A Clinical Study to Evaluate the Effect of Nirgundyadi Taila and Rasnaadi Guggulu in the Management of Karna Nada W.S.R. To Tinnitus

Karna Nada is an important disorder of the auditory system described under Karna Rogas in Ayurvedic classics, characterized by the perception of abnormal sounds in the ear without any external source. The condition is primarily attributed to Vata Dosha vitiation affecting the Karna Srotas, often associated with Dhatu Kshaya, mental stress, excessive sound exposure, ageing and improper dietary habits. Classical texts including Charaka Saṃhita, Sushruta Saṃhita, and Ashtanga Hridaya describe various types of Nada based on the nature of the perceived sound and the predominance of Doshas. Clinically, Karna Nada shows close resemblance to Tinnitus as described in modern otology. Owing to the lack of a definitive and recurrence-preventive management approach, the present study was undertaken to evaluate the efficacy of Nirgundyadi Taila and Rasnaadi Guggulu in the management of Karna Nada. Methods:30 patients suffering from Tinnitus (Karna Nada) were selected from Shalakya Tantra O.P.D/IPD of RGGPG Ayurvedic College& Hospital, Paprola, H.P. were randomly selected and grouped in three groups, where Group I received Nirgundyadi Taila, Group II received Rasnaadi Guggulu and Group III received both the Drugs for a period of 15 days. Results: The responses of both the groups were assessed clinically after 15 days of treatment. There was a statistically significant change (p <0.001) in the overall signs and symptoms of Karna Nada. Conclusion: The final evaluation proved that all the groups were statistically significant but Group III with combination of both drugs is better in reducing the signs and symptoms of Karna Nada.