NEED FOR THE STUDY

Shiras occupying the prime place in human body has to be protected by all means, as it one among dasha pranayatanas.Kaphaja shira shoola is one among types of shirarogas explained Acharya Sushrutha, characterized by phlegm in throat and face, heaviness in the head, oedema of face and eyelids.

Most of the clinical features are correlated with signs and symptoms of maxillary sinusitis, this condition is becoming more significant in population because of few nidanas such as Rajo-Dhoomasevana(atmospheric pollutants), Purovatasevana(exposure to wind currents), ambukrida (swimming) sheeta, madhura, guru snigdha ahara.

Kaphaja shira shoola features include mild/modest headache and heaviness of head. The headache persists throughout the day, and it may increase at night. This condition is commonly associated with nasal discharge, nasal obstruction, and postnasal discharge.Sinusitis affects the mucosa of nose and para nasal sinus affecting approximately 15% population in India. It is seen that increased air pollution and exposure to cold and flu have caused an increase in this condition.Over 85% of people with cold inflamed sinus. These inflammations are typically brief & mild. Only between 0.5% and 5% people with cold develop true sinusitis. Maxillary sinusitis are most common sites.Conservative treatment is indicated for Maxillary Sinusitis like Antibiotics, nasal decongestant drops, steam inhalation, analgesics.

In this scenario, where there is no effective cure for Sinusitis in modern medicine, Ayurvedic line of management may be beneficial. Acharya Sushrutha has mentioned that the patient suffering from kaphaja shira shoola gets relived from the symptoms by kaphahara, teekshna nasya. Nasya karma is easy to administer, cost effective, easily acceptable by patients and can be done at OPD level. Considering the above factors this study was taken up.So Shuntividangadi Grita is used for Nasya as drugs used in this formulation has Kaphahara property.

HYPOTHESIS:

1.   1.  Null hypothesis H0 – shuntividangadi grita Nasya and vidanga taila Nasya is not having any effect on kaphaja shirashoola.

     2.Alternative hypothesis H1- shunti vidangadi griita nasya is having better effect than vidanga taila Nasya in reducing kaphaja shirashoola.

3. 3. Alternate hypothesis H2: vidanga taila nasya is having better effect than shunti vidanga grita Nasya in reducing kaphaja shirashoola.

   4. Alternate hypothesis H3: shuntividangadi grita nasya is having equal effect in reducing kaphaja shirashoola compared to vidanga taila nasya.