Chronic sinusitis is an inflammation of the paranasal sinuses that persists for over 90 days with residual symptoms. It is caused by respiratory infections, allergies, irritants like smoke, and other medical conditions. Common symptoms include nasal congestion, pain, discharge, and reduced smell. Ayurvedic treatments include nasal irrigation (neti), herbal steam inhalation (dhumapana), herbal nasal drops (nasya), herbal massage (mardana), and a diet of warm, spicy foods. Nasya is especially effective for clearing sinus openings and draining mucus through its hot, sharp, and light qualities.

1. Ayurvedic
Management of
Chronic Sinusitis
VAIDYA RUCHI GULATI, B.A.M.S. , M.D.
SUKH AYURVEDA, D17, NOIDA SEC 20.
E: AYUREVDASPECIALIST@GMAIL.COM
T: 9910163477, 0120 4270770

2. Paranasal Sinuses
FRONT VIEW PURPOSE OF SINUSES
• Humidifying and warming inspired air
• Regulation of intranasal pressure
• Increasing surface area for olfaction
• Lightening the skull
• Resonance
• Absorbing shock
• Contribute to facial growth

3. Sinusitis-A condition
consisting of
inflammation of the
paranasal sinus. It
may be associated
with inflammation of
nose, so term
rhinosinusitis is used
now a days

4. Types
Location
•Frontal
•Maxillary
•Ethmoidal
•Spenoidal
Duration
•Acute-completely resolves within 30days
•Subacute- completely resolves within 30-90 days
•Chronic-persistent residual symptoms like running
nose, cough, nasal blockage after 90 days
•Recurrent-episodes for less than 30 days with
intervals of resolution

5. Causes
• Respiratory tract infections
• Allergies like Hay Fever
• Deviated Nasal septum
• Nasal polyps
• Regular exposure to irritants like smoke
• Other medical conditions like HIV, Nasogastric tube

6. common cold
inflammation of nasal mucosa blocks sinus drainage and
impairs mucocilliary clearance
Nose blowing propels nasal secretions to paranasal sinuses
Sinusitis

7. Symptoms
• Nasal inflammation
• Thick, discolored discharge from the nose
• Drainage down the back of the throat (postnasal drainage)
• Nasal obstruction or congestion, causing difficulty breathing through your nose
• Pain, tenderness and swelling around your eyes, cheeks, nose or forehead
• Reduced sense of smell and taste
Other signs and symptoms can include:
• Ear pain
• Aching in your upper jaw and teeth
• Cough or throat clearing
• Sore throat
• Bad breath
• Fatigue

8. Investigations
• X Ray – PNS
• CT scan
• Other
• Nasal endoscopy
• Transillumination of sinus

9. Treatment of chronic sinusitis
• Pratisyaya is not treated properly or neglected, it
causes complications of ENT and head, such as
• Dushta pratishyaya, puti nasa, nasa paka, nasa
arbuddha, netra roga, khalitya, arjuna, shwasa,
jwara, andhatva, bhadhirya, etc
• Rasyana therapy is proved to have a good
immunomodulatory effect thereby showing good
results in management of pratishyaya and allergic
disorders

10. Do it yourself
• Keep urself hydrated
• Steam vapouriser
• Warm facial packs
• Jal neti
• Rest
• Sleep
• Avoid cigarettes and extremely cool and dry
air

11. Nasa hi shiraso dwaram
• Start the treatment where the disease is
• The nose is the entry to the brain(head)
even.
• The nasal diseases are best treated with
• Nasyam
• Dhoompana

12. Panchkarma in Sinusitis
• Mukhabhyangam
• Swedanam
• Nasyam
• Dhoompana
• Kawalagraha

13. Nasyam mode of action
Nasyan
srotoshodhana(clearance of
sinus ostia
Dravikara(Vilayana)and
chedana of Dushita Kapha
Drainage of retained
discharge in sinuses
Dushita pratishaya
shodhana
Tikta katu rasa
Laghu tikshan guna
Ushna virya
Katu vipaka

14. Jal Neti
• Jal neti rinses out the dirt and bacteria
• Jalaneti helps to drain dead end passages
like the sinuses
• The eustachian tube receives the same
effect as sinuses

15. Diet in Sinusitis
• Katu,amla,lavana rasa
• Snigdha, ushna, laghu bhojana
• Purana yava, shali
• Kulatha, mudga yusha
• Gramya, janagala mamsa rasa
• Vartaka, shigru, karkota, lashuna
• Dadhi
• Taptambu, varuni jala
• Trikatu

16. Don’t’s
Vegadharana-suppression of urges
Krodha
Atidrava ahara
Bhumi shayya

17. How to do Nasya
• Mukha Abhyangam
• Swedanam(pipe of cloth)
• Nasya
• Kavalgraha
• Dhoompana

18. Take home message
• Sinusitis is small disesease with big
discomfort
• It hampers daily routine and makes
the mind clumsy
• The best management from
Ayurveda is Nasya Karma
• Many medicines are used selectively
according to prakriti and symptoms