Sadyovamana in the Management of Kaphaja Pratishyaya W.S.R. Allergic Rhinitis -a Case Study

Pratishyaya is a condition characterized by symptoms such as sneezing (kshavathu), nasal blockage (anadha nasa), nasal discharge (nasa srava), and dryness of the throat, palate, and lips (gala-talu-ostha shosha). These manifestations closely resemble those of Allergic Rhinitis, which presents with sneezing, rhinorrhea, nasal congestion, and itching of the nose, eyes, ears, and palate hence, Allergic Rhinitis can be correlated with kaphaja Pratishyaya. vamana karma is described as a key therapeutic approach for this condition. Case: A 20-year-old male experiencing persistent sneezing, rhinorrhea, nasal obstruction, and itching in the nose, eyes, ears, and palate for two years underwent Sadyovamana karma. Management: Deepan-Pachana was initially performed with nagarmotha paniyam and chitrakadi vati for one day. This was followed by internal oleation using shatpala ghrita for one day, and external oleation with dhanvantara taila along with whole-body steam therapy. For the emesis procedure, akanthapana with cow’s milk was given. The vamana formulation contained madanphala churna (5 g), pippali churna (1 g), yashtimadhu phanta (100 ml), saindhava (10 g), and honey (100 ml). Yashtimadhu phanta and lavnodaka served as supportive vamanopaga agents. Following the complete therapy, symptoms such as sneezing, nasal discharge, nasal itching, red eyes, and nasal obstruction resolved. This case suggests that vamana karma can be highly effective in managing Pratishyaya.