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Shalakya tantra is a branch of Ayurveda that focuses on urdwajatrugata roga, specifically addressing diseases of the eye, ear, nose, throat, mouth, and their management.Karna, classified as one of the navadwaras (external openings), primarily pertains to the Akasha mahabhuta.Karnasrava, a prominent disease according to Ayurvedic texts such as those written by Acharya Sushruta, Vagbhata, and Charaka, manifests as purulent discharge from the karna, primarily caused by vata dosha.Purulent mucoid discharge predominantly accompanies middle ear diseases and can be compared to conditions like acute suppurative otitis media and chronic suppurative otitis media.Notably, otorrhoea associated with ASOM and CSOM exhibits symptoms including pus discharge, pain, itching, tympanic membrane perforation, and hearing loss.This case study underscoring the significance of Ayurvedic management in addressing karnasrava in a 79 year old patient, presented with muco purulent discharge, pain along with hearing difficulty in left ear.Here, the patient was given with Guggulu panchapala churna, Manjishtadi kashaya as internal medications.These drugs are having the properties of wound healing, anti-bacterial, antiinflammatory, analgesic and cell rejuvenating action.This patient was also treated with some external procedures like karna pramarjan with Pnchavalkala kwath, Karnadhoopan with swetha sarshapa, guggulu, vacha and nimba.The drugs used here for the procedures are having the
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