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Ayurvedic Treatment for Rhinorrhoea

Ayurvedic Treatment for Rhinorrhoea starts with symptomatic relief, improves digestion and finally improves the immunity of the body. Rhinorrhoea, as the name implies is the excess drainage from the nose, ranging from clear watery fluid to thick mucus. It can be a part of an acute infection like a common cold or a chronic condition like tuberculosis. In severe cases, even a blood tinted mucus may be present. It can happen due to a lot of reasons. So, the severity and prognosis vary vividly.

Signs and Symptoms of Rhinorrhoea

  • Runny Nose – which may be clear, Yellowish, Greenish or brownish
  • Nasal Congestion
  • Sinusitis
  • Sneezing
  • Headache
  • Dizziness
  • Loss of Consciousness
  • Confused mind
  • Sore Throat
  • Chills
  • Pain in the Ear and Face
  • Weariness
  • Bleeding by Nose
  • Breathing problems
  • Diarrhoea
  • Cough
  • Erythema
  • Malaise

Causes of Rhinorrhoea

Causes of a runny nose include:

  • Coryza
  • Hay fever
  • Perennial rhinitis
  • Cerebrospinal fluid (CSF) rhinorrhoea from a head injury.
  • Acute sinusitis (nasal and sinus infection)
  • Allergies
  • Common cold
  • Chronic sinusitis
  • Decongestant nasal spray overuse
  • Deviated nasal septum
  • Hormonal changes
  • Influenza
  • Lodged object
  • Medicines, such as those used to treat high blood pressure, erectile dysfunction, depression, seizures and other conditions
  • Nasal polyps
  • (chronic congestion or sneezing not related to allergies)
  • asthma
  • Pregnancy
  • Spinal fluid leak
  • Tobacco smoke

Pathophysiology of Rhinorrhoea

 

The process of sensitization of allergen needs the presence of antigen-presenting cells, T and B lymphocytes. It depends on environmental allergen exposure too. Generation of allergen-specific IgE is then produced and it circulates in the peripheral blood. Then it gets attached itself to the surface of all mast cells and basophils especially in the nasal mucosa. Again, the exposure to allergen activates these cells, produces classic mediators of the allergic reaction, causing acute nasal symptoms. Then, inflammatory and immune cell infiltrate, including eosinophils, basophils, neutrophils, T lymphocytes, and monocytes, take on the late stages of the allergic response. Due to inflammation of the mucosa, the nose reacts more vigorously to later exposures to allergen. It turns out to be hyperresponsive to irritants and changes in weather.

Diagnosis of Rhinorrhoea

  • Clinical examination
  • Culture will guide any antibiotic therapy.
  • X-ray of sinuses may show clouding from infection.
  • Nasal discharge cytology is sometimes used to diagnose allergic fungal sinusitis
  • Specialist investigation (eg, CT scanning and screening tests for cystic fibrosis) may be required to rule out the rarer causes.

Treatments of Rhinorrhoea

Broad-spectrum antiviral drugs

Douche or nasal drops with saline.

Use of topical or oral antihistamines.

Use of topical or oral corticosteroids

Prognosis of Rhinorrhoea

Mostly self-limiting

Complications of Rhinorrhoea

Upper respiratory tract infections

Meningitis

Ayurvedic Concept of Rhinorrhoea

        Naasaaparisraava

Ayurvedic Nidana of Rhinorrhoea

        Causative factors for the vitiation of Kapha and Vaata

Ayurvedic Purvaaroopa of Rhinorrhoea

        Not mentioned

Ayurvedic Samprapti of Rhinorrhoea

        Not mentioned

Ayurvedic Lakshana of Rhinorrhoea

        Clear watery fluid discharge from nose

No discolouration

Excess at night time

Ayurvedic Divisions of Rhinorrhoea

        Not mentioned

Ayurvedic Prognosis of Rhinorrhoea

        Saadhya in new cases

Asaadhya in chronic & complicated cases

Ayurvedic Chikithsa of Rhinorrhoea

Samana

Aamapaachanam

Agnideepanam

Lepanam with Rookshana dravyas

Swedanam

Sodhana

Vamanam

Virechanam

Nasyam – with choorna

Avapeeda-theekshna nasyam

Dhoomapanam

Commonly used Ayurvedic medicines for Rhinorrhoea

        Dasamoolakadutrayam kashayam

Gandharvahastadi Kashayam

Chiruvilwadi Kashayam

Balajeerakadi kashayam

Dasamoolam Kashayam

Vyaghriyadi Kashayam

Dusparsavasadi Kashayam

Elakanadi kashayam

Haridrakhandam

Thaaleesapathradi vatakam

Vyoshadi vatakam

Varanadi Ksheera Ghrutham

Anu Tailam

Agasthya Rasayanam

Chyvanprash

Brands available

AVS Kottakal

AVP Coimbatore

SNA oushadhasala

Vaidyaratnam oushadhasala

Home remedies for Rhinorrhoea

No home remedy is a proven cure. But inhalation with basil leaves, ginger, lemon etc is beneficial in relieving discomfort.

Diet for Rhinorrhoea

  • To be avoided

Heavy meals and difficult to digest foods – cause indigestion.

Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine

Carbonated drinks – makes the stomach more acidic and disturbed digestion

Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)

Milk and milk products – increase kapha, obstruct channels and obesity

Curd – causes vidaaha and thereby many other diseases

  • To be added

Light meals and easily digestible foods

Green gram, soups, honey

Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc

Behaviour:

Protect yourself from the cold climate.

Better to avoid exposure to excessive sunlight wind rain or dust.

Maintain a regular food and sleep schedule.

Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc.

Avoid a sedentary lifestyle.

Yoga for Rhinorrhoea

Regular stretching and mild cardio exercises are advised. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended.

Regular exercise helps improve the bioavailability of the medicine and food ingested and leads to positive health.

Yoga can maintain harmony within the body and with the surrounding system.

Pavanamuktasana

https://youtu.be/EK1ov1cP4UE

Nadisudhi pranayama

https://youtu.be/RUFzLVf5wL4

Bhujangasana

https://youtu.be/fOdrW7nf9gw

Simple exercises for lungs and heart health

https://youtu.be/j8ICrvYCVto

All the exercises and physical exertions must be decided and done under the supervision of a medical expert only.

Research articles of Rhinorrhoea

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4896656/

 

  • PMID: 28687232

 

A randomized, double-blind, placebo-controlled trial was done to assess the efficacy and safety of mepolizumab versus placebo for severe bilateral nasal polyposis. Patients aged 18 to 70 years with recurrent nasal polyposis requiring surgery were chosen. Patients received 750 mg of intravenous mepolizumab or placebo every 4 weeks for a total of 6 doses in addition to daily topical corticosteroid treatment.

A significantly greater proportion of patients in the mepolizumab group compared with the placebo group no longer required surgery at Week 25. There was a significant improvement in nasal polyposis severity VAS score, endoscopic nasal polyp score, all individual VAS symptom scores, and Sino-Nasal Outcome Test patient-reported outcome score in the mepolizumab compared with placebo groups.

In patients with recurrent nasal polyposis receiving topical corticosteroids who required surgery, mepolizumab treatment led to a greater reduction in the need for surgery and a greater improvement in symptoms than placebo.

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Dr. Rajesh Nair
Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with www.ayurvedaforall.com as senior consultant, Ayurveda.

Dr. Rajesh Nair

Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with www.ayurvedaforall.com as senior consultant, Ayurveda.

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