RATIONALE  Otomycosis also known as fungal otitis externa has typically been described as fungal infection of the external auditory canal. The prevalence of otomycosis has been reported to be as low as 9% in cases of otitis externa and as high as 30.4% in patients presenting with symptoms of otitis or inflammatory conditions of the ear. Moreover it usually occurs most frequently in adults, and less in children. The most common fungal agents causing otomycosis are Aspergillusniger (80% of case) and Candida albicans second common. Several factors have been reported predisposing otomycosis which include; bacterial infections, use of hearing aid or a hearing prosthesis, self inflicted trauma, swimming in contaminated pools, broad spectrum antibiotic therapy, steroids and cytostatic medication, neoplasia and immune disorders .

OBJECTIVE:-The objective of this study is to test the effectiveness of classical ayurvedic treatment protocol of putikarna along with Nirgundyadithailakarnapoorana in otomycosis.

STUDY DESIGN: Pre and post test study of 30 patients who are fulfilling the inclusion criteria will be selected for the present clinical study.

Design of the study

After kayasodhana, for first five days ear mopping with aragwadadhikasaya, karnadhoopana with gugguluvarthi .Madhupramarjana and pratimarshanasya with anutailawill be done twice daily. On 6th day post fungal culture will be done. If the culture report is negative  from 7^th day onwards karnapoorana with nirgundyadithaila as mentioned in classics will be done for a period of 7 days.

Aragwadadhikashaya and tablet will be administered internally during the treatment course.

Follow-up - After completion of the treatment the patients will be advised to report to Salakya OPD once in a month for a period of three months to assess the sustained effect of treatment.

EXPECTED COST – 30000 to 40000 INR

Statistical analysis will be done using paired t test