Effectiveness of Classical Ayurvedic Protocol of Poothikarna Along With Nirgundyadi Thaila Karnapoorana in Otomycosis

RATIONALE  Otomycosis also known asfungal otitis externa has typically been described as fungal infection of theexternal auditory canal. The prevalence of otomycosis has been reported to beas low as 9% in cases of otitis externa and as high as 30.4% in patients presentingwith symptoms of otitis or inflammatory conditions of the ear. Moreover itusually occurs most frequently in adults, and less in children. The most commonfungal agents causing otomycosis are Aspergillusniger (80% of case) and Candidaalbicans second common. Several factors have been reported predisposingotomycosis which include; bacterial infections, use of hearing aid or a hearingprosthesis, self inflicted trauma, swimming in contaminated pools, broadspectrum antibiotic therapy, steroids and cytostatic medication, neoplasia andimmune disorders .

OBJECTIVE:-The objective of this study isto test the effectiveness of classical ayurvedic treatment protocol ofputikarna along with Nirgundyadithailakarnapoorana in otomycosis.

STUDY DESIGN: Preand post test study of 30 patients who are fulfilling the inclusion criteriawill be selected for the present clinical study.

Design of the study

After kayasodhana, for first fivedays ear mopping with aragwadadhikasaya, karnadhoopana with gugguluvarthi.Madhupramarjana and pratimarshanasya with anutailawill be done twice daily. On 6th day post fungal culture will be done. If the culture report is negative  from 7th day onwards karnapoorana with nirgundyadithaila asmentioned in classics will be done for a period of 7 days.

Aragwadadhikashaya and tablet willbe administered internally during the treatment course.

 Follow-up - Aftercompletion of the treatment the patients will be advised to report to SalakyaOPD once in a month for a period of three months to assess the sustained effectof treatment.

EXPECTEDCOST – 30000 to40000 INR

Statistical analysis will be done using paired t test