By Dr. Mahesh Annapure M.Sc. D.N., M.D.
The inner lining of nose undergoes inflammation due to allergens. This leads to Allergic rhinitis. Patient may have sensitivity to a particular allergen. The immune system of human body automatically reacts with the allergen producing antibody releasing histamine and chemical catalysts that defends the allergen. Weak immunity leads to allergy.
Our nasal passage has superior, inferior and middle turbinate bone and maxillary bone. These bones obstruct the foreign particle to enter the nasal passage and the mucus membrane which in turn produces a sticky mucus. This mucus prevents the entry of small particles in air to pass through the nasal passage, cavities and up to the lungs.
When the immunity of person is weak, these small particles such as dust, dirt, pollen, microscopic bacteria and germs etc., enter the nasal passage and cause irritation and inflammation (local swelling).
This is exhibited in the form of symptoms like –
sneezing, itching, runny nose, headache, mild fever etc.
Signs and Symptoms:-
Obstruction of nasal passage, blocked nose
Runny nose for long time even for weeks
Itching or irritating nose, eye, and throat
Continuous heavy sneezing
Congestion of nose
Tears in eyes
Causes of allergic rhinitis as per Ayurveda
Mandagni – low digestion strength
Kapha vruddhi – increase of Kapha dosha
Allergens – external factors such as pollen, dust etc
Residing with pet animals
Exposure to humidity, dust, cold
Virudh aahara – wrong food combinations
Long term intake of drugs like aspirin, leading to depleted immunity and making the person prone to dust allergies.
According to symptoms
It is broadly classified into two types-
Allergic Rhinitis- It is due to weak immune system, causative factors are allergens like pollen, dust mites, cockroaches, smoke, strong odors, etc.
Non allergic – All year around symptoms of nasal blockage and runny nose. In this allergen has no role.
Classification by Ayurveda:-
According to symptoms, it is classified in six types.
Sneezing – Vataja pratishaya
Nasal congestion – Vataja pratishaya
Breathlessness – shwasa kashta – kaphaja pratishaya
Nasal discharge – Nasa srava – Kaphaja and Vataja pratishaya
Headache -Shirogaurava – Vataja and kaphaja pratishaya
Itching in nasal & oral region – Nasa and Talu kandu – Kaphaja and Raktaja pratishaya
Ayurvedic concept of rhinitis:-
As per Ayurveda, Allergic rhinitis is compared with Vata- Kaphaja pratishaya. The concept of Ama, Asatmya and virudh aahara also predict the allergic conditions.
Ama is the product of impaired digestion and metabolism. It affects Rasa and Rakta Dhatu leading to manifestation of Pratishyaya. Wrong food combinations (Virudh aahar) having antagonist properties like fish with milk, fruit juice with milk, clarified butter with honey, ice cream after night meals, etc. leads to allergy.
Ayurvedic treatment for allergic rhinitis:
If the symptoms are severe and in chronic conditions, Vamana Panchakarma treatment, followed by Virechana is administered. This helps to relieve Ama and balance Tridosha.
In some cases, where the patient has normal digestion strength, Nasya treatment (nasal drops therapy) is administered with herbal oils such as Anu taila or Shadbindu Taila.
After the above Panchakarma treatments, Ayurvedic medicines are administered to improve respiratory immunity and strength of upper respiratory tract.
Useful Ayurvedic medicines in treating allergic rhinitis:
Nimbarajanyadi tablet – Contains neem and turmeric as main ingredients.
Chavikasavam – Fermented Ayurvedic liquid, also used in urinary tract disorders.
Mahalaxmi Vilas Ras – Also useful in the treatment of skin diseases, diabetes, Sinus, non healing wounds, etc.
Other medicines: Narada lakshmi vilas rasa, Anand bhairava rasa, tribhuvan kirti rasa, shringarabharaka rasa, Mayur shringa bhasma, Abhraka bhasma, Lavangadi pills, Sitopaladi choorna, Marichayadi yoga, vyoshadi pills, Khadiradi pills are suggested.
Take: – Light food, lukewarm water, Kapha nashaka foods like little spicy food, saindhav salt, legumes, soups etc.
Avoid:- heavy food, fermented food, congestive food, too hot or too cold food, soar food, non vegetarian food, sweets, banana, curd, yogurt, ice creams, deserts, cakes, yellow grams, etc.
Avoid Alcohol and cold beverages.
Take half liter water, add 20 gm salt, one teaspoon turmeric, boil it for 10 minutes and take it repeatedly.
Take six cloves add six black pepper and one teaspoon of turmeric make powder and take it with honey.
Take half cut lemon, spread a pinch of turmeric and salt on its inner surface, heat the lemon for one minute, and choose it.
Take tea of basil leaf and mint leaf.
Chew a piece of garlic and ginger.
Take roasted horse gram – one teaspoon once or twice a day
Take extract off ajwain, black pepper, poppy seeds.
Chew clove and black pepper through a day.
Try coriander and cumin boiled in water.
Take warm soup of corn flour or mushroom with added clove and black pepper.
Always keep cloves and black peppers with you. Immediately keep two pieces of it in mouth when you feel of attack.
At the pre attack or attack rub Nilgiri oil , Mint oil, or pain balm on chest and get fomentation.
Keep watch on the elements that causes irritation for you and stay away from this.
Use mask while driving vehicle or going through public places.
Always take warm water bath.
Do not expose to hot sunrays.
Regularly take inhalation of steam.
Regularly go for morning walk in warm weather.
Do sufficient exercise.
Do not reside in dark or dump places. Get fresh air.
Do not get sleep at day time or immediate after dinner.
Take sufficient rest.
Yoga for rhinitis-
Conclusions & experience:-
First of all Vata, Kapha, constipation removal is necessary.
Basti, Swedana, external oleation, virechan, Nasya, Dhumpan is suggested after attack.
Ayurvedic remedies start to show improvements within two days. The treatment must be continued for minimum three months to cure it completely for long years.
Patients managing avoidable and maintaining lifestyle are cured for more than ten years.
Dr. Mahesh Annapure
M.Sc. D.N., M.D. (A.M.)