INTRODUCTION
To maintain the health of healthy person by preventing him 
from illness is the main goal of Swasthavritta
            

stIn 21  century there is a dramatic change in the life style, 
habits and environment of the mankind. In ancient days man 
led a happy and healthy life, but as the life style and 
environment changed, man started facing all types of 
diseases which made him w eak and unable to carry out his 
routine life style. It reduces the immunity and makes them 
prone to many diseases. For prevention of disease and to 
maintain the health, there are some principles which are given 
in old classical texts 'Dincharya Upakram'.  Dantadhavan, 
Nasya, and Anjan are some of the upakramas described in 
Dincharya for cleanliness of sensory organs. Nasya means 
medication into nostrils to eliminate morbid doshas of the 
urdhavajatrugata region. All the ancient Acharyas have given 
tremendous importance to nasyakarma in the treatment of 
various Nasagata and Shirorogas diseases.
         
This nasyakarma is not only used   for the   purication   but 
also for the curative purpose. According to Ayurveda 'Nasa' is 
the gate way of 'Shira'. It has been observed that patients 
suffering from Allergic Rhinitis have a symptomatic relief, but 
face repeated episodes not getting a total relief. Nasyakarma 
is one of the important procedures of Panchkarma (Shodhana 
and shaman) and it is very useful in the management of 
Urdhavajatrugata rogas Pratimarsha nasya is used for daily 
regime for maintain Nasa swasthya. 

Allergic Rhinitis-
Allergic rhinitis ,whether seasonal or perennial is 
characterized by sneezing, rhinorrheoa, obstruction of nasal 
passages, conjuctival and pharyngeal itching and 
lacrimation. Allergic rhinitis is caused by deposition of 
allergens (often pollen)    

AETIOLOGY
(1) Age: Usually it affects young adults from the age of 15 
Years  onwards, and tends to recede after the age of 40 to 50 
years. It may affect young children also. 

(2) Sex: Both sexes are affected.

(3) Predisposing Factors 
(i) Heredity: It may run in families. If both parents are 

allergic, there is a high incidence of the disease occurring 
in children. 

(ii) Climate: Change in humidity, and atmospheric pollution 
may make the nose more susceptible to allergy.

(iv) Emotional: Psychological factors, may affect the nose. 
This factor is more likely in cases of vasomotor rhinitis. 

(4)  Precipitating Factors (Allergens) 
 The allergens are exogenous or endogenous: 

(a)  EXOGENOUS (External agents)
(i)  Inhalants (The commonest allergens:) Dust, pollens, 

animal odour, feathers, moulds, house dust and mites.
(ii) Ingestants: Foods like eggs, sh, milk, citrus fruits and 

cocoa. 
(iii) Contactants like cosmetics and powders. 
(iv) Irritants like fumes and smoke. 
(v) Drugs: Aspirin, hypotensive drugs, iodides. 
(vi) Infection: Bacteria and products of inammation may 

cause allergy, or they may be secondary invaders. 

(b) ENDOGENOUS (Within the body)
Intestinal helminthes, tissue proteins in transudates and 
exudates.

MECHANISM
(1) Reaginic antibodies are formed in the body due to the 

sensitization caused by the allergens. 
(2) Allergens and the antibodies react in the body.
(3) Histamine or histamine – like substances are released.
(4) Allergic reaction develops. 

 PATHOLOGY
(1) Inltration with eosinophils and plasma cells occurs. 
(2) Edema develops due to transudation of tissue uids as the  

capillary endothelium is damaged, and the intercellular 
cement loosens. 

(3) Rhinorrhoea: There is increase in mucosal secretions 
which may contain eosinophils.

(4) Congestion due to the dilatation of blood vessels occurs 
with venous stasis and purplish discoloration.

(5)  Infection may be superadded, and may result in purulent 
discharge. 

(6) Polyps may form.
(7) Paranasal sinuses may also be involved in a similar 

manner. Pseudo-cysts may due to distension of 
intracellular spaces in the submucosa. They may ll up 
the entire sinus (cystic polypus)

CLINCAL TYPES
The allergy can be of 2 types:
(1) Seasonal: Hay fever due to pollen grains occurs at the 

time of pollination.
(2) Perennial: affects the patient throughout the year. 

 PRATIMARSHA NASYA AS PREVEVENTIVE MEASURE IN ALLERGIC  
RHINITIS 

Original Research Paper

Dr. Shweta R. Nakil
MD Swasthavrittha, Associate Professor, Dept of Swasthavruttha, LRP 
Ayurvedic Medical College, Islampur, Sangli. 

  X 103GJRA - GLOBAL JOURNAL FOR RESEARCH ANALYSIS

Ayurveda

Now a day's pollutant air is the big problem. And disease like allergic rhinitis, acute rhinitis, allergic 
asthmas, is seen very often.  Peoples 30 to 40%are having diseases are related with allergens. So for that 

prevention is also needed. Ayurved told panchkarma therapy for maintenance of health. As above problem concern with nasa 
swasthya one should undergo nasya .But for better result one should adopt  pratimarshya  nasya as upakrama in our daily 
schedule. Pratimarshya nasya plays important role in allergic condition like allergic rhinitis, so it helps to maintain nasa 
swasthya by preventing allergic disorders.

ABSTRACT

KEYWORDS : Pratimarsha Nasya, Allergic rhinitis, Nasa.

Dr. Rahul B. Nakil*
MD Swasthavrittha, Associate Professor, Dept of Swasthavruttha, LRP 
Ayurvedic Medical College, Islampur, Sangli. *Corresponding Author

VOLUME-8, ISSUE-12, DECEMBER-2019 • PRINT ISSN No. 2277 - 8160 • DOI : 10.36106/gjra



104 X GJRA - GLOBAL JOURNAL FOR RESEARCH ANALYSIS

SYMPTOMS
(1) Irritation in the nose is the initial symptom.
(2) Paroxysmal Sneezing of recurrent type is usually present, 

which exhausts the patient. In chronic cases, sneezing 
may be less.

(3)  Rhinorrhoea  is watery and copious. 
(4) Nasal Obstruction due to venous stasis is often present.
(5) Anosmia may be present intermittently or continuously. 
(6) Headache can be present. 

According to ayurved, Samprapti of allergic rhinitis is as 
below

(sneezing, rhinorrhoea,,pharyngeal ithing, obstruction of 
nasal passage)
 
Pratimarshya Nasya                           
Medicated oil putting in nostril it is used for shodhana and 
snehana. It is harmless hence called nirdosh.   
                 
Dose of pratimarsha nasya – 
Dose of pratimarsha nasya is 2 drops in each nostril.

Role of pratimarsha nasya in allergic rhinitis
Aacharya Sushrut describes fourteen pratimarshya nasya 
sevan kal. (time of administration of drug) According to that 
Pratimarsha nasya gives protection action against pollutants 
like dust, smoke pollen grains etc. so it can be benecial to 
nasal hygiene of   that individual who continuously travels in 
highly polluted area and having symptoms like sneezing, 
rhinorrhoea, block nose and etc.  So sevan kaal play an 
important role for action of pratimarsha nasya. 

By creating protective sheath over mucosal membrane of 
nose(Su. Chi.40/52)

Vayu prakop is main step in samprapti of  nasagat rogas. 
Hence vata dosha shaman is main role in samprapti bhang . 
 Tail having property like ushna virya and snigdha guna which 
may helped in reducing sneezing. It acts like lubricant in 
passage of nasal route hence reduces chances of irritation  
hence forth the sneezing.
   
Tail having property katu tikta rasa and ushna virya due to 
that helps in pacifying kapha dosha and therefore  rhinitis 
symptom reduced .Thus congestion is reduced. Hence  odema 
also  decreased.
  
Tail having property of snigdha gun  which might be  helped in 
reducing itching in nasal passage.

Sense of smelling is role of vatvah dhamanya at shrungatak 
marma due to snigdha guna and ushna virya shaman of vata 
dosha is done hence sense of smelling is improved.

CONCLUSION
Ÿ Pratimarsha nasya is very effective in treatment of allergic 

rhiniis.
Ÿ It reduces sneezing , rhinorrhoea itching, nasal 

obstruction and odema  in nasal passage.
Ÿ Pratimarshya nasya could be  effective management in air 

pollution  related nasal problem.
Ÿ Pratimarshya nasya is one of the procedure coming under 

Dinacharya. Every person should follow Nasya as 
Dinacharya Upakram to maintain their nasa swasthya 
(nasal health) and it  also helps in preventing 
urdhvajatrugat rogas.

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VOLUME-8, ISSUE-12, DECEMBER-2019 • PRINT ISSN No. 2277 - 8160 • DOI : 10.36106/gjra