Abstract

Dr. Pratibha Aklank Chougule*, Dr. Pournima Vilas Fasale, Dr. Varsha Dhage and Dr. Rahul V. Chougule

ABSTRACT

Arshas is deliberated as one of the astha mahagada roga by Acharya Susruta for which different techniques of managing such as Bheshjakarma, ksharkarma, Shastrakarma Agnikarma and Raktamokshana. The term „Arshas? is derived from “Ru Gatau” dhatu with the suffix “Asun”, gives the meaning of as violent as enemy. So The Nasha Arsha is arsha present inside the Nasha. Nasal polyps to be closely associated to Nasa arsha. It adds, it is a ailment that arises due to improved Kapha Dosha. Vitiated Kapha Dosha stimulates the growth of polyps in the wall of blood vessels as well as in the surrounding muscular tissues to give rise to swelling. Moreover, this inflammation in the blood vessels is known as Kapha-Rakta granthi. Nasal Polyposis (NP) is not simply mucosa oedema, but rather grape shaped, smooth, soft, freely mobile mucosal swellings that are repeatedly evident on anterior rhinoscopy. Polyps arise from the lateral wall of nose. Nasal polyp may be present without clinically significant sinus disease and vice versa. In Ayurveda, polyposis can be unstated with Nasa Arsha. Contemporary managing includes antibiotic, systemic and topical corticosteroids, decongestants and surgery. And lot of chances for recurrence after surgery especially in Ethmoidal polyps. In Ayurveda, several treatment modalities have been planned for the treatment of Arsha as Shastra karma (operative procedure), Kshara karma (applying some alkaline drugs), Agni karma (cauterization) and Bhaishaja (conservative/medical treatment).