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    Case Series On Vataja Pratishyaya (Allergic Rhinitis

    Uploaded by

    Kirankumar Mutnali
    This document presents 5 case studies of patients suffering from chronic allergic rhinitis or Vataja Pratishyaya. All patients exhibited symptoms of sneezing, nasal congestion, rhinorrhea and were allergic to dust and/or cold weather. They were treated with a protocol including oral medications to reduce ama, topical nasal oils and fumes, and oral rasayanas. After 21 days, symptoms reduced for all patients and eosinophil counts decreased, indicating an improvement in their chronic allergic condition. The document emphasizes the need to address ama, avoid allergens, and use treatments and medicines to pacify doshas and enhance immunity in chronic allergic rhinitis.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Case Series On Vataja Pratishyaya (Allergic Rhinitis

    Uploaded by

    Kirankumar Mutnali
    1K views20 pages
    This document presents 5 case studies of patients suffering from chronic allergic rhinitis or Vataja Pratishyaya. All patients exhibited symptoms of sneezing, nasal congestion, rhinorrhea and were allergic to dust and/or cold weather. They were treated with a protocol including oral medications to reduce ama, topical nasal oils and fumes, and oral rasayanas. After 21 days, symptoms reduced for all patients and eosinophil counts decreased, indicating an improvement in their chronic allergic condition. The document emphasizes the need to address ama, avoid allergens, and use treatments and medicines to pacify doshas and enhance immunity in chronic allergic rhinitis.

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    Case series on Vataja Pratishyaya (Allergic Rhinitis.pptx

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    This document presents 5 case studies of patients suffering from chronic allergic rhinitis or Vataja Pratishyaya. All patients exhibited symptoms of sneezing, nasal congestion, rhinorrhea and were allergic to dust and/or cold weather. They were treated with a protocol including oral medications to reduce ama, topical nasal oils and fumes, and oral rasayanas. After 21 days, symptoms reduced for all patients and eosinophil counts decreased, indicating an improvement in their chronic allergic condition. The document emphasizes the need to address ama, avoid allergens, and use treatments and medicines to pacify doshas and enhance immunity in chronic allergic rhinitis.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    1K views20 pages

    Case Series On Vataja Pratishyaya (Allergic Rhinitis

    Uploaded by

    Kirankumar Mutnali
    This document presents 5 case studies of patients suffering from chronic allergic rhinitis or Vataja Pratishyaya. All patients exhibited symptoms of sneezing, nasal congestion, rhinorrhea and were allergic to dust and/or cold weather. They were treated with a protocol including oral medications to reduce ama, topical nasal oils and fumes, and oral rasayanas. After 21 days, symptoms reduced for all patients and eosinophil counts decreased, indicating an improvement in their chronic allergic condition. The document emphasizes the need to address ama, avoid allergens, and use treatments and medicines to pacify doshas and enhance immunity in chronic allergic rhinitis.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 20

    Case series on

    Vataja Pratishyya

    (Chronic Allergic
    Rhinitis)

    Dr.Kiran
    Mutnali
    Associate

    Introduction
    Nose - Exposed to atmosphere for smell
    sensation & respiration.
    Prone to viral, bacterial, fungal infections,
    allergies and injuries.
    Inhalation of Raja (dust), dhooma
    (smoke), vayu.
    Sheeta Jala Pana, Avashyaya (Exposure to
    snow/moisture)
    Peetena anyeyna varinaa & atyambu
    paana
    1

    Pratishyya
    Most common & important disease among
    Nasa Roga.
    Vatam
    prati
    abhimukham
    shyayo
    gamanam
    kaphaadeenaam
    yatra
    sa
    pratishyaya
    Prati = in opposite direction
    Shyaya = gamana of dosha
    Vitiated Vatadi dosha either individually or
    together accummulate in shiras, then
    propagate to the nose leading to
    pratishyaya.
    2

    Case 1 (KR)
    Male, aged 22 yrs non HTN & DM
    Sneezing, Rhinorrhea,
    Nasal congestion, Oral breathing
    Allergic to dust and cold weather
    Repeated episodes at least once a
    month
    Surgery twice for Septal deviation 2
    years back (2012)
    Hair Fall
    3
    Since 5 years

    Case 2 (MP)
    Female aged 53
    years non HTN & DM
    Rhinorrhea (Slightly
    thick)
    Congestion
    Headache
    Sinusitis
    Lumbago
    Acidity

    Allergic to Dust,
    Smoke & Perfume
    Underwent Surgery
    twice for Septal
    deviation.
    Hemorrhoidectomy &
    Hysterectomy
    Depressed

    Since 4 years
    4

    Case 3 (VK)

    Male aged 25 years non HTN & DM


    Engineering student
    Nasal Congestion
    Sinusitis
    Post Nasal Drip
    Cough
    Allergic to Dust and Cold - since 4

    years
    Hair Fall

    Case 4 (AH)

    Male student aged 17 years


    Runny nose
    Sneezing
    Post Nasal Drip
    Nasal Congestion
    Cough
    Allergic to Dust & Cold

    Since 5 years
    6

    Case 5 (VB)

    Male aged 39 years non HTN & DM


    Engineer by occupation
    Rhinorrhea (Slightly thick), Sneezing
    Sinusitis
    Cough & Wheeze
    Post Nasal drip since 4 years
    Reduced appetite, aruchi &
    constipation since 3 months
    7

    H/o Allergy
    H/o
    Allergy

    Case 1

    Case 2

    Case 3

    Case 4

    Case 5

    Dust

    Cold
    Weather

    Perfumes

    Smoke

    No h/o Smoking & Perennial Presentation


    8

    Symptoms
    Symptoms

    Case 1

    Case 2

    Case 3

    Case 4

    Case 5

    M, 22, 5
    yrs

    F, 53, 5 yrs

    M, 25, 4
    yrs

    M, 17, 5
    yrs

    M, 39, 4
    yrs

    No H/o: HTN, DM, Kochs Disease


    Sneezing

    ++

    ++

    ++

    ++

    Rhinorrhea

    ++

    Nasal
    congestion

    +++

    +++

    Sinusitis

    ++

    Headache

    +++

    Post Nasal
    Drip

    ++

    Cough

    Associated
    Conditions

    Hair Fall

    APD
    LBA

    Hair Fall

    --

    Vibandha
    Wheezing
    9

    Clinical Examination
    Vitals WNL
    Ama Except one patient none had ama
    lakshana.
    Local Examination
    Nasal mucosa was pale
    Hypertrophied inferior turbinate
    No polyp, nasal crease

    Systemic Examination
    Respiratory : Expiratory Wheeze in one of the
    patient (case 5).
    MS System : Restricted ROM in LS Spine in case
    2
    10

    Investigation
    Investigati
    on

    Case 1

    Case 2

    Case 3

    Case 4

    Case 5

    AEC
    cells/cu
    mm

    1200

    900

    1200

    600

    900

    11

    Treatment History
    H/o
    Treatme
    nt
    Allopathic

    Surgery

    Case 1

    Case 2

    Case 3

    Case 4

    Case 5

    Antihistamines & Decongestants, Inhalation of corticosteroids

    Twice for
    Septal
    deviation

    Twice for
    Septal
    deviation.
    Hemorrhoid
    ectomy
    Hysterecto
    my

    --

    --

    --

    12

    Management Protocol
    Treatment
    Pachana
    Deepana
    Sthanika
    Abhyanga

    Case 1

    Case 2

    Case 3

    Case 4

    Case 5

    Triphala

    --

    Suddha Bala thaila


    Sweda : Mridu Bashpa Sweda

    Nasya
    Karma

    Dhmapna

    Shadbindu
    Thaila 3 days
    Anu Thaila
    followed by Anu
    Thaila

    Anu Thaila

    Sahdbindu
    Thaila 3
    days
    followed by
    Anu Thaila

    Rasnadi followed by Haridra dhoomapana


    13

    Outcome after 21
    days
    of
    Nasya
    Symptoms
    Case 1
    Case 2
    Case 3
    Case 4

    Case 5

    M, 22, 5
    yrs

    F, 53, 5 yrs

    M, 25, 4
    yrs

    M, 17, 5
    yrs

    M, 39, 4
    yrs

    Sneezing

    ++

    ++

    ++

    ++

    Rhinorrhea

    ++

    Nasal
    congestion

    +++

    +++

    Sinusitis

    ++

    Headache

    +++

    Post Nasal
    Drip

    ++

    Cough

    Associated
    Conditions

    Hair Fall

    APD
    LBA

    Hair Fall

    --

    Vibandha
    Wheezing
    14

    Investigations
    Investigat
    ion

    Case 1

    Case 2

    Case 3

    Case 4

    Case 5

    1200

    900

    1200

    600

    900

    550

    400

    640

    400

    500

    AEC
    cells/cu
    mm

    15

    Medications &
    Rasayana
    Haridra Khanda 1tsf BD on empty
    stomach
    Allergy

    Nayopaya Kashaya (Bala, Jeeraka &


    Nagara)
    Pachana, Deepana, Vata hara -15 ml BD BF

    Naradeeya Lakshmi Vilasa Rasa with


    swarna
    Kasa, Peenasa, Yakshma; Vajikarana 1 Tab BD AF

    Agastya Rasayana 1tsf BD AF


    Pathya

    16

    Need of Rasayana
    Bodys immune system becomes
    sensitized and over reacts to
    something in environment.
    IgE antibodies attach to allergen &
    release
    inflammatory
    chemical
    histamine from mast cell.
    Pratishyayam
    vardhamaanam
    kshaya pradam
    17

    Important Points
    Ascertain ama avastha
    Avoid Allergic factors
    Avoid nasya karma during rhinorrhea
    Determine dosha predominance and
    adopt medications
    Treatment should focus on pacifying
    the dosha and in enhancing the
    immunity by use of rasayana
    medicines.

    18

    k
    n
    a
    h
    T
    u
    o
    Y

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