Karna Rogas – Ear Disorders in Ayurveda
Introduction:
Karna Roga are the diseases related to the Karn`a Srotas or the Karn`a S`hashkulee.
Types:
o Vaataja
o Pittaja
o Kaphaja
o Saannipaataja
There are 28 types of Karn`a Roga in S`haalaakya Tantra. According to Chakrapaan`i, all the types explained in the S`haalaakya Tantra are ultimately fall under above said 4 types; therefore Charaka has mentioned only 4 types ofKarn`a Roga.
Comparative study of Karn`a Roga types:
| No. | Charaka Samhitaa(4) | Sus`hruta Samhitaa(28)
/ Maadhava Nidaana |
Asht`aangahridaya(25) |
| 1 | Vaataja | Karn`a S`hoola | Karn`a S`hoola -5 |
| 2 | Pittaja | Karn`a Pran`aada | Karn`a N`aada |
| 3 | Kaphaja | Karn`a Baadhirya | Karn`a Baadhirya |
| 4 | Saannipaatika | Karn`a Kshved`a | Kuchikarn`aka |
| 5 | Karn`a Sraava | Karn`a Pippalee | |
| 6 | Karn`a Kan`d`oo | Karn`a Kan`d`oo | |
| 7 | Karn`a Varchas | Karn`a Vidaarikaa | |
| 8 | Krimi Karn`a | Krimi Karn`a | |
| 9 | Karn`a Pratinaaha | Karn`a Pratinaaha | |
| 10 | Karn`a Vidradhi –2
1. Dosha Vidradhi 2. Kshata Vidradhi |
Karn`a Vidradhi
Paalees`hosha |
|
| 11 | Karn`a Paaka | Karn`a Tantrikaa | |
| 12 | Pooti Karn`a | Pooti Karn`a | |
| 13 | Karn`a Ars`ha- 4
1. Vaataja 2. Pittaja 3. Kaphaja 4. Saannipaatika |
Karn`a Ars`ha | |
| Utpaata | |||
| Paripot`a | |||
| Unmantha | |||
| 14 | Karn`a Arbuda- 7
1. Vaataja 2. Pittaja 3. Kaphaja 4. Raktaja 5. Maamsaja 6. Medoja 7. Saannipaatika (S`haalaakya Tantra) |
Karn`a Arbuda | |
| Duhkhavardhana | |||
| Lehya | |||
| 15 | Karn`a S`hopha- 4
1. Vaataja 2. Pittaja 3. Kaphaja 4. Saannipaatika |
Karn`a S`hopha |
Karn`a S`hoola:
Vaayu which is Vimaargaga (Anyathaa Chara), causes S`hoola (pain) around ear.
This pain can be caused by the Aavrita Vaayu by other Dosha like Kaphaavrita Vaayu, Pittaavrita Vaayu and Raktaavrita Vaayu. This is difficult to treat. It is Krichchhrasaadhya.
Karn`a Naada / Pran`aada:
Vimaargaga Vaayu (Vaayu traversing through the channels other than its normal way), when harbours in theS`habdavaahee Naad`ee, it causes different types of sounds, which is called as Karn`a Pran`aada.
Baadhirya:
When a condition where Vimaargaga Vaayu, harbour in to the S`habdavaha Siraa which is associated with Kapha; remains untreated then this manifests with the disease called as Baadhirya. This manifests with the Uchchhaih S`hruti(persons hear large sound).
Karn`a Kshved`a:
In a person to whom S`hodhana Nasya is given and who is consuming cold stuffs; due to physical strain, depletion ofDhaatu (Kshaya), consumption of Rooksha and Kashaaya (dry and astringent) diet, Vaayu resides in the S`habdavaha Srotas causing Karn`a Kshved`a. As per Maadhava Nidaana, Vaayu associated with Pitta etc. causes sound like Ven`uGhosha, which is Karn`a Kshved`a.
Karn`a Sraava (Samsraava):
Due to trauma on the head, sinking in to the water, suppuration of Vidradhi, there is secretion of Pooya which is called as Karn`a Samsraava.
Karn`a Kan`d`oo:
In Karn`a Srotas, due to accumulation of Kapha (Kapha Prachita), there is manifestation of Kan`d`oo. Vaayu withKapha is responsible for Karn`a Kan`d`oo according to Maadhava Nidaana.
Karn`a Goothaka:
Pitta and Teja dry out the Kapha in the Karn`a Srotas causing Karn`a Goothaka.
Karn`a Pratinaaha:
When Wax in the ear (Karn`a Mala), liquefies and traverse to the Ghraan`a Mukha then it manifests with Karn`a Pratinaaha and S`hirobhitaapa. There is Vaatas`hoshita S`hleshmaa, in the pathogenesis of Karn`a Pratinaaha.
Krimi Karn`aka:
There is formation of Krimi. This is Krimi Karn`aka. There is Rakta and Maamasa Dusht`i. This may be vitiated byVaata, Pitta or Kapha.
Karn`a Vidradhi: It is of two types
o Kshataja: It is caused due to trauma on the ear.
o Doshaja: Due to Dosha Vriddhi.
Vaataja
Pittaja
Kaphaja
Saannipaatika
Karn`a Paaka:
There is suppuration of Karn`a due to Pitta Prakopa. There is Vikotha, Vikleda of ear.
Pooti Karn`a:
Kapha in the Karn`a Srotas which is liquefied due to Pitta causes pain or it may be painless, there is solid suppurated secretion, called as Pooti Karn`aka. As per Vaagbhat`a, due to Vidaghda Kapha caused by Pitta causes Ghana, Pootiand Kleda Sraava; which may be with or without pain; is called as Pootikarn`a.
Karn`a Ars`ha / S`hopha / Arbuda:
Ars`ha / S`hopha / Arbuda; all these diseases when manifest on the ear then they are labelled after the name of the organ as Karn`a Ars`ha etc.
As per Vaagbhat`a, there is Rujaa, Pootikarn`atva and Badhiratva.
Karn`a S`hoola:
- Vaataja Karn`aRoga (Karn`a S`hoola)
Due to factors like Pratis`hyaaya, Jala Kreed`aa (sinking in the water), Karn`a Kan`d`ooyana (itching in the ear),Mithyaayoga of S`habda, Vaayu gets aggravated. It harbours in to the Shabda Vahee Siraa causing pain (S`hoola). There may be Ardhaavabhedaka, Stambha, intolerance to S`his`hiraabhinandanam (cold), Chiraat Paakam (later suppuration), Laseekaa Sraava, S`hrotra S`hoonyatva, Akasmaat Sanchaara Vichaara (Sthagitatva / Asthagitatva).
- Pittaja Karn`aRoga (Karn`a S`hoola)
There is typical Paittika S`hoola like Daaha, Osha, S`heetechchha (demand for cold stuffs), S`hotha, Jvara,Aas`hupaaka (quick suppuration), then Peeta Laseekaa Sraava (yellow coloured secretions). Where ever this Laseekaagets touched, there occurs the suppuration.
- Kaphaja Karn`aRoga (Karn`a S`hoola)
There is S`hirograha, Greevaa Gaurava, Mandataa, Rujaa (pain). There is Kan`d`oo, S`hvayathu, Ooshn`echchhaa(demand for hot stuffs). There are solid thick secretions.
- Raktaja Karn`aRoga (Karn`a S`hoola)
There is pain in the ear. It may be vitiated due to trauma etc. It manifests with the symptoms same as Pittaja Karn`aRoga. Or there may be some more symptoms.
- Sannipaatika Karn`aRoga (Karn`a S`hoola)
This is caused due to all the three Dosha. This is Sannipaatika Karn`a Roga. It manifests with S`hotha, Jvara, Teevra Rujaa (severe pain). A person demands for cold or hot stuffs. There is S`hruti Jaad`ya. There is secretion of Sita, Asita Rakta. This is solid and flowing secretions.
Kuchikarn`aka:
In the foetal life itself, there is constriction of Karn`a S`hashkuli due to Vaata Prakopa.
Karn`a Pippalee:
There is muscular growth on the ear, Pinna, in the foetal life which is called as Karn`a Pippalee.
Karn`a Vidaarikaa:
Due to Saannipaata, there is painful Oedema, which is stable. If it is not treated properly, then it secretes like Kat`uTaila. It heals very slowly. After healing it constricts the ear pinna causing Karn`a Vidaarikaa.
Paalees`hosha:
Vaayu residing in the Siraa causes Paalee S`hosha.
Karn`a Tantrikaa:
Due to Vaata vitiation, the S`hashkuli becomes Kris`ha, Drid`ha, and like Tantree called as Tantrikaa.
Paripot`a:
Due to vitiated Vaayu, on the smooth Karn`a S`hashkulee, there is manifestation of S`hopha suddenly. There is pain. It becomes Arun`a in colour. This is called as Paripot`a as there is manifestation of Paripot`a.
Utpaata:
This is called due to vitiated Pitta and S`hon`ita. Due to heavy ear ornaments, there is pain and Daaha and Paaka. It manifests with S`hotha, Pit`ikaa, Raaga, Ushaa and Kleda. This is called as Utpaata.
Gallira / Unmantha:
Due to vitiation of Vaata and Kapha, there is manifestation of painless S`hopha. S`hopha is stable, and with itching (Kan`d`Oo). It is called as Unmantha or Gallira.
Duhkhavardhana :
If ear is not properly perforated, then there is Kan`d`oo, Daaha, Paaka, Ruk. This is called as Duhkhavardhana.
Lehya / Parilehi:
There is formation of Pit`ikaa due to vitiated Kapha and Rakta. It happens also due to Krimi. There is Kan`d`oo, Kledaand Vedanaa.
While describing Chikitsaa, Sus`hruta in Chikitsaasthaana, has mentioned following Vyaadhi.
- Utput`aka
- S`hyaava
- Kan`d`ooyuta
- Avamantha
- Sakan`d`ooka
- Granthika
- Jambula
Karn`a Roga Chikitsaa
Reference:
C.Chi.26, S.U.21, A.H.U.18, N.R. Karn`aroga
Introduction:
Karn`a Rogaa are the diseases related to Karn`a Srotas or Karn`a S`hashkulee. There are 28 types of Karn`a Roga mentioned in S`haalaakya Tantra
Saamanya Chikitsa:
Rasaayana
Ghrita Paana
Nasya
Abhyanga
Svedana
Pradeha
Karn`a Pooran`a
Treatment as per Dosha
Vaataja Pratis`hyaaya Chikitsaa
Vis`hesha Chikitsaa:
Karn`a S`hoola:
Karn`a Pooran`a – Any one of the 8 Mootra is used for Karn`a Pooran`a.
o Vaataja Karn`a S`hoola Chikitsaa:
Maamsa Rasa along with Vaataghna Ghrita should be consumed at night.
Karn`a Svedana and Karn`a Pooran`a.
Mahaasneha Prayoga.
Vaatavyaadhi and Pratis`hyaaya similar Chikitsaa is indicated.
o Pittaja Karn`a S`hoola Chikitsaa:
Pittaghna Chikitsaa.
Ghrita along with sugar early in the morning is indicated.
Virechana
Karn`a Pooran`a
Lepa on ear pinna.
o Kaphaja Karn`a S`hoola Chikitsaa:
Vamana
Svedana
Ghrita Paana
Dhoomapaana
Karn`a Pooran`a
Nasya
Gan`d`oosha
o Raktaja Karn`a S`hoola Chikitsaa:
Chikitsaa similar to Pittaja Karn`a S`hoola
If S`hoola persists then Siraavyadha should be done immediately.
Karn`a Kshved`a Chikitsaa:
Sarshapa Taila Karn`a Pooran`a is specifically indicated.
Karn`a Naada Chikitsaa:
Similar to Vaataja Karn`a S`hoola
If associated with Kapha then Vamana, Dhoomapaana Nasya and other Kaphaghna measures should be adopted.
Karn`a Baadhirya Chikitsaa:
Chikitsaa of Pratihs`hyaaya and Vaatavyaadhi is indicated.
If associated with Kapha then Vamana, Dhoomapaana Nasya and other Kaphaghna measures should be adopted.
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Karn`a Sraava Chikitsaa:
Pooti Karn`a Chikitsaa:
Krimi Karn`a Chikitsaa:
Krimi Karn`a Chikitsaa:
- Krimighna Chikitsaa is indicated along with Vamana, Dhoomapaana and Kavala Dhaarana.
- Karn`a Sraava Chikitsaa
Karn`a Vidradhi Chikitsaa:
- Vamana
- Vidradhi Chikitsaa is indicated.
- Kshataja Vidradhi Chikitsaa: Similar to Pittaja Karn`a S`hoola Chikitsaa
Karn`a Gootha Chikitsaa:
Snehana, Svedana, extraction of liquefied wax by S`halaakaa.
Karn`a Kan`d`oo Chikitsaa:
- Vamana
- Naad`ee Sveda
- Dhoomapaana
- Kaphaghna Chikitsaa
- S`hirovirechana
Karn`a Prateenaaha Chikitsaa:
Karn`a Paaka Chikitsaa:
- Dhoomapaana
- Gan`d`oosha
- Nasya
- Naad`ee Sveda
- Dusht`a Vran`ahara Chikitsaa
- Dhoopana
- Karn`a Pichu / Varti
- Pittaja Visarpa Chikitsaa
Karn`a Svaapa Chikitsaa: Rakta Mokshan`a
Karn`a S`hopha Chikitsaa:
Snehana, Svedana, Vamana, Kat`u- Tikta- Ushn`a Dravya Lepa.
Karn`a Kleda Chikitsaa: Vamana, Karn`a S`hodhana
Manda S`hruta Chikitsaa: Vamana
Karn`a Ars`ha, Karn`aarbuda Chikitsaa: Naasaars`ha, Naasaarbuda Chikitsaa
Karn`a Vidaarikaa (Aama) Chikitsaa: Dosha, Vidradhi Chikitsaa
Karn`a Paalee S`hosha Chikitsaa:
- Vaataja Karn`a S`hoola Chikitsaa
- Nasya
- Lepa
- Svedana
- Pusht`ikara Sneha Abhyanga
- Ksheen`a Karn`a Paalee Chedana should be done followed by Seevana and Poshan`a.
Paripot`a Chikitsaa: Karn`a Paalee S`hosha Chikitsaa
Utpaata Chikitsaa:
- Karn`a Paalee Abhyanga
- Ghrita mentioned in Visarpa for Abhyanga and Paana
- Jalaukaavachaaran`a
- S`heetala Lepa
Unmantha Chikitsaa:
- Abhyanga
- Nasya
Duhkhavardhana Chikitsaa:
- Parisheka
- Avachoorn`ana
- Abhyanga
Parilehee Chikitsaa:
- Svedana
- Lepa
- Vran`a Lepana
Chhinna Karn`a Chikitsaa:
S`hodhana and Sandhaana
- Karn`a Sandhaana Vidhi:
- Lekhanaand Chhedana at the Kes`haanta Pradesha.
- Ear pinna should be aligned well.
- Pasteof honey and ghee should be applied on the incised site.
- Tie or bandage well with aPichu or a cloth neither too tight nor loose.
- Avachoorn`ashould be done for haemostasis and promoting wound healing.
- After 7 days the bandage should be soaked withAama Taila and removed gradually
Pathya:
S`hooka- Yava, Mudga, S`haalee, Godhooma
S`haaka- S`higruphala, Pat`ola, Vrintaaka, Kat`hillaka,
Maamsa- Laavaa Maamsa, Mayoora Maamsa, Vana Kukkut`a Maamsa
Dugdha- Jeern`a Ghrita
Other- Brahmacharya, Nasya, Dhooma, Sveda, Virechana, Vamana, Gan`d`oosha, Siraavyadha
Apathya:
Gun`a – Guru
Karma –
- Vyaayaama
- Use of cold water
- Head Bath
- Excessive conversations
- Sexual indulgence
- Other- Kaphakara Aahaara, Dantadhaavana, S`hirasnaana, Vyaayaama, Parisheka