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Tinnitus ayurveda management

Dr.ajayitha:
Dear drs ,
This is Dr Ajayita. I m dealing with Pt of Tinnitus , I am already managing stress and cervical spondylitis of this case , I did try to do Karnpoornam as well , but Pt could not tolerate it well , Differential diagnosis Meniers disease .
I will be highly thankful for this case discussion . Look forward

Thanks for ur response !!
She is 68 yrs female Pt , retired as Principal school ,
As per her Ent reports her hearing is impaired in totality of left ear and partially right ear .
Neurologist terms it Meniers disease and ent terms it tinnitus .
Vertigo was a issue but after handling her Cervical Spondylitis as per Panchakarma it’s under control .
Now the issue left is her Tinnitus and progressive hearing loss .
As per ayurveda she is purely Vataj

Dr.kamal:
Sarivadhi vati
Go ghrita daily 1tsp BD before food
Balarista and aswaganda Arista mix

Anu taila nasyam...

Otherwise ksheerabala application sorrounding of ear and scalp region...as well as bilwa taila application into the ear

Reasoning...

Pt age is 68years...(old age)..
Imbalence of vaata(prakopa)..
Ageing and tissue degeneration..

Karnanaaada...

Chikitsa...Vata Hara...rasayana..

Go Gritapana...it pacifies vata..improves the strength of nervous system

Sarivadhi vati...for tinnitus
balarista and aswaganda Arista...best nervine tonic and rasayana

Naveen Dama:
Good evening doctor. Here Dr Kamal has given wonderful prescription , simply I am adding some medicines only,

Shiroabhyanga and padabhyanga, wherein the soles of the feet are massaged with warm sesame oil, has a specific effect in calming the prana vayu. At bedtime, warm sesame oil should be applied to the soles of the feet and also to the scalp. This treatment rapidly normalizes the prana vayu.

Karnapooran:  to calm the vata in the ears, ten drops of warm sesame oil is applied daily to each ear. The oil is allowed to remain in the first ear for five or ten minutes, then that ear is cleaned, and the same procedure is followed with the other ear, with the client lying on the other side. Typically, this treatment should alleviate tinnitus, and most other symptoms of prana vayu disturbance, within eight to ten days. Bilwadi tail, Apamargkshar tail, Dashmool tail can be used for Karnpooran.

Ashwagandha  can be used to great effect. The simplest way is to take 1 to 2 tablets (250mg to 350mg) of Aswagandha along with 1 cup of warm milk at bedtime along with a little sugar and cardamom powder mixed, so that resulting sound sleep will reduce vata dosha. Aswagandha phytochemical constituents increase serotonin, a sleep inducing hormone. Aswagandharishtam, of which 15 ml can be taken with water after dinner. This will relax the cranial nerves, reducing the ringing caused by Tinnitus.

severe cases of chronic tinnitus, 'Brihad Vata Chintamani Ras' is used. This is a bhasma made from silver and gold oxides that acts on nerves quite rapidly, calming vata. Being a gold oxide based medicine, this should be taken in a low dose tablet twice a day, mixed well with cow ghee and honey. The dose can be halved after the reduction of ringing as a prophylactic measure. can use the anti-inflammatory Yogaraj Guggulu (200 mg. 2 - 3 times a day) with warm water, after food

gopi krishna:
Indu vati , ksheerabala capsule , with bringaraja / hingu nasyam is good in meniers

If the pt did not respond in 1 month time , then start Abraka bhasma /abragarbha pottali with triphala anupanam .

Dr.Ganesh kumar:
Skin disorders r usually due to collection of doshas in shakha. To clean them we need to bring them to koshtha & eliminate them through Apan vayu karma.

But which karma is disturbed may decide medicines to give in that particular patient

My intetion was to draw attention towards dosha sanchara and it's paka / nirharana or / to use deepana pachana in patients with skin and lungs complaints.
How to decide samprapthi. Went in a round about way.
Unforunatly I could not make a clear approach.
Now question is how to decide treatment in patients with twak and shwasa (not vyadhi) / lungs related symptoms.
Also why both get related sometimes?

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