Viddha Karma as an Adjunct to Vidangadya Taila Nasya in Vataj Pratishyaya: A Narrative Review

Background: Vataj Pratishyaya is an Ayurvedic disease entity characterized by nasal obstruction, thin nasal discharge, dryness of the throat, sneezing, voice changes and pain in the temporal region. Its clinical presentation may overlap with features of rhinitis, including allergic rhinitis, although the two concepts should not be treated as exact equivalents. Nasya Karma is described in Ayurveda for disorders involving the upper body, while Viddha Karma is a point-specific procedure discussed in the classical surgical tradition. Objective: To review the Ayurvedic rationale, clinical relevance and dissertation-reported findings concerning Viddha Karma added to Vidangadya Taila Nasya for Vataj Pratishyaya. Methods: This narrative review is based primarily on the supplied dissertation, including its Ayurvedic and biomedical literature review, treatment protocol, outcome tables and conclusions. Results: The dissertation reports a randomized comparative clinical study of 76 participants allocated equally to two groups. Both groups received Vidangadya Taila Nasya; Group A additionally received Viddha Karma at Nasagre. The dissertation reports statistically significant between-group differences favouring Group A for Pihita Nasa, Tanustrava, Shankha Nistoda and nasal congestion. Differences for several other clinical parameters and absolute eosinophil count were not statistically significant. Conclusion: The dissertation provides a preliminary clinical signal that adding Viddha Karma may improve selected symptoms over a short observation period. However, the findings require cautious interpretation because the study was small, follow-up was short, and further methodological details and independent replication are needed before firm efficacy or safety conclusions can be drawn.