Management of Peenasa (Chronic Rhinitis) with Ikshvaku Vamana Yoga: A Case Report
DOI:
https://doi.org/10.70066/jahm.v14i5.2787Keywords:
Case Report, Chronic Rhinitis, Ikshvaku, Lagenaria siceraria, Peenasa, SNOT-22, VamanaAbstract
Background: Chronic rhinitis is among the most common respiratory diseases, with allergic rhinitis affecting 20-30% of the world’s population, including India and the number of cases continuing to rise due to environmental and lifestyle changes, impacting quality of life, making it a public health issue. Peenasa, in Ayurveda has similarities to chronic rhinitis and is caused by dosha irregularities, specifically by Vata and Kapha Dosha. Clinically, Peenasa shows runny nose, nasal obstructions, sneezing, and headache. Allopathic symptomatic treatment is generally antihistamines, nasal decongestants etc. while Ayurveda focuses on the root cause removal which is done by Vamana Karma for the aggravated dosha to restore balance and prevent relapse, providing a more sustained management of the condition. Clinical Findings: A 32-year-old female with 8-years history of continuous nasal discharge-obstruction, repeated sneezing, headache, and heaviness of head, diagnosed as Kapha-predominant Peenasa; examination revealed hypertrophied turbinate and deviated nasal septum. Intervention: Vamana Karma, a Panchakarma procedure was selected as the primary intervention. Ikshvaku Phala-Ksheer Yoga was used for the procedure after which the patient was given Marichyadi Yoga as Shamana. Treatment was done for 30 days and the patient was observed over a follow-up of 2 months. Outcome: Significant improvement was observed within 45 days, with decrease in SNOT-22 score from 62 to 26 along with marked decrease in eosinophils, serum IgE and inflammatory cytokines and no adverse events were reported. Conclusion: Case shows Ikshvaku Vamana Karma followed by Marichyadi Yoga is a good approach in the management of Peenasa, as it shows relief, thereby highlighting the potential of this integrative Ayurvedic approach in the management of chronic rhinitis. Key-message & finding: Classically indicated Ikshvaku-induced Vamana with Marichyadi Yoga showed specific clinical and biomarker improvement in chronic rhinitis, suggesting its use as an Vamaka Yoga alternative to commonly used formulations for Urdhwajatrugata Vyadhis.
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