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Allergic Rhinitis (Vata-Kaphaj Pratishyay)

क्षवप्रव्रुत्ति:शिरसोsतिपूर्णतास्तम्भोsगमर्द:परिह्रष्टरोमता।
उपद्रवाश्चापेप्रुथग्विधानरुणांप्रतिश्यायपुर:सरा: स्म्रुता:॥

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

Allergic Rhinitis

Cause is weak immunity and causative factors are Pollen, Dust, Dirt, Mites, Smoke, Strong Odor, etc.

Non-Allergic Rhinitis

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
  • Fumes
  • Humidity
  • Pollution
  • Changes in temperature

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

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

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

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)

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)

In Mala Pariksha (Stool Examination)

Mala or Stool is examined by naked eyes - Mala appears Hard, Kapisha (Brown coloured).

Jihwa Pariksha (Tongue Examination)

Jihwa Pariksha (Tongue Examination)

Jihwa appears cold, rough, whitish, and sticky.

Shabda Pariksha (Voice Examination)

Shabda Pariksha (Voice Examination)

Voice becomes hoarse, guru (heavy) etc.

Sparsha Pariksha (Skin Examination)

Sparsha Pariksha (Skin Examination)

Appears rough, wet, warm, etc.

Drika Pariksha (Eyes Examination)

Drika Pariksha (Eyes Examination)

Eyes appears pluta (watery), snigdha (greasy), kanduyukta (itchy), roudra (reddish, terrifying)

Akriti Pariksha (General Appearance)

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.

CAUSES OF ALLERGIC RHINITIS AS PER AYURVEDA

  • Increase in Kapha Dosha,
  • Virudha Aahar (wrong food combinations),
  • Pollen,

  • Dust,
  • Poor Digestion,

  • Pet Animals,
  • Cold Temperature etc.

SIGNS AND SYMPTOMS OF ALLERGIC RHINITIS AS PER AYURVEDA

क्षवप्रव्रुत्ति: शिरसोs तिपूर्णतास्तम्भोsगमर्द: परिह्रष्टरोमता।
उपद्रवाश्चापेप्रुथग्विधानरुणांप्रतिश्यायपुर:सरा: स्म्रुता:॥
मा.नि.।नासारोग।१५

The above shloka of Ayurveda explains signs and symptoms of allergic rhinitis or vata kapha pratishyay, as

  • Sneezing
  • Headache

  • Nasal Congestion
  • Nasal Discharge

  • Itching in Nose and Oral part
  • Fatigue

  • Fever
  • Loss of Taste etc

DIET MANAGEMENTAS OF ALLERGIC RHINITIS AS PER AYURVEDA

As per Dominance of Dosha (Life Force),

Pathya (Do’s)

  • Consume lukewarm water and food
  • Less spicy light food
  • Soups

Apathya (Don’ts)

  • Heavy Meals,
  • Fermented Food,
  • Cold Food,
  • Cold Beverages,
  • Virudha Aahar (wrong food combinations),

  • Curd,
  • White Flour (Maida),
  • Pickles,
  • Daily head shower,
  • Chocolates

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.

  • Pavanmuktasan
  • Setubandhanasan
  • Vrukshasan
  • Virbhadrasan
  • Trikonasan
  • Ardhachandrasan

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

ALLERGIC RHINITIS FAQs

Question: How do I know that I have Allergic Rhinitis?

Answer: One, who has Allergic Rhinitis, will have symptoms like common cold with heavy sneezing, itching in nose, throat & eyes, fatigue, etc.

Question: What will happen if Allergic Rhinitis untreated?

Answer: It becomes chronic and may lead to complications like chronic nasal obstruction, and inflammation etc.

Question: Is Allergic Rhinitis serious?

Answer: Allergic Rhinitis causes heavy sneezing, Itching and irritation in nose, eyes and in throat etc. It can cause sleep problems, interfering everyday life.

Question: Is there a permanent treatment for Allergic Rhinitis in Ayurveda?

Answer: Yes, Ayurveda treats Allergic Rhinitis permanently. 90% of patients who are suffering from allergies can become normal with correct IAFA ayurvedic treatment. Ayurveda has the potential benefit of relieving a large number of patients from the horrible attacks of allergic reaction in general and allergic rhinitis (nasal allergy) in particular. It focuses on the body's immune system by reducing hypersensitivity to allergens. After administration of ayurvedic medicines, over a period of time, the patient reacts less aggressively to the triggers and gets better adapted to his environment.

Question: Is taking antihistamines daily bad for my health in Allergic Rhinitis?

Answer: For long term use it has many side effects like drowsiness, weight gain, changes in vision, dry mouth, upset stomach etc.

Question: Can Allergic rhinitis be permanently wiped off?

Answer: Yes, by IAFA root cause treatment in allergy disorders you can get permanent relief from this disease. Ayurveda the ancient method of treatment will help you in reducing the frequency of attacks of this disease and can prevent it from leading to different other disease like Asthma or Sinusitis.

Question: Are there any home remedies I can follow to combat Allergic Rhinitis?

Answer: Simple remedial measures such as warm water intake, taking hot herbal tea or help to clear the airways by unblocking the nose through Jal Neti. Eating food products rich in omega-3 fatty acids like flax seeds (alsi) almonds, walnuts, pumpkin and will lower the risk of developing allergies.

Question: Is allergic rhinitis a contagious disease?

Answer: Allergic rhinitis is not an infectious disease and never be transmitted from one person to other. The reason of the disease is a hypersensitivity reaction to certain substances, and this trait is individualistic.

Question: How do I know if my child is suffering from Allergic rhinitis?

Answer: Allergic rhinitis usually occurs after years of repeated inhalation of allergens. The most common symptoms to rule out are continuous sneezing with nasal discharge, itching, watering and redness of eyes. Inflammation can sometimes spread from nasal passages to the throat and ear producing postnasal drip and discomfort in ears. Some children can even complain of nasal blockage with mouth breathing at night. However, the final diagnosis can be made only by a broad certified ayurvedic allergist, on careful eight fold examination and history taking.

Question: What causes my allergies to flare up within the spring?

Answer: Pollen is that the presumably cause. Your immune system is designed to remember the pollen released by various plants. Each type of plant releases pollen at about the same time every year. In the early spring, trees are usually the first to release pollen usually. Grasses come next in the spring and early summer and weeds generally release their pollen in late summer. The specific types of pollen and the time of their release depend upon the local climate and vary around the country. People with hay fever (seasonal rhinitis) are often allergic to more than one type of pollen.

Question: What will influence the severity of the allergic reaction season?

Answer: Weather will influence the temporal arrangement and severity of the allergic reactions season. A gentle winter typically ends up in a lot of pollens. The grass season varies the foremost. If the spring is hotter and wetter than usual, then a lot of grass grows, that ends up in a lot of pollen season throughout the late spring and summer. However, rain will have edges; rain will wash pollens that have already been free out of the air. 

Question: I have always had normal nasal (rhinitis) symptoms, but this year, I have also developed asthma and food allergies. Is this a typical allergic response?

Answer: This condition is called oral allergy syndrome. This occurs when cross-reactions between allergy pollen and fresh fruit cause itchiness and swelling in the mouth and throat after eating the food allergen. Although this is usually mild, you should be evaluated by your allergist, because sometimes the reaction can be severe.

Question: Can allergies cause a fever?

Answer: Generally, no. Allergies related to bacterial or viral infection can lead to a fever, we can indirectly blamed the fever on allergy.

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