Nasagatha Roga – Disease pertaining to nose in Ayurveda

 

Naasaa Rogaass are the diseases caused and manifested on the Nose. Especially, these diseases are related to theNaasaa Srotas.

 

Pratis`hyaaya

 

o       It is also called as Peenasa. C.Chi. 26/107

 

o       Pratis`hyaaya is caused as Roopa in Raajayakshmaa. It is expalined as a symptom of Raajayakshmaa inCharaka Samhitaa Raajayakshmaa Chikitsaa Adhyaaya. In Chikitsaa Sthaana it is explained as separate disease (as Svatantra Vyaadhi) as a type of Naasaa Roga.

 

o       Pratis`hyaaya is explained at the start of the Naasa Roga because there are so many other diseases which are casued due to the Pratis`hyaayaChakrapaan`i

 

o       Apeenasa is a type of Peenasa (Pratis`hyaaya) – As per Charaka Chi. 26

o       Due to the causative factors, Doshaa_s which are Vaata dominant, get solidified in the nasal tract. These cause Pratis`hyaaya which may lead to Kshaya.

 

        Sampraapti

 

o       Due to the causative factors, Doshaa_s get solidified (Styaana) in the S`hiras (head).

o       The Vaayu gets aggravated in the S`hiras (head).

o       This aggravated Vaayu causes Pratis`hyaaya.

 

        Types

  1. Vaataja
  2. Pittaja
  3. Kaphaja
  4. Saannipaatika

 

Dusht`a Pratis`hyaaya

When Pratis`hyaaya is increased due to unwholesome diet, it is called as Dusht`a Pratis`hyaaya. Due to obstruction in the Naasaa, due to trauma; Naasaa gets filled with the secretions (Svaara); it manifests with dryness (Naasaa S`hosha), suppuration in the nose (Naasaa Paaka). A person cannot detect different smells. There is foul smell to the mouth. There is recurrence of the Pratis`hyaaya.

 

If this Dusht`a Pratis`hyaaya is untreated or neglected, then it causes following diseases –

 

 

o       Naasaa Kshavathu

o       Naasaa S`hosha

o       Naasaa Pratinaaha

o       Naasaa Parisraava

o       Pooti Naasaa (Ghraan`asya Pootitvam)

o       Apeenasa

o       Naasaa Paaka

o       Naasaa S`hotha

o       Naasaa Arbuda

o       (Naasaa) PooyaRakta

o       Arumshi

o       S`heersha (S`hiro) Roga

o       Karn`a Roga

o       Akshi (Netra) Roga

o       Khaalitya

o       Harilomatva

o       ArjunaLomatva

o       Trit` (Trishn`aa)

o       S`hvaasa

o       Kaasa

o       Jvara

o       RaktaPitta

o       Vaisvarya (Svara Bheda)

o       S`hosha

 

Naasaa Kshavathu

  • Vaayu residing in S`hira, after going through Marma Sthaanaa causes Kshavathu (sneezing).
  • According to Sus`hruta, when Naasaa and Marma are vitiated by Vaayu coming out of the Naasaa; this Vaayucomes out with Kapha making sound is called as Kshavathu. 
  • There is another type of Kshavathu as Aagantu Kshavathu explained by Sus`hruta. Due to use of Teekshn`a Aushadha, due to over smelling of a drug, Kat`u Dravya, staring at the sun, elevation of Naasaagra at the upper side causes Kshavathu; which is Aagantu Kshavathu.

 

Naasaa S`hosha

  • Aggravated Vaayu dries up the Kapha and S`hringaat`aka and Ghraan`a. This is called as Naasaa S`hoshan`a.
  • According to Sus`hruta, when Kapha at the Naasaa is dried by Vaata and Kapha, then it gets solidified and a person respirates with difficulty, then it is called as Naasaa S`hosha.

 

Naasaa Pratinaaha / Aanaaha

  • The Kapha obstructs the root of the exhalation, which is associated with Vaata. This is called as Naasaa Prateenaaha. 
  • According to Sus`hruta, due to Kaphaavrita Udaana, Vaayu resides in the nasal tract. It gives feeling as if Naasaais covered by Vaayu. It is called as Naasaa Prateenaaha.

 

Naasaa Parisrava

  • A disease where solid, thick (Ghana), yellow colour (Peeta) Kapha is secreted from Naasaa is called as Naasaa Parisrava.
  • According to Sus`hruta, when there is continuous, clean and watery secretion without any special colour and the secretion is more at the night; then it is called as Naasaa Parisrava.

 

PootiNasya

  • If Pratis`hyaaya is not treated properly or neglected then there is Vaivarn`ya, Daurgandhya, S`hvayathu andBhrama. 
  • According to Sus`hruta, due to Vidagdha doshaa_s, in Gala and Taalu; Vaayu is excreted out through the nose. These secretions come out through mouth and nose this is called as PootiNaasaa.

 

Apeenasa

A disease that manifests with Naasaa Aanaaha, Naasaa Vis`hosha, Naasaa Prakledana, Naasaa Dhoopana is called asAppenasa. A person cannot detect or judge the smell. This disease is caused due to the vitiation of Vaata and Kapha. This disease actually manifests with the symptoms as of Pratis`hyaaya.

 

Ghraan`a Paaka / Naasaa Paaka

  • Due to the vitiation of the Rakta Dhaatu and Pitta, there is Daaha, Raaga, S`hvayathu, Paaka; which is called asGhraan`a Paaka. 
  • According to Sus`hruta, Pitta at Ghraan`a (Naasaa), causes Arumshi. There is severe suppuration.

 

Naasaa S`hvayathu

Doshaa_s vitiate the Rakta and other Dhaatu at the site of Ghraan`a causing the oedema; which is called as Naasaa S`hvayathu.

 

Naasaa Arbuda:

In the nasal tract, there is manifestation of tumor (Arbuda), which obstructs the exhalation (Uchchhvaasa Nirodha).This is caused due to the vitiation of Maamsa and Rakta by Dosha. Difference between Naasaa S`hopha and Naasaa Arbuda is that Naasaa Arbuda has Kos`ha but in Naasaa S`hotha has no Kos`ha.

 

Pooyarakta

  • There is secretion of Pitta enriched Rakta through nose, ear and mouth. This is called as Pooya Rakta. 
  • According to Sus`hruta, due to Vidagdha Dosha, or due to trauma on the forhead; there is secretion of Pooya andRakta; then it is called as Pooya Rakta.

 

Naasaa Arumshi:

Due to Pitta and Vaata, skin gets vitiated, causing Arumshi. There is suppuration also.

 

Naasaa Deepta

  • This is a disease in which a person feels as if its nose is inflamed or burned. This is called as Deepta. 
  • According to Sus`hruta, when there is Daaha in the Naasaa, Vaayu is exhaled through the nose, like Dhooma is called as Naasaa deepta.

 

S`hon`ita Pitta:-

S`hon`ita Pitta is of four types:-

  1. Vaataja
  2. Pittaja
  3. Kaphaja
  4. Sannipaataja

 

Origin of S`hon`ita Pitta

 

Organ Gun`a Organ
Yakritaja Snigdhaja Aamaas`hayaja
Pleehaaja Rookshajka Pakvaas`hayaja

 

Route of S`hon`ita Pitta:

  1. Adhara Maargaja 
  2. Uttara Maargaja

 

Bhrams`hathu:

There is secretion of Saandra, Vidagdha and Lavan`a Kapha. This is already accumulated in the head which secrets out through the nose due to heat of Pitta. This is called as Bhrams`hathu.

 

Naasaars`ha:

Types of Naasaars`ha:

  1. Vaataja
  2. Pittaja
  3. Kaphaja
  4. Saannipaatika

 

Naasaa S`hopha:

Types of Naasaa S`hopha:

  1. Vaataja
  2. Pittaja
  3. Kaphaja
  4. Saannipaatika

 

Naasaarbuda:

Types of Naasaarbuda

 

  1. Vaataja
  2. Pittaja
  3. Kaphaja
  4. Raktaja
  5. Maamsaja
  6. Medoja
  7. Saannipaatika

 

 

 

NaasaaRoga

 

Reference:

C.Chi.26A.H.U.20, S.U.23, 24N.R. NaasaaRoga

 

Introduction

  • Naasaa Roga is diseases manifested in the nose. Especially, these diseases are related to the NaasaaSrotas.
  • These are MadhyamaMaargagataVyaadhi.

 

 

Vis`hesha Chikitsaa

 

Nava Pratis`hyaaya Chikitsaa

  1. Svedana
  2. Ghritapaana
  3. Vamana
  4. Avapeed`a Nasya

 

Nava Pratis`hyaaya: Apachyamaana Avasthaa

 

 

 

SaannipaatikaPratis`hyaaya

  • Kat`uTeekshn`aNasya
  • Kavala
  • Teekshn`aDhoomapaana

 

VaatajaPratis`hyaaya

The patient should be advised diet having following properties Snigdha, Amla, Ushn`a and Laghu.

 

PittajaPratis`hyaaya

Parisheka and Pradeha with S`heetaDravya and application should also be in cold state.

 

Dusht`aPratis`hyaaya should be treated like Raajayakshmaa and KrimiRoga.

 

Peenasa

Snehana & Svedana

Vamana / Virechana

Dhoomapaana

Avapeed`a Nasya

Aahaara

o       Ushn`aJala

o       Teekshn`a

o       Laghu

o       AlpaBhojana

 

Naasaapaaka

Pittaghna Chikitsaa

Raktamokshan`a

Lepa

Seka

 

Kshavathu and Bhrams`hathu

Pradhamana Nasya (S`hirovirechana) à Snigdha Dhoomapaana

S`hirobasti

Mastishkya

Svedana

 

Deepta

PittaghnaChikitsaa (Madhura and S`heetaGun`ayuktaChikitsaa)

 

Naasaanaaha

Auttarabhaktika Snehapaana

Snigdha Dhoomapaana

S`hirobasti

 

Naasaasraava

Teekshn`aAvapeed`aNasya

 

Naasaas`hosha

KsheeraGhritaPaana

Snigdha Dhoomapaana

Antaraabhakta Ghritapaana

Snehana Svedana

Nasya

Put`aka à Teekshan`aPradhamana

 

Pootinaasaa should be treated by Chikitsaa similar to KaphajaPeenasa.

 

Pooyarakta should be treated by Chikitsaa similar to Raktapitta. It should be treated with Madhura and S`heetaKashaaya_s.

 

Pratis`hyaa Manda Pitta àSnigdha Virechana.

 

Kaphaja Pratis`hyaaya Utklisht`a Kapha

Vamana should be administered with KaphaghnaDravya.

 

If Kan`d`oo is associated with Apeenasa, Pootinasya, KaphajaPeenasa and Naasaasraava then it should be treated by Dhoomapaana and Avapeed`a by Kat`uDravya like Maricha, Pippalee etc.

 

Pathyaapathya

Pathya 

Rasa- Kat`u, Amla, Lavan`a

Gun`a/Karma- Snigdha, Ushn`a, Laghu

S`haaka- S`higruphala, Pat`ola, Vrintaaka, Pat`ola, Kaaravellaka, Nava Moolaka, Las`hoona, S`hun`t`hee,Maricha, Pippalee

Maamsa- JaangalaMaamsarasa

Dugdha- Dugdha, Dadhi

Drava- Ushn`a Jala, Vaarun`ee, Madhu

Other- Jeern`a Yava, S`haalee, Kulattha Yoosha, Mudga Yoosha, Sneha, Sveda,Dhoomapaana,Gan`d`oosha, S`hirobhyanga

 

Apathya –

Gun`a/ Karma- Drava

Other– Snaana, Krodha, S`hakritmootravaataVegaavarodha, S`hoka, DravapadaarthaSeka

 

 

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