Evaluation of efficacy of Dhoopana (polyherbal nasal fumigation) versus polyherbal steam inhalation in children with Pratishyaya (rhinitis): A pilot study

Background: According to Ayurveda, Pratishyaya is characterized by the continuous outward flow of Vata, Pitta, and Kapha from the nostrils, resembling rhinitis, where the nasal mucosa becomes inflamed due to infection, allergy, or injury. The study aims to evaluate the efficacy of polyherbal steam inhalation versus nasal fumigation (Dhoopana) in children with rhinitis. Material and methods: Randomized reference controlled open label equivalence pilot study. Patients after initial screening were subjected to randomization and were included in two groups; Group C (Control group) and Group T (Trial group). 10 subjects in each group. Group C (Control group) Polyherbal steam inhalation, Arka prepared from Tulsi, Nirgundi, Vasa and Nilgiri were used for steam inhalation. Group T (Trial group) Dhoopana (Polyherbal nasal fumigation). Dhoomvarti prepared from dry leaves of Tulsi,Nirgundi, Vasa and Nilgiri. Results: From the observations of the clinical trial, it can be concluded that efficacy of Dhoopana (polyherbal fumigation) is better as compare to polyherbal steam inhalation. Statistically significant difference is seen in objective criteria of nasal patency and symptoms of nasal itching and coughing whereas no significant difference is observed in symptoms rhinorrhoea, nasal obstruction, headache and anorexia. Conclusion: Rhinitis in acute stage is one of the frequently troubling conditions in children, though many medicines are available in the market in every system of medicine for its management, but it is difficult to administer them orally in pediatric population. Polyherbal Dhoopana (Nasal Fumigation) is safe and easy to administer, so, can be used in general pediatric practice in patients suffering from acute condition of rhinitis.