvedic treatments are very effective in the management of chronic sinusitis without any deleterious side effects than the conventional treatment options like corticosteroids therapy and endoscopic sinus surgery . The present case 36 year old cut lady, housewife, diabetic referred to Panchakarma OPD of PNNM Ayurveda Medical College with complaints of recurrent episodes of head ache, occasional sneezing, post nasal dripping, nasal congestion and pain on back of eyes since 1 year was diagnosed as Kaphaja sirasoola and managed for 3 months. Medicines with Virechana property and Teekshna guna were selected to enhance mucociliary clearance and improve sinus drainage . So Avapeeda nasya with Tulsi swarasa mixed with Madhu and Saindhavam was administered for 7 consecutive days followed by Anutaila pratimarsa nasya till all the symptoms got relieved. After that Rasayana drugs were given. Follow up was done for 2 years. Overall effect of therapies after the course of treatment showed complete remission and there was no recurrence.
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