Abstract
Karna sansrava is one of the disease entity mentioned under 28 Karna rogas (~ ear diseases) in Ayurveda. According to Acharya sushruta, the only symptom of Karna sansrava is Puya srava (~profuse purulent discharge). On the basis of the signs and symptoms, Karna sansrava can be correlated with Chronic Suppurative Otitis Media (CSOM). There are two types of CSOM, i.e., tubotympanic (mucosal) and atticoantral (squamous). A 25-year-old male patient presented to the outpatient department with complaints of profuse discharge and heaviness in the right ear for two months and moderate hearing loss for three years. The condition was diagnosed with tubo-tympanic type of CSOM. It was managed by Karna prakshalana (~aural toileting), Karna pramarjana (~ear mopping), Karna dhupana (~aural fumigation), Karna pichu (~medicated cotton swab in the ear), Shiro virechana nasya (~medicated nasal drops), and by internal medicines. The total treatment period was of 45 days with the follow-up of one month. After treatment, the patient got significant relief in ear discharge, heaviness in ear, and hearing loss was improved to mild level.
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