Single Arm Clinical Study to Evaluate the Effect of Nasya in Meniere’s Disease followed by Concomitant Treatments

Meniere’s Disease is an ear disease specifically of inner ear. The clinical presentation includes vertigo which is episodic, sensorineural hearing loss which fluctuates, tinnitus and sensation of fullness of ear (aural fullness). Associated complaints includes headache, nausea, drop attacks (otolith crisis of Tumarkin). Meniere’s disease is relapsing in nature which greatly affects patient’s daily activities. The highest prevalent age group is 30-60 years of age. The main pathology occurs as the result of endolymphatic sac distension caused by excessive production or faulty absorption of endolymph or both. The cause is not known clearly. But few factors may contribute in the pathophysiology of Meniere’s disease like excessive retention of water and sodium, allergic reactions, vasomotor disorders, auto immune disorders like rheumatoid fever, middle ear infections etc. Acharya Sushruta has explained Karnarogas like Karnanaada, Karnakshweda, Badhirya which are nearer to Meniere’s disease when studied along with Bhrama. 22 subjects diagnosed with Meniere’s Disease fulfilling the inclusion criteria were selected for the study. Amapachana was done with Shunthi churna. Nasya with Bhringaraja taila followed by Karnapoorana with Bilva Taila and Sarivadi vati along with Dhanwayasa Kashaya and Satwavajaya chikitsa was given. Patient showed significant results in subjective and objective parameters.

Evaluation of the Efficacy of Rooksha Sweda (Valuka) and Nasyakarma in Manyastambha

Manyastambha is a type of Vataja Nanatmaja Vyadhi described under the heading of Vatavyadhi. It is characterized by symptoms like Ruk (pain) and Sthamba (stiffness) in the Manyapradesha (cervical region) of Urdwajatru Pradesha. Similar to this, there is a condition known as Cervical Spondylosis in western science based on symptomatology which is mainly due to the chronic degenerative condition of the cervical spine that affects the vertebral bodies and intervertebral discs of the neck as well as the contents of the spinal canal. The prevalence of cervical spondylosis is around 40% of the world population and may manifest in those as young as 30 years and most commonly in those aged between 40-60 years. Methodology: In the present study, a total of 30 patients were diagnosed with Manyastambha (Cervical Spondylosis). They were randomly assigned to a single group and have been treated by Rooksha Sweda (Valuka) and Bhringaraja Taila Nasya for 7 days with a follow-up of 14 days. Observations: It was observed in the present study that all subjective and objective parameters in all the 30 patients have shown significance with a p-value <0.01. Conclusion: Valuka Sweda and Nasya Karma are highly significant at P<0.001. Rooksha Sweda and Nasya Karma are the safest, simplest and most effective Panchakarma therapies in the management of Manyastambha (Cervical Spondylosis).