An Evidence Based Novel Treatment Protocol in the Management of Peenasa (Allergic Rhinitis) - A Case Report

Narathota S.N.L.1*, Jayasiri A.P.A.2 and De Silva L.D.R.1

Abstract

Peenasa characterized with rhinorrhoea, sneezing, watery nasal discharges and nasal blockage which hinder the health-related quality of life, can be compared with allergic rhinitis due the similarities of clinical manifestation. Allergic rhinitis is an immune reaction of nasal mucosa to allergens like pollen and dust which affects between 10% and 30 % of the population globally. Ayurveda classify Peenasa under Nasagatha roga (diseases pertaining to nose) while Traditional system of medicine considered it as a Sarvanga roga (disease pertaining to whole body). Present study was aimed to find the effectiveness of a novel Ayurveda treatment protocol in the management of Peenasa. A 19 years old male patient presented with frequent sneezing, watery nasal discharges, sore-throat and nasal congestion specially in the morning for a time period of two years. Based on the clinical examination, patient was diagnosed with Peenasa and was treated internally with Triphala kwatha, Triphala churna and externally with Rathulunu thailaya (RT) as Shiro abhyanga (head application) and Prathimarsha nasya (errhine therapy) for a period of two months. Evaluated the effectiveness of the novel treatment line on clinical features before and after the treatment. Patient showed significant reduction of clinical features of Peenasa within a short period of time. Ingredients of the prescribed drugs were prominent with Katu rasa (pungent taste) and Ushna veerya (hot potency) which helps to mitigate the pathogenesis of phlegmatic conditions. Further, anti-inflammatory, anti-oxidant, anti-allergy properties of the ingredients play a major role in pacification of vitiated Dosha. Thus, the novel treatment protocol can be considered as safe and effective in the management of Peenasa (Allergic rhinitis).

Keywords: Peenasa, Allergic rhinitis, Triphala, Rathulunu thailaya, Anti-inflammatory