THERAPEUTIC EFFICACY OF AYURVEDIC INTERVENTIONS IN NASA ARSHA: A CLINICAL STUDY

Nasa Arsha is one among the thirty-one Nasagata Rogas described by Acharya Sushruta. According to Ayurvedic classics, vitiation of Doshas affecting Twak, Mamsa, and Meda leads to the formation of fleshy growths in nasal region, the condition manifests as Nasa Arsha. Clinically it can be correlated with Nasal polyps, which are are benign, soft, edematous outgrowths arising from the mucous membrane of the nasal cavity or paranasal sinuses, usually due to chronic inflammation of the nasal mucosa. Condition is more common in adults aged 30–60 years and shows male predominance. This is a clinical study of 33-year-old male patient presented to OPD of GAMC Bengaluru with Complaints of blockage and discharge from left nostril,repeated sneezing,post nasal drip and occasional heaviness in head since 1 year. He was treated with Apamarga kshara pratisarana to Nasarshas as per classical treatment mentioned by Acharya Sushrutha along with Shamana Oushadhis like Haridra Khanda and Agastya Haritaki Rasayana. The treatment resulted in a marked reduction in the size of the polyp with significant improvement in nasal obstruction and associated symptoms. The procedure was well tolerated, safe, and showed excellent clinical outcome without any adverse effects. Apamarga kshara contains Chedana, Bhedana, Lekhana properties Thus subsides Kapha, Mamsa and Medo dusti. Ayurvedic treatment works by correcting dosha imbalance and strengthens the respiratory system where Conventional management includes both Pharmacological measures(anti histamines, corticosteroids, decongestants) and surgical interventions like polypectomy which causes drug resisistence, reduced immunity, rebound congestion and high rate of recurrence. Hence this case study proves Ayurvedic treatment is cost-effective, safe, and minimally invasive offering promising results when compared with Modern medical management.