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ROLE OF TRIKATU TAILA NASYA IN THE MANAGEMENT OFKPHAJA SHIRASHOOLA W.S.R. TO MAXILLARY SINUSITIS

1Assistant Professor, Department

2Assistant Professor, Department Of Shalakya Tra Ayurveda college,Koppal, Karnataka

INTRODUCTION Headache is a term used for pain felt anwhere in the head and described under the heading of Sirasoola. Kaphaja Shira Shola is one among the ten types of explained by Vagbhata acharyadinal features of Kaphaja Shira Shoolaclude mild / moderate head ache and heavness of head2. The headache persists throughout the day and it may increases in night. This condition is commonly assciated with nasal discharge, nasal obstrution and post nasal discharge.Most of the clinical features are correlated with the signs and symptoms of maxillary sinusitisNasya Karma is considered as a prime treatment modality in all types of Shiroroga and also in Kaphaja Shira Shoolata has described Trikatu Taila Nasya management of Kapaja Shira ShoolaHere,Trikatu Taila possess tlike Sunthi(Zingiber Officinale), Marca(piper nigrum), Pippali(piper longum)and tila Taila(sesamum indicum)was prepared according to Sneha Paka Vihi as mentioned in our classics and

Review Article International Ayurvedic Medical Journal ISSN:2320 5091

Shalakya tantra comprises the study of diseases affecting the organs situated above Jatru (clavicle) and their treatment tioned in classics. Hence kaphaja sirasoolanasya under two groups and compare the effect .In the present clinical study patients were divided into 2 groups with 20 patients in each group. Group A patients were given Taila Nasya and Group B patients were given Nasya was given to compare the efficacy with that of

ROLE OF TRIKATU TAILA NASYA IN THE MANAGEMENT OFKPHAJA SHIRASHOOLA W.S.R. TO MAXILLARY SINUSITIS

K.Sivbalaji1, Ashwini B N2

stant Professor, Department Of Shalakya Tantra, Amrita school of AyurveKollam, Kerala, India

stant Professor, Department Of Shalakya Tantra, Sri Jagadguru Gavisiddeshwra Ayurveda college,Koppal, Karnataka, India

Headache is a term used for pain felt any-where in the head and described under the

Kaphaja Shira Shoo-is one among the ten types of Shirorogas,

Vagbhata acharya1. The car-Kaphaja Shira Shoola in-

clude mild / moderate head ache and heavi-. The headache persists

throughout the day and it may increases in night. This condition is commonly asso-ciated with nasal discharge, nasal obstruc-tion and post nasal discharge.Most of the clinical features are correlated with the

of maxillary sinusitis3, is considered as a prime

treatment modality in all types of Shiroroga and also in Kaphaja Shira Shoola4. Vagbha-

Trikatu Taila Nasya in the Kapaja Shira Shoola5

possess the components Sunthi(Zingiber Officinale), Mari-

ca(piper nigrum), Pippali(piper longum)tila Taila(sesamum indicum), which

Sneha Paka Vid-as mentioned in our classics and sarasa-

pa Taila was used as a base for this prepration. This work is intended to know the efficacy of the Trikatu TailaTaila as Nasya Karma6.MATERIALS AND METHODSAims and Objectives of the Study:luate the effect of Trikatu Taila Nasyathe management of Kaphaja Shira Shoolawsr to maxillary sinusitis.Inclusion Criteria Patients belonging to the age group of 7 to 60 years.

Patients were selected irrespective of sex, occupation, religion,

Socio– economic status etc

Those fit for Nasya Karma.

Chronicity of the disease less than 1 year7.Exclusion Criteria Patients suffering with other types of Shiroroga.

Chronicity of the disease more than 1 year.

Patients with complications of chronic maxillary sinusitis such as Orbital cellulites,

Article International Ayurvedic Medical Journal ISSN:2320 5091

ABSTRACTcomprises the study of diseases affecting the organs situated above

(clavicle) and their treatment Kaphaja Sirasoola is one among the kaphaja sirasoola is taken as clinical study by administration of

r two groups and compare the effect .In the present clinical study patients were divided into 2 groups with 20 patients in each group. Group A patients were given

and Group B patients were given Sarsapa Taila Nasya. The was given to compare the efficacy with that of Trikatu Taila.

ROLE OF TRIKATU TAILA NASYA IN THE MANAGEMENT OFKA-PHAJA SHIRASHOOLA W.S.R. TO MAXILLARY SINUSITIS

antra, Amrita school of Ayurveda,

antra, Sri Jagadguru Gavisiddeshwa-

was used as a base for this prepa-tion. This work is intended to know the

Trikatu Taila and Sarsapa

MATERIALS AND METHODSAims and Objectives of the Study:To eva-

Trikatu Taila Nasya in Kaphaja Shira Shoola

atients belonging to the age group

Patients were selected irrespective of sex, occupation, religion,

economic status etc

Nasya Karma.

Chronicity of the disease less than 1

Patients suffering with other types of

Chronicity of the disease more than 1

Patients with complications of chronic maxillary sinusitis such as Orbital cellulites,

Article International Ayurvedic Medical Journal ISSN:2320 5091

comprises the study of diseases affecting the organs situated above is one among the sirasoola men-

is taken as clinical study by administration of r two groups and compare the effect .In the present clinical study patients were

divided into 2 groups with 20 patients in each group. Group A patients were given Trikatu. The Sarsapa Taila

K Sivbalaji &Ashwini : B N Role Of Trikatu Taila Nasya In The Management Ofkaphaja Shirashoola W.S.R. To

525 www.iamj.in

Osteomyelitis of maxillary bone etc., were excluded8.

RESEARCH DESIGN: The patients diagnosed as soola were randomly divided into the 2 groups of treatments each group has 20 ptients. Group A: Nasya with Trikatu Tailaadministered once daily in the morning bfore food for seven days. Thedrops in each nostril. Group B: Nasya with Sarasapa Tailawas administered once daily in the morning before food for seven days. The dose was 8 drops in each nostril.

Symptoms Group A

No. of ptients

Headache 20

Heaviness of head 20

Nasal blockage 20

Nasal discharge 15

Foul smell from the breath

02

Puffiness of face

01 01 03 04

Among 40 patients of Kaphaja Shira Shola, 40 (25%) of patients have headache, 40 (25%) have heaviness of head, 32 (20%) have nasal discharge, 05 (03%) have foul

Showing P.N.S X- Ray observations

26% 24%

HEADACHE HEAVINEDD OF HEAD

K Sivbalaji &Ashwini : B N Role Of Trikatu Taila Nasya In The Management Ofkaphaja Shirashoola W.S.R. To lary Sinusitis

IAMJ: Volume 3; Issue 1; February- 2015

Osteomyelitis of maxillary bone etc., were

RESEARCH DESIGN:The patients diagnosed as kaphaja sira-

were randomly divided into the 2 groups of treatments each group has 20 pa-

Trikatu Taila was administered once daily in the morning be-fore food for seven days. The dose was 8

Sarasapa Tailawas administered once daily in the morning before food for seven days. The dose was 8

Criteria for Assessment of the Results:Assessment of the effects of the was done after the treatment based on iprovement on the following signs and symptoms and X-Ray:1. Headache2. Heaviness of head3. Nasal blockage4. Nasal discharge5. Foul smell in the breath6. Puffiness of face7. X – ray, PNS view9

OBSERVATIONSShowing Incidences of Symptoms in Ptients

Group A Group B Total

No. of pa-tients

% No. of patients % No. of patients

26 20 24 40

26 20 24 40

26 20 24 40

19 17 20 32

02 03 04 05

04 04 02

Kaphaja Shira Shoo-, 40 (25%) of patients have headache, 40

(25%) have heaviness of head, 32 (20%) have nasal discharge, 05 (03%) have foul

smell in their breath, 40 (25%) have nasal obstruction and 04(02%) have puffiness of face.Graph 1: Showing incidence of symtoms

Ray observations

26% 26%

19%24% 24%

HEAVINEDD OF HEAD NASLA BLOCKAGE NASAL DISCHARGE

SYMPTOMS

GROUP A GROUP B


Criteria for Assessment of the Results:Assessment of the effects of the treatment was done after the treatment based on im-provement on the following signs and

es of Symptoms in Pa-

No. of patients %

25

25

25

20

03

smell in their breath, 40 (25%) have nasal obstruction and 04(02%) have puffiness of

Graph 1: Showing incidence of symp-

19% 20%

NASAL DISCHARGE


526 www.iamj.in

P.N.S X- Ray obsevations

Group A

No. of ptients

Clear sinuses 02

Haziness in the sniuses

18

Out of 40 patients of Kaphaja Shira Shoola05 (17%) of patients PNS x-sinuses and 25 (83%) patients PNS xshows haziness in the sinuses.

RESULTSShowing the percentage of improvement / relief in the symptoms of Kaphaja Shira

Reduction in %

Reduction in headache

Reduction in heaviness of head

Reduction in nasal discharge

Reduction in foul smell from breath

Reduction in nasal obstruction

Reduction in puffiness of face

GRAPH 3: Showing over all percentage of improvement / relief in the patients of Group A and Group B after treatment

10%

CLEAR SINUS

020406080

100120

K Sivbalaji &Ashwini : B N Role Of Trikatu Taila Nasya In The Management Ofkaphaja Shirashoola W.S.R. To Maxillary Sinusitis

IAMJ: Volume 3; Issue 1; February- 2015

Group A Group B Total

No. of pa-% No. of patients % No. of patients

10 03 15 05

90 17 85 25

Kaphaja Shira Shoola, -ray shows clear

sinuses and 25 (83%) patients PNS x-ray shows haziness in the sinuses.

Graph 2: Showing incidence of X-Ray

Showing the percentage of improvement / relief in the symptoms of Kaphaja Shira

Shoola in Group A and B after treatment (i.e. after 7 days of treatment)

Group A Group B

87.5% 52.94%

Reduction in heaviness of head 96% 56.6%

Reduction in nasal discharge 94.4% 57.5%

Reduction in foul smell from breath 100% 100%

Reduction in nasal obstruction 56.75% 100%

Reduction in puffiness of face 100% 100%

over all percentage of improvement / relief in the patients of Group A and Group B after treatment

90%

15%

85%

CLEAR SINUS HAZINESS

X-RAY

GROUP A GROUP B


No. of patients %

17

83

Graph 2: Showing incidence of

Shoola in Group A and B after treatment (i.e. after 7 days of treatment)

Group B

52.94%

56.6%

57.5%

100%

100%

100%

over all percentage of improvement / relief in the patients of

GROUP A

GROUP B


527 www.iamj.in IAMJ: Volume 3; Issue 1; February- 2015

DISCUSSION40 patients of Kaphaja Shira Shoola (max-illary sinusitis) were categorized under two groups. Out of which, first group of patients was administered with Trikatu Taila Nasyaand in second group Nasya with Sarasapa Taila was administered. Trikatu has the properties such as Shoolaghna, krimighna, and is kaphaghna. Acharya Vagbhataopines that drugs like Vidanga, Sarashapaand Trikatu can be used as independently in the form of avapeedana Nasya or Pakva taila for Marsha /Pratimarsha Nasya. Hence the drug used in the form of Taila as Marsha Nasya in Kaphaja Shira Shoolaacts as Dhosha Pratyanika Dravya.Trikatu due to krimighna property con-trolled the infection; due to Kapha haraproperty scraped out the waste collection of the sinuses and due to its Shoolaghna prop-erty relieved the head ache. The properties in Trikatu are said to have Anti-bacterial and Analgesic effect. Sarasa-pa Taila has the properties such as Kapha-hara, Krimihara and Lekhana property. Sarasapa Taila gives the unctuous coat on the mucosa, restricts the crust formation and promotes the entry of drug in to the si-nus. Stem inhalation helps to reduce the pain and irritation of the somatic constric-tion and enhances the drug absorption due to heat stimulation by local fomentation and vasodilatation.Thus, the above mentioned drugs (Triaktu taila / Sarasapa Taila) and the procedure (Nasya Karma) have the properties to cheek the pathology as per Ayurveda in Kaphaja Shira Shoola. The same is proven effective in the present clinical study.

CONCLUSION Kaphaja Shira Shoola is one among the types of Shirorogas.

Patients of both the Groups responded to Nasya Karma. follow up after the end of two months reveled less recurrence in Group A and than in Group B

Trikatu Taila Nasya proved effective with high significant results in seven days duration and Sarasapa Taila Nasya proved less effective comparatively in seven days duration.n

Hence the efficacy of Trikatu Taila Nasya is proved effective in the manage-ment of Kaphaja Shira Shoola.

REFERENCES1. Jyothirmitra, editor. Ashtanga Sangraha with shashilekha commentary. 2nd

ed. Varanasi: Chaukamba sanskrit series; 2008. p. 766-7732. Paradkar H, editor. Astanga Hri-daya with Sarvangasundari and Ayurveda-rasayana commentaries. 9th reprint. Varana-si: caukambha orintalia; 2005. P 861-8643. Logan turner,maran AGD,editor. Diseases of the nose,throat and ear.10th Edi-tion -2007,p 42-504. Jyothirmitra, editor. Ashtanga Sangraha with shashilekha commentary. 2nd

ed. Varanasi: Chaukamba sanskrit series; 2008. p. 766-7735. Paradkar H, editor. Astanga Hri-daya with Sarvangasundari and Ayurveda-rasayana commentaries. 9th reprint. Varana-si: caukambha orintalia; 2005. P 861-8646. Bhavamisra – Bhavaprakash, Vi-dyotini Hindi Commentary, Choukambha Sanskrit Sansthan, Varanasi, 7th edition –2000. Part I – 518, 697. Part II, pp. 606 –6147. Dingra P L – Diseases of Ear, Nose and Throat, Elsevier publications, New Delhi, 5rd edition, 204- 215.8. Bhargava K.B,Bhargava S.K,shah T.M.A short textbook of E.N.T Diseases.6th

Edition-2002,p 180-189


528 www.iamj.in IAMJ: Volume 3; Issue 1; February- 2015

9. Logan turner,maran AGD,editor. Diseases of the nose,throat and ear.10th Edi-tion -2007,p 42-50

CORRESPONDING AUTHORDr.K SivbalajiAssistant Professor, Department Of Sha-lakya Tantra, Amrita school of Ayurve-da, Kollam, Kerala, IndiaEmail: [email protected]

Source of support: NilConflict of interest: None De-clared

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