An Ayurvedic Conceptual Study on Pratishyaya (Rhinitis) with Special Emphasis on Pediatric Population-A Review
Life Sciences -Ayurveda
DOI:
https://doi.org/10.22376/ijlpr.2023.13.5.L106-L117Keywords:
Pratishyaya, Rhinitis, Allergic Rhinitis, Nasya, Pediatric, Kashyapa, Dhoompana, and Dhoopana.Abstract
Pratishyaya is one among Nasagata Roga (Disorders of the nasal cavity). Symptoms of Pratishyaya resemble those of Rhinitis. Childrenare more likely to develop Pratishyaya, which disturbs their daily activities and may hamper their growth and development. There is no use ofantibiotics in acute rhinitis. There is limited data regarding the safety of Pseudoephedrine and phenylephrine in rhinitis. There is a need to findthe best Ayurvedic interventions to prevent and cure Pratishyaya (Rhinitis). Previous review articles were alike and included the conceptual studyof Pratishyaya. Articles should have included proper classification, indications, and contraindications of Shodhana (Biocleansing therapy) andShamana (Palliative procedure). No review article focused on Pratishyaya and its management in the pediatric population. There is a need toclassify Shodhana karma and Samshamana therapy in Pratishyaya along with their indications and contraindications and to review the Pratishyaya inpediatric population. Disturbance of digestive fire and production of Ama (toxins) causes vitiation of Doshas and obstruction of channels whichproduces symptoms. Shamana treatment should be administered in the acute stage to digest vitiated Doshas and Shodhana therapies like Nasyaare to be given in the chronic or recurrent stage of Rhinitis. Improper milk intake and sleep intake can lead to Pratishyaya in breastfeeding babies.Dhoopana (herbal fumigation of the nasal cavity) is indicated in the acute stage of Rhinitis. Langhana (Fasting or light diet) helps correct Agni andvitiated Doshas. In Dhoompana, fumes are a gaseous medicine that increases its bioavailability. Nasya is effective but is not indicated for childrenbelow 7 years of age. So, local nasal administration of fumes (Dhoopana) can be adopted for its management.
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