A Clinical Study to Evaluate the Effect of Vyaghri Haritaki Orally in the Management of Dushta Pratishyaya W. S. R. To Chronic Sinusitis

Background: Dushta Pratishyaya is described in Ayurvedic classics as a chronic and complicated form of Pratishyaya, which can be clinically correlated with Chronic Sinusitis. It is characterized by persistent symptoms such as nasal obstruction, nasal discharge, sneezing, headache, post-nasal discharge and impaired sense of smell. Vyaghri Haritaki Avleha was selected for the present study due to its potential therapeutic role in chronic sinonasal disorders. Aim and Objectives: To evaluate the clinical effect and safety of Vyaghri Haritaki Avleha in the management of Dushta Pratishyaya w.s.r. to Chronic Sinusitis. Materials and Methods: A clinical study was conducted on 10 patients fulfilling the diagnostic and inclusion criteria of Dushta Pratishyaya w.s.r. to Chronic Sinusitis. Patients were selected from the Department of Shalakya Tantra, Rajiv Gandhi Government Post Graduate Ayurvedic College and Hospital, Paprola, Kangra, Himachal Pradesh. Patients of either gender above 12 years were included. Vyaghri Haritaki Avleha was administered orally at a dose of 10 g twice daily with Mandoshan Dugdha for 30 days. Follow-up was conducted on the 15th day and at the end of treatment. Assessment was based on subjective and objective parameters. Observations and Results: Improvement was observed in the clinical manifestations of Dushta Pratishyaya. No adverse reactions were reported during treatment or follow-up. Conclusion: Vyaghri Haritaki Avleha demonstrated appreciable symptomatic improvement and was found to be safe and well tolerated in patients of Dushta Pratishyaya w.s.r. to Chronic Sinusitis.