case series on vataja pratishyaya (allergic rhinitis.pptx

8/20/2019 Case series on Vataja Pratishyaya (Allergic Rhinitis.pptx

1/20

Case series on

ataja Pratishyãya

(Chronic Allergic

Rhinitis)

Dr.KiranMutnali

Associate


2/20

!ntro"uction

• Nose - Exposed to atmosphere for smellsensation & respiration.

• Prone to viral, bacterial, fungal infections,

allergies and injuries.• Inhalation of Raja (dust, dhooma

(smo!e, vayu.

•

Sheeta Jala Pana, Avashyaya (Exposure tosno"#moisture

• “Peetena anyeyna varinaa” & atyambu paana

$


3/20

Pratishyãya

• %ost common & important disease amongNasa oga.

• Vatam prati abhimukham shyayo

gamanam kaphaadeenaam yatra sa pratishyaya”

• Prati ' in opposite direction

•

Shyaya ' gamana of dosha• itiated Vatadi dosha either individuall) or

together accummulate in shiras, thenpropagate to the nose leading to

pratishyaya. *


4/20

Case # (KR)

• %ale, aged ** )rs non +N & %• nee/ing, hinorrhea,

• Nasal congestion, 0ral breathing

• 1llergic to dust and cold "eather

• epeated episodes at least once amonth

• urger) t"ice for eptal deviation *)ears bac! (*2$*

• air !all

• Sin"e # years 3


5/20

Case $ (MP)

• 4emale aged 53)ears non +N & %

• hinorrhea (lightl)thic!

• 6ongestion

• +eadache

• inusitis

• $umbago

• A"idity

7

• 1llergic to ust,mo!e & Perfume

• 8nder"ent urger)

t"ice for eptaldeviation.

• +emorrhoidectom) &+)sterectom)

• epressed

• Sin"e % years


6/20

Case % (VK)

• %ale aged *5 )ears non +N & %

• Engineering student

•

Nasal 6ongestion• inusitis

• Post Nasal rip

• 6ough• 1llergic to ust and 6old - sin"e % years

• air !all 5


7/20

Case & (A')

• %ale student aged $9 )ears

• unn) nose

• nee/ing

• Post Nasal rip

• Nasal 6ongestion

• 6ough

• 1llergic to ust & 6old

Sin"e # years

:


8/20

Case (V)

• %ale aged 3; )ears non +N & %

• Engineer b) occupation

•

hinorrhea (lightl) thic!, nee/ing• inusitis

• 6ough &


9/20

'*o Allergy

'*oAllergy

Case # Case $ Case % Case & Case

ust + + + + +

6old


10/20

y-pto-sy-pto-s Case # Case $ Case % Case & Case

%, **, 5)rs

4, 53, 5 )rs%, *5, 7

)rs%, $9, 5

)rs%, 3;, 7

)rs

No +#o> +N, %, ?och@s isease

nee/ing ++ + ++ ++ ++

hinorrhea + + ++ +Nasal

congestion+++ +++ + +

inusitis ++ + +

+eadache +++

Post Nasalrip

+ + ++

6ough + + +

1ssociated6onditions

+air 4all1PAB1

+air 4all --ibandha


11/20

Clinical /0a-ination

$2

• itals C


12/20

!n1estigation

!n1estigation


A/Ccells*cu

--$*22 ;22 $*22 :22 233

$$


13/20

4reat-ent 'istory

'*o4reat-e

ntCase # Case $ Case % Case & Case

1llopathic 1ntihistamines & econgestants, Inhalation of corticosteroids

urgery "ice for

eptaldeviation

"ice foreptal

deviation.+emorrhoid

ectom)+)sterecto

m)

$*


14/20

Manage-ent Protocol

4reat-ent Case # Case $ Case % Case & Case

Pachanaeepana -- riphala

thani!a1bh)anga

uddha Bala thaila

"eda > %ridu Bashpa "eda

Nas)a?arma

1nu haila

hadbindu

haila 3 da)sfollo"ed b) 1nu

haila

1nu haila

ahdbindu haila 3

da)sfollo"ed b)1nu haila

hDmapna asnadi follo"ed b) +aridra dhoomapana

$3


15/20

5utco-e after $#"ays of 6asya

$7

y-pto-s Case # Case $ Case % Case & Case

%, **, 5)rs

4, 53, 5 )rs%, *5, 7

)rs%, $9, 5

)rs%, 3;, 7

)rs

nee/ing ++ + ++ ++ ++

hinorrhea + + ++ +

Nasalcongestion

+++ +++ + +

inusitis ++ + +

+eadache +++

Post Nasal

rip + + ++6ough + + +

1ssociated6onditions

+air 4all1PAB1

+air 4all --ibandha


16/20

!n1estigations

!n1estigation


1E6cells#cu

mm

$*22 ;22 $*22 :22 ;22

552 722 :72 722 33

$5


17/20

Me"ications 7Rasayana

• +aridra ?handa C $tsf B on empt)stomach – Allergy

•

Na)opa)a ?asha)a (Bala, Feera!a &Nagara – Pa"hana (eepana Vata hara )*# ml +( +!

• Naradee)a Aa!shmi ilasa asa "ith

s"arna – ,asa Peenasa -akshma Vajikarana * /ab +( A!

• 1gast)a asa)ana $tsf B 14

•

Path)a $:


18/20

6ee" of Rasayana

• Bod)@s immune s)stem becomessensiti/ed and over reacts tosomething in environment.

• IgE antibodies attach to allergen &release inGammator) chemicalhistamine from mast cell.

• “Pratishyayam vardhamaanamkshaya pradam”

$9


19/20

!-portant Points

• 1scertain ama avastha• 1void 1llergic factors

• 1void nasya karma during rhinorrhea

• etermine dosha predominance andadopt medications

• reatment should focus on pacif)ing

the dosha and in enhancing theimmunit) b) use of rasayana medicines.

$=


20/20

4 h a n 8 o u

case series on vataja pratishyaya (allergic rhinitis.pptx

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