Article: A NARRATIVE REVIEW ON NASARSHA WITH SPECIAL REFERENCE TO NASAL POLYPS

Article Category: Review articles

DOI: 10.7897/2277-4343.166233

Pages: 170-179

Author: Drashti Patel *, Kundan Patel

Abstract: Introduction: In Ayurveda, Nasal disorders are classified under the category of ‘Nasarogas’ in the Sushruta Samhita. Acharya Sushruta has described Nasarsha as one of the diseases under the Nasaroga in the Uttara Tantra of the Sushruta Samhita. The symptomatology and therapeutic principles related to Nasarsha are elaborated in the sections of Arsha Nidana and Arsha Chikitsa, the vitiated Doshas affect the Tvak, Mamsa, and Meda, leading to the formation of Mamsankura referred to as Arsha. Acharya Sushruta outlines the clinical features of Nasarsha as Pratishyaya, Kshvathu, Swasakashtata, Putinasya, Anunasikavakya, Shirashoola. Considering its clinical presentation nasal polyps can be included in broad category of Nasarsha. Nasal polyps are a late-stage result of chronic inflammation in the sinonasal tract, often caused by nasal allergy and chronic sinus infection. Treatment typically involves antibiotics, corticosteroids, decongestants and surgery. Chikitsa of Nasarsha is not specifically mentioned by Acharya Sushruta but he advises to follow the line of treatment of Arsha — Bheshaja, Kshar, Agni, Shashtra. Bheshaja Chikitsa is indicated in the early stages of Arsha, characterized by recent onset, mild Dosha vitiation, minimal symptoms, and absence of any complications. Kshara Karma is recommended in cases where the Arsha is soft, enlarged, deeply rooted, and exhibits protrusion. Agnikarma is advised for Arshas that are rough, firm, broad-based, and hard in consistency. Shastra Karma is considered appropriate for Arshas that are protruding, moist in nature, and possess a thin base or root.

Keyword: Nasarsha, Nasya, Kshar Karma, Shashtra karma, Agni karma, Nasal Polyps