Abstract

DUSHTA PRATISHYAYA (CHRONIC RHINOSINUSITIS): AN INTEGRATIVE AYURVEDIC APPROACH WITH CASE REPORT AND COMPREHENSIVE CARE GUIDELINES

*Dr. Mohit Sharma, Prof. Vijayant Bhardwaj, Dr. Kartik Goel

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Abstract

Dushta Pratishyaya, a chronic manifestation of Pratishyaya, is a prevalent condition characterized by nasal obstruction, alternating nasal discharge and dryness, facial pain, post-nasal drip, and olfactory dysfunction. In Ayurveda, Dushta Pratishyaya results from the vitiation of Kapha, Pitta, and Rakta Doshas in the head region, often triggered by dietary indiscretions, environmental exposure, and improper management of acute Pratishyaya. Clinically, it correlates with Chronic Rhinosinusitis (CRS) in modern medicine, which affects 5–15% of the population worldwide.[3] This review discusses the pathophysiology, clinical features, and therapeutic approaches for Dushta Pratishyaya, emphasizing the role of Shamana Chikitsa – Nidigdhikadi kwatha, Patolakaturohinyadi Kashaya, Laghusootashekhara Vati, Allerin tablets. Shodhana Chikitsa -Sadhyo Vamana and supportive procedures like Saraladi Dhooma Varti.[1,2,5,6] Integrative management demonstrates symptomatic relief, reduced mucosal inflammation, and enhanced patient outcomes, providing a rationale for combining traditional and modern approaches.

Keywords: Dushta Pratishyaya, Chronic Rhinosinusitis, Shamana, Shodhana, Sadhyo Vamana, Dhooma Varti.