Allergic Rhinitis (Vata-Kaphaj Pratishyay)
WHAT IS ALLERGIC RHINITIS
Rhinitis is a short term and a big problem characterized the symptoms produced by nasal irritation or inflammation.
Culprits are small particles like dust, pollen, dirt, germs, mold and microscopic viruses or bacteria, or some environmental factors act as an allergen which triggers Allergic Rhinitis.
Human immune system is well designed to recognize any foreign bodies. The nasal lining systematically produces mucus, which traps these foreign bodies. This contaminated mucus flows from the front of the nose and drains down the back of the throat naturally.
If immune system of a person is oversensitive it will react to these foreign bodies and now these foreign bodies termed as an allergens. Antibodies are produced to fight against this allergen (antigen). Antigen-Antibody complex developed whenever antigen comes in contact with nasal passage of your nose and throat internally, these antibodies cause cells to release a number of chemicals, including histamines. The irritated nasal mucous membrane become inflamed and produces too much mucous. This thick mucus, or contains irritating substances can flow from the front nasal opening as a sign of runny nose, or become noticeable from the back, as post-nasal drip or as a cough for clearing the throat.
Thus resulting in something wrong typical symptoms like continuous sneezing, runny or blocked nose, irritation in nose & eyes and in throat, headache, febrile body etc. Arbitrarily, rhinitis lasting less than six weeks is called acute rhinitis, and persistent symptoms are called chronic rhinitis.
CAUSES OF ALLERGIC RHINITIS AS PER AYURVEDA
- Increase in Kapha Dosha,
- Virudha Aahar (wrong food combinations),
- Poor Digestion,
- Pet Animals,
- Cold Temperature etc.
Ayurvedic reference of Allergic Rhinitis
CLASSIFICATION OF ALLERGIC RHINITIS
Allergic rhinitis is one of the most common chronic diseases and is estimated to affect between 10 t0 20 percent of the population in the world.
Allergic rhinitis can be classified into three types:
1. Seasonal Rhinitis, also known as Hay fever, which is triggered by exposure to outdoor environmental causes like allergens, such as pollen from plants. The term hay fever is misnomer in medical science.
NO HAY, NO FEVER SO WHY IT IS “HAY FEVER?”
“Hay fever” is a turn-of-the-century term which has come to describe the symptoms of allergic rhinitis, especially when it occurs in the late summer. Although, the signs and symptoms are not caused by hay, in real ragweed is one of the main culprits. Secondly, seasonal rhinitis is not accompanied by fever.
Causes of Hay Fever or Seasonal Rhinitis
Summer is the main season of production of pollens, so hay fever symptoms are generally at their most intense in summers. Primary triggers of hay fever are:
- Grass pollen
- Pollen from trees
- Weed pollen
- Airborne mold
2. Perennial Rhinitis, The term perennial itself means which occurs all year round and symptoms’ last for an hour or more each day however, in some cases the severity of the condition will vary over the course of the year in allergen like dust, animal hair and mold.
Causes of Perennial Rhinitis
Perennial Rhinitis is commonly provoked by allergens:
- Dust mite feces
- Pet dander, Saliva, urine
- Cockroach and other insect feces
- Indoor mold
3. Occupational Rhinitis, The term occupational itself means the symptoms of allergic rhinitis only occur in a particular work environment, then this is known as occupational rhinitis. Allergens that cause perennial rhinitis are often involved, such as animal allergies for laboratory and farm workers
Causes of Occupational Rhinitis
Environments according to different work are:
- Grain dust affecting farmers and agricultural workers
- Cement factory workers
- Flour affecting bakers
- Agro mills and factories
- Latex affecting medical workers wearing gloves
- Fish and seafood proteins affecting factory and kitchen workers
On the basis of allergic and non allergic; Allergic Rhinitis is also differentiated into two
Cause is weak immunity and causative factors are Pollen, Dust, Dirt, Mites, Smoke, Strong Odor, etc.
It is also named as Vasomotor Rhinitis. Many odors in sufficiently high concentration will cause nasal irritation in almost anyone. Vasomotor rhinitis seems to be an exaggeration of the normal nasal response to irritation; In this case allergens are not culprits.
Irritants that can worsen non-allergic rhinitis
- Cigarette smoke or wood smoke
- Changes in temperature
“What people don’t realize is most ancient Ayurveda Immunization is designed by Aachrya Kashyapa to gain natural immunity against allergies. For new borne and the people who have more moderate to severe nasal allergies, raw honey made by forest bees having almost all pollens extract acts as a ayurvedic vaccination.”
-Allergist, Dr. Sahil Gupta
Bachelor of Ayurveda Medicine & Surgery
Master’s in Health Administration
AYURVEDA CONCEPT OF ALLERGIC RHINITIS
Allergic Rhinitis is compared with Vata Kapha (are bio energies or life forces of the body) Pratishyay (Rhinitis).
In this, Virudha Aahar (wrong food combinations), Asatmya (unsuitable food) and Ama (body toxins) predict allergic conditions. The product of impaired digestion and metabolism is Ama, which affects Rasa (extract of food) and Rakta Dhatu (blood cells) producing Pratishyay. Virudha Aahar like eating fruits mixed with milk, milk with fish, ice creams after dinner, honey with clarified butter etc. leads allergy.
CLASSIFICATION OF ALLERGIC RHINITIS AS PER AYURVEDA
Following are the types of allergic rhinitis according to Symptoms:
- VatajPratishyay- Nasal Congestion
- VatajPratishyay- Sneezing
- Kaphaj Pratishyay- Breathlessness
- Kaphaj VatajPratishyay- Nasal Discharge
- Kaphaj VatajPratishyay- Headache
DIAGNOSIS OF ALLERGIC RHINITIS AS PER AYURVEDA: ASHTVIDH PARIKSHA (EIGHTFOLD EXAMINATION)
In Ayurveda, Ashtvidh Pariksha (Eight-fold Examination) has its own importance. Disease is diagnosed with Ashtvidh Parikshan. Nadi Pariksha (Pulse Examination), Mala Pariksha (Stool Examination), Mutra Pariksha (Urine Examination), Jihwa Pariksha (Tongue Examination), Shabda Pariksha (Voice Examination),Sparsha Pariksha (Skin Examination), Drika Pariksha (Eye Examination), AkritiPariksha (General appearance of a person).
In Ashtvidh Pariksha,
Nadi Pariksha or Pulse examination
Nadi Pariksha or Pulse examination is very important. In Pulse Examination, Ayurvedic Vaidya can analyse,
1. Current status of the Person‘s Body, Mind, Spirit and Soul
2. Symptoms of imbalance Doshas (Vata, Pitta, Kapha)
3. Disease reaction in Human Body.
In Allergic Rhinitis Nadi Rate, Rhythm, Volume and Force are like Snake & Swan.
In Mutra Pariksha (Urine Examination)
Mutra is examined by naked eyes – Urine appears Pandu (Pale), Phenayukta (Foamy) in Allergic Rhinitis (Vata Kaphaj Pratishyay).
In Mala Pariksha (Stool Examination)
Mala or Stool is examined by naked eyes – Mala appears Hard, Kapisha (Brown coloured).
Jihwa Pariksha (Tongue Examination)
Jihwa appears cold, rough, whitish, and sticky.
Shabda Pariksha (Voice Examination)
Voice becomes hoarse, guru (heavy) etc.
Sparsha Pariksha (Skin Examination)
Appears rough, wet, warm, etc.
Drika Pariksha (Eyes Examination)
Eyes appears pluta (watery), snigdha (greasy), kanduyukta (itchy), roudra (reddish, terrifying)
Akriti Pariksha (General Appearance)
Overall physique of a person is indicative of person’s stamina, strength & life forces and Ayurvedic Physician can get information from akriti pariksha or general appearance of the person.
SIGNS AND SYMPTOMS OF ALLERGIC RHINITIS AS PER AYURVEDA
क्षवप्रव्रुत्ति: शिरसोs तिपूर्णतास्तम्भोsगमर्द: परिह्रष्टरोमता।
The above shloka of Ayurveda explains signs and symptoms of allergic rhinitis or vata kapha pratishyay, as
- Nasal Congestion
- Nasal Discharge
- Itching in Nose and Oral part
- Loss of Taste etc
DIET MANAGEMENTAS OF ALLERGIC RHINITIS AS PER AYURVEDA
- Consume lukewarm water and food
- Less spicy light food
- Heavy Meals,
- Fermented Food,
- Cold Food,
- Cold Beverages,
- Virudha Aahar (wrong food combinations),
- White Flour (Maida),
- Daily head shower,
LIFESTYLE IMPROVEMENT OF ALLERGIC RHINITIS AS PER AYURVEDA
- Keep watch and stay away from the Particles which causes irritation or allergy
- Take warm water bath daily
- Regularly take nose inhalation steam
- Don’t sleep in the daytime, especially after lunch
- In cold temperatures, wear warm clothes
- Eat slowly and properly for effectivedigestion
- Do regular Yoga and exercise daily
YOGA & ASANAS IN ALLERGIC RHINITIS AS PER AYURVEDA
Some Yoga poses are specific,it will help to control Allergic Rhinitis.These Yogasanas will improve breathing,fixes intestinal functioning,improves mental state,keeps fit and energetic and decrease intensity of Allergic symptoms.
Ayurvedic Treatment for Allergic Rhinitis
Allergic Rhinitis is well known for its recurrence & chronicity. Recurrence of disease happens only when the vitiate dosha have not been eradicated completely. This doshas reside in the body in their latent stage & when they come in contact with aggravating factors give rise to same disease again. Viewing to this concept the Ayurvedic line of treatment of Allergic Rhinitis includes, avoid allergens causing reaction (NidanaaParivarjana). Detoxification (Shodhana), Pacification (Shaman) & rejuvenation (Rasayana).
Internal Medications for Allergic Rhinitis
- Anand Bhairav Rasa
- Tribhuban Kirti Rasa
- Mayur Shriga Bhasma
- Abbrak Bhasma
- Lavangadi vati
- Sito Paladi Chura
- Guduchyadi yoga
- Marichyadi yoga
- Vyoshadi Vati
- Khadiradi vati
- Pipalaydi Nasya
- vidangadi nasya
- Chaturjatak nasya
- Churna Nasya
- Chayavanprash Rasayana
- Chitraka Haritaki Rasayana
- Agastya Haritaki Rasayana
- Vyaghri Haritaki Rasayana
- Vasa Avaleha
External therapies for Allergic Rhinitis
- Snehana(External oleation): Specially to fore head with oil.
- Swedana (Fomentation): Gentle sudation with hands or upahada swedan.
- Dhumapana (smoking herbal drugs)
Purificatory therapies for Allergic Rhinitis
- Vamana: Sodhana (purificatory) therapy intended for the removal of vitiated Kapha dosha
- Nasya : Nasya has duel action i.e. pacificatory and purificatory & it promotes the strength of indirya
- Vasti: recommended for correction of vata
Single herbs used in Allergic Rhinitis as per Ayurveda
- Kantkari ( Solanum surattense )
- Vasa ( Adhatoda vasica )
- Madhuyasti (Glycirrhiza glabra)
- Bharangi ( Clerodendrum serratum )
- Pushkarmoola ( Inula racemosa)
- Vibhitaka ( Terminalia bellerica)
- Shati (Hedychium spicatium )
- Tulsi ( Ocimum sanctum)
- Shirisha (Albizia lebbek )
- Haridra ( Curcuma longa)
Article Written By: Dr. Sahil Gupta, Ayurvedic Allergist