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, anti-
inflammatory, 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 qualities like wound healing, anti-microbial, anti-inflammatory and analgesic. In this case study
the patient experienced relief from all the symptoms after 14 days of treatment. So this case study
shows ayurvedic treatment is very effective in managing karnasrava.
Keywords: Karnasrava, ASOM, CSOM, Karnadhoopan, Karna pramarjana
Publication date: 01/06/2024
https://ijbpas.com/pdf/2024/June/MS_IJBPAS_2024_8117.pdf
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https://doi.org/10.31032/IJBPAS/2024/13.6.8117
