The Effect of Kinkini Taila Pichu in the Management Of Karnasrava (CSOM) – A Case Series
Abstract
Introduction: The term Karnasrava is self-explanatory, which means Srava (discharge) from Karna (ear). It is a Vata Pradhana Tridoshaja Sadhya Vyadhi. This condition can be correlated to Chronic Suppurative Otitis Media (CSOM) were the part or whole of the middle ear cleft characterized by purulent ear discharge, swelling, discomfort and tympanic membrane perforation. Objectives: To see the effect of Karna Pichu with Kinkini Taila and Karna Dhupana with Kinkini Varti in Karnasrava. Methodology: For this study 10 patients were registered from OPD of Shalakya Tantra, SJGAMC Hospital, Koppal; who were clinically diagnosed patients of Karnasrava/CSOM. All patients were treated with Kinkini Taila Karna Pichu and Kinkini Varti Karna Dhupana and Oral administration of Sarivadi Vati (1 bd) for 7 days. Result: The highly significant results was seen in Karna Shoola (earache), Karna Kandu (Itching), Karna Srava (discharge) and no significant result was seen in the degree of Badhirya (hearing loss). Discussion: Among 10 patients 7 patients belong to rural area and 4 of them had chronicity more than 7-9 months because of their negligence the disease converts from acute to chronic condition. Complete healing of small sized tympanic membrane perforation was seen in 2 patients. Karnashoola (Otalgia), Karnasrava (otorrhea) and Kandu(itching) shows 100% relief in symptoms were found to be highly significant and hearing loss 11.11% which is insignificant. Conclusion: Karna Pichu provides longer drug - tissue contact time, increased rate of absorption, sustained release of drug and thereby facilitating better healing. After treatment, the Kinkini Taila shows best results and is safe to use.
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