Abstract
Chronic Rhino Sinusitis is one of the most commonly diagnosed ailments of the upper airways in primary care not only in western countries but also in Asia [1]. It causes significant morbidity, often compels the patient to take off from work. It is one of the commonest reasons for a general practitioner to prescribe antibiotics [2]. The incidence of chronic rhino sinusitis in India is 136,657,953 out of 1,065,070,607 [6] Unani medicine claims to possess effective treatment for the management of chronic rhinosinusitis and suggest an array of medicament for the purpose [8]. The World Health Organization has reported that more than half of the population in developing countries rely on traditional medicines for their primary health care needs [10]. For last few years developed countries have also been showing interest in traditional herbal medicines. The Unani system of medicine is very common traditional system and has large-scale reach among people. Many compounds Unani Formulations like Itrifal Ustukhudus is of the standard parameter as given in Unani Pharmacopoeia [11]. There is no separate description of chronic rhino sinusitis in Unani Literature. The clinical features of CRS bear resemblance with Nazla-e-Barid [6]. Avicenna, Nafisi, Abul Hasan Raban Tabri and others described the abnormal phlegm or ColdMoist temperament as one the causes of phlegmatic diseases. Is not able to clear the infection (chronic rhinosinusitis) [6]. The term chronic rhino sinusitis encompasses all inflammatory disorders of the nose and paranasal sinuses for a minimum duration of 12 weeks. This definition was put forth in 1996 by the Rhinosinusitis Task Force (RSTF), which was established by the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) [7, 15]. The diagnosis of chronic rhinosinusitis is based largely on symptomatic criteria, with anterior rhinoscopy or endoscopy and computed tomography imaging [7]. Usoole Ilaj: Elimination of source of cold and heat, concoctions, purgation and eradication of cause. Correction of the altered temperament should be done. The flow of Madda (Mucus) should be altered from the throat towards the nose. The Madda should be altered in such a way that it gets excreted easily [17].
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