Effect of Swarjikadi Taila Karnapoorana and Sarivadi Vati orally in management of Karnanada with special reference to Tinnitus a randomixed controlled clinical trial

NEED FOR THE STUDY

Tinnitus is defined as a phantom auditory perception

Studies have reported highly variable tinnitus prevalence ranging from 4 percent to 37 percent worldwide

Mild sedative antidepressants vasodilators carbamazepine vitamins with anti oxidants have been tried with varying results  it can be treated by treating comorbidities such as hearing impairment  depression insomnia and anxiety

Tinnitus Retraining Therapy Counselling Sound therapy Tinnitus masker are some of the non pharmacological treatments used

In TRT tinnitus habituation is created

With this therapy patients suffering from tinnitus lose awareness of tinnitus and also do not get annoyed even when they do have tinnitus

TRT needs a long period of 18 to 24 months

The long term effect of TRT is not well known and outcome evaluation can take up to 1 to 2 years

A number of options have been used to treat patients with tinnitus but outcomes have been limited So ayurvedic approach will provide a turning point in the management of tinnitus as no absolute cure is there for tinnitus

Disease Review

KARNANADA

Acharya Sushruta has explained twenty eight types of Karna Rogas and KaranaNada is one of them

Vitiated vata dosha either entering into other channels or encircled by kaphadi doshas in sabdavaha srotas produces different types of sounds in the ear like bheri mrudanga shankha etc is known as Karna Nada

 The clinical features of Karna Nada relates to Tinnitus in modern science

TINNITUS

Tinnitus is an auditory sensation within the ears or head in the absence of any relevant external stimulus to cause it

It may vary in pitch and loudness and has been variously described by the patient as roaring hissing swishing rustling or clicking type of noise

Tinnitus is more annoying in quiet surroundings particularly at night when the masking effect of ambient noise from the environment is lost

TYPES OF TINNITUS

Two types of tinnitus are described

1 Subjective which can only be heard by the patient

2 Objective which can even be heard by the examiner

AIM

Effect of Swarjikadi Taila Karnapoorana and Sarivadi vati orally in Management of Karna Nada with special reference to Tinnitus

OBJECTIVES

Primary To evaluate Effect of Swarjikadi Taila Karnapoorana and Sarivadi Vati orally in management of Karna Nada with special reference to Tinnitus

SECONDARYTo compare the effect of Swarjikadi Taila Karnapoorana and Sarivadi Vati with Apamarga Kshara Taila Karnapoorana and Sarivadi Vati in the management of Karna Nada with special reference to Tinnitus

RESEARCH QUESTION

Is Swarjikadi Taila Karnapoorana and Sarivadi Vati orally effective in the management of Karna Nada w.s.r to tinnitus when administered for period of 7 days

HYPOTHESIS

H0Swarjikadi Taila Karnapoorana and Sarivadi Vati orally is not comparable to Apamarga Kshara Taila Karnapoorana and Sarivadi Vati orally in the management of Karna Nada with special reference to tinnitus

H1  Swarjikadi Taila Karnapoorana and Sarivadi Vati orally is comparable to Apamarga Kshara Taila Karnapoorana and Sarivadi Vati orally in the management of Karna Nada with special reference to tinnitus

Expected Outcome

Swarjikadi Taila Karnapoorana and Sarivadi Vati orally if proved effective will help in reducing the symptoms of Karna Nada with special reference to Tinnitus