Nasa is the most important organ of Pranavaha Srotas. It is important organ of respiratory system as well as gateway of cranial cavity. Nasarsha is one of the Nasagata Roga among thirty-one Nasagata Rogas mentioned in Ayurveda. Nasarsha can be correlated to nasal polyps. Nasal polyps are non-neoplastic prolapsed, pedunculated part of the oedematous mucosa of nose or paranasal sinuses. Prolonged use of antihistamines, decongestants, antibiotics and steroids lead to drug resistance and decrease immunity. Fear of surgery, its complications and cost have restricted many patients from undergoing surgery. Hence the present case study was taken to evaluate the efficacy of Ksharakarma in the management of Nasarshas with special reference to Nasal Polyp along with internal medications for reducing its recurrence and improve the immunity. Kshara is an excellent Anusastra in the management of Arsha. As it has Lekhana, Tridoshaghna, Teekshna and Ushna property. Hence A case of Nasarsha (nasal polyp) was successfully managed using a combined Ayurvedic approach involving 5 sittings of Apamarga Kshara application and internal Shamana Auṣadhis. The therapy was well tolerated, and no recurrence occurred during follow-up, suggesting that this integrated Ayurvedic regimen offers a safe, minimally invasive, and effective alternative for managing Nasarsha.
2Dr. Rathi S. *1Dr. Shirisha J. (Wed,) studied this question.