A Randomized Comparative Clinical study to evaluate the effect of Nirgundyadi Tail karnapoorna and Hingvadi Tail karnapoorna along with Ashwagandha Ghrita Orally in Karnanada(Tinnitus)

Tinnitus is a common problem for millions of people, as epidemiological studies have reported its prevalence to be between 8 to 25.3% of the population of the United States.Similarly, population based studies conducted in other nations have found a similar prevalence of Tinnitus, ranging from 4.6% to 30%.Tinnitus is a common and debilitating disorder in India with a prevalence of more than 7% of the Indian population.It severely affects the quality of life of around 1-3% of the world.Tinnitus affects 10 to 15 % of adult general population. About 20 % of Tinnitus population requires serious clinical .The 7th – 13th of February 2022 brings us Tinnitus Awareness Week Recognized each year throughout the world in the first full week of February, the purpose of this week is to educate the public about the symptoms of tinnitus and how it affects people.The prevalence of tinnitus increases to 70-85% in the hearing-impaired population.

Available treatments for the management of Tinnitus are diverse. Highest evidence for clinical efficacy is available for cognitive-Behavioral therapies. Further established treatment includes counselling and various forms of sound therapy along with methods that attempt to increase input to the auditory system, such as hearing aids and masking of Tinnitus, Sedation and Tranquilizers.Despite its prevalence and effect on quality of life there is no evidence based guideline about management of Tinnitus till today and hence poses a challenge for finding such drugs or therapies in alternate systems of medicine.Ayurveda has a systematic line of treatment in the management of Karnanada. The Line of treatment in Ayurveda for four diseases viz. Karnashoola, Pranada, Karnashweda and Badhirya is similar. The General line of Treatment for Karnarogas is Ghritapana , Rasayana, Avyayama, Ashirasnana, Brahmacharya, AkathanaKarna is one of the Adhisthana of Vata Dosha..In Ayurveda since vata is the main dosha involved in karnanada disease. The treatment should be aimed at Vatashamana and Rasayana Karnapooran is an important therapy in karnarogas.It has unique quality of getting absorbed easily by the pores in the skin and there by act to supply the nutrition to nerves.Hence in present study, Karanpoorna with Nirgundyadi Tail and Hingvadi Tail possessing vatahara property is selected for the study. Ghrita is having“Sanskarasya  Anuvartanatva so Ashwagandha Ghrita is selected for internal administration having Rasayana,Balya and Vatahara properties which can prevent age related degenerative changes in the inner ear.Hence it is proposed to undertake this study entitled "A Randomized Comparative Clinical Study to Evaluate the Effect of Nirgundyadi Tail Karnapoorna and Hingvadi Tail Karnapoorna along with Ashwagandha Ghrita Orally in Karnanada(Tinnitus)"