Efficacy of Ayurvedic Dhoompana Therapy in the Management of Chronic Rhinosinusitis (Peenasa): A Single-Case Clinical Study
¹Harshal Kishor Patil, and ²S Ganesh Tejasvi
1,2Department Shalakyatantra, Parul Institute of Ayurved and Research, Parul University, Vadodara - 319760 (India) 1Email: dr.harshalgurjar@gmail.com 2Email: ganeshtejasvi@gmail.com *Correspondence: Dr. Harshal Kishor Patil
ABSTRACT
Background: Chronic rhino-sinusitis (CRS) is a prevalent inflammatory condition of the paranasal sinuses, characterized by persistent nasal congestion, facial pain, and recurrent infections. Conventional pharmacological interventions often provide transient symptomatic relief and may lead to complications such as rebound congestion. In Ayurveda, CRS closely correlates with Peenasa, a condition driven by Kapha-Vata imbalance, Aama (metabolic toxins), and Pranavaha Srotas Dushti (respiratory channel pathology). To evaluate the clinical efficacy of Dhoompana (medicated smoke inhalation) therapy in a patient with treatment-resistant chronic sinusitis, assessing its viability as a sustainable Ayurvedic intervention. A 28-year-old male with a five-year history of CRS, demonstrating dependency on topical decongestants and oral antihistamines, was enrolled. The patient underwent a three-week regimen of Dhoompana utilizing a specific formulation (Haridra, Yashtimadhu, Pippali, Vacha, and Tamalpatra), followed by Anu Taila Nasya. Clinical outcomes were evaluated using a standardized Sinusitis Severity Score (SSS) to track nasal congestion, headache, sneezing, and medication dependency at baseline, weekly intervals, and a onemonth follow-up.