A Randomized Open Labelled Comparative Clinical Study toEvaluate the Efficacy of Madhukadi Tail Karnapoorna and Apamargkshar TailKarnapoorna along with Goghrita orally in the Management of Karnanada(Tinnitus)

As epidemiological studies have shown, tinnitus is a common problem for millions of people reports its prevalence to be between 8 and 25.3% of the United States population. Similar findings were made by population studies conducted in other countries prevalence of tinnitus ranging from 4.6% to 30%. This disorder in India is with a prevalence of more than 7% of the Indian population. It is serious, it affects the quality of life of about 1-3% of the world. Tinnitus affects 10 to 15% of adults’ general population. About 20% of the tinnitus population requires serious clinical. Tinnitus Awareness Week was between 5 and 11 February 2024. Aim of this campaign was to educate and raise awareness of tinnitus, provide support to those affected and promote research into effective treatment. The treatments available for tinnitus are varied. The ultimate proof for clinical efficacy is available for cognitive- behavioral therapies. Further established treatment includes counseling and various forms of sound therapy along with methods that attempt to increase input to the auditory system such as hearing aids and masking Tinnitus, sedation and tranquilizers. Despite its prevalence and impact on quality of life there are no evidence- based guidelines for the treatment of tinnitus to date, and therefore presents a challenge to find such drugs or therapies in alternative systems of medicine. Ayurveda has a systematic line of treatment under the management of Karnanada. Line from 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, Akathana. Karna is one of the Adhisthana Vata Dosha. In Ayurveda, vata is the main one dosha involved in Karnad disease. Treatment should be directed at Vatashaman and Rasayan Karnapooran which is an important therapy in karnarogas. It has a unique the quality is easily absorbed by the pores in the skin and acts on the supply their nutrition for the nerves. Therefore, in this study, Karanpoorna with Madhukadi tail and Apamargkshar Tail possessing vatahara property is selected for the study. Administration of Goghrita orally pacifies Vata and improves the strength of the nerves, it has Rasayana, Balya and Vatahara properties which can prevent age related degenerative changes in the internal ear. Hence it is proposed to undertake this study entitled “A Randomized Open Labelled Comparative Clinical Study to Evaluate the Efficacy of Madhukadi Tail

Karnapoorna and Apamargkshar Tail Karnapoorna along with Goghrita orally in the

management of Karnanada (Tinnitus)”.