TINNITUS( KARNA NADA)

DEFINITION
 TINNITUS  is an ear disorder in which there is sensation of ringing in the ears like hissing , roaring , whistling , clicking and chirping .

 CAUSES

1.  Excess  cold water head bath - for a long period of time, especially in old age, causes vata imbalance.
2.  Loss of sleep
3.  Constant headache
4.  Improper Nasya therapy
5.  Wax build - up  in the ear canal
6.  Noise - induced hearing loss
7.  Temporomandibular  joint (TMJ) disorders

8. Head and neck trauma
9. Medications
10. Blood vessel disorders
11. Ear infection or ear canal blockage

SYMPTOMS OF TINNITUS

. Dizziness
. Hearing loss

. Ringing sound in ear

. Booming sensation in ears
. Sounds like clicking , rushing

. Roaring , chirping and whooshing sound in the ear

TYPES OF TINNITUS
1. Subjective Tinnitus :- Tinnitus that only a patient car hear sounds. The noises of tinnitus may vary in pitch form a low roar to a high squeal and may hear it in one or both ears .
2. Objective Tinnitus :- In rare cases , tinnitus can occur as a rhythmic pulsing or whooshing sound .

MANAGEMENT ACCORDING TO AYURVEDA

Vata pacification treatment is indicated because vata is controlling dosha of the ears.

5. GHRITA PANA - Administration of cow ghee, in a dose of 1-2 teaspoon per day , pacifies vata and improves the strength of the nerves.
6. RASAYANA - Herbs with anti ageing properties and high nutrition value are administered - Amalaki (gooseberry) , Paribhadra ( erythrina varigata) , Bala ( sida cordifolia ) .
7. SNEHANA - Applying oil , around the ear and to the scalp pacifies vata dosha and strengthens the nerves and muscles. Kshara Talia , Ksheerabala Talia etc.
8. SHAMANA OUSHADHA - Medicines which pacify vata are helpful to relieve the complaint of tinnitus.
9. Treating the underlying disease causing tinnitus- treatment for depression , hyperthyroidism , high bp.
   

SINGLE HERBS USEFUL IN TINNITUS

1. Paribhadra ( Erythrina Indica )
2. Bala ( Sida Cordifolia)
3. Sariva( Hemidesmus Indicus)
4. Amalaki (Amla- Emblica Officinalis)
5. Gokshura ( Tribulus Terrestris)
6. Yashtimadhu ( Glycyrrhiza Glabra)

HERBAL MEDICINES
. GILOY ( Tinospora Cordifilia) :- In  tinnitus it pacify the aggravated vata dosha and eliminate tinnitus slowly and gradually.
. VACHA ( Acorus Calamus) :- tinnitus is a vata disease and vacha is a remedy to treat vata disorder.
. PITPAPDA (Fumaria Officinalis) :- It is also effective for tinnitus as it reduces the vata and pitta dosha and decreases the abnormal sounds that happen in the ear.
. YASHTIMADHU (Glycyrrhiza Glabra) :- This herb gives strength to the acoustic nerve , inner ear and hearing center in the brain.
. SARIVA ( Hemidesmus Indicus) :- It is is the most effective herb for the treatment of hearing loss and tinnitus.

AYURVEDIC THERPIES AND PANCHKARMA DETOX IN TINNITUS

KARNAPOORNA :- Karnapoorna is used for hearing loss and tinnitus . A small amount of oil is instilled into the affected ear . It helps to pacify vata humor and give relief from tinnitus and hearing loss.

 YOGA FOR TINNITUS

The yoga asana effective for tinnitus are :-

. KARNA PIDASANA ( Ear Pressure Pose ) .

. TADASANA ( Mountain pose ).

. GOMUKHASANA ( Cow face pose).
. UTTANPADASANA ( Leg raise pose).
. MATSYASANA (Fish pose).
. PADANGUSTHASANA ( Big toe to hand pose).
. PAVANMUKTASANA (Wind relieving pose).

WHOLESOME DIETS AND HABITS IN TINNITUS:   

1.  Rest
2. Snehana - oleation ( application of oil to the scalp)
3. Ghrita pana - intake of ghee along with food
4. Ksheera paka - medicated milk
5. Kavala and Gandoosha - (oil pulling and retention of ol in the oral cavity).

UNWHOLESOME DIET AND HABITS
       1. Heavy exercise
       2. Cold water head bath

       3. Prolonged speech
       4. Vatic food and habits
       5. Night awakening