Ayurvedic Management of Chronic Vataj Pratishyaya (Allergic Rhinitis) Using a Combined Regimen of Nidigdhika Avaleha and Shadbindu Taila Nasya: A Case Study

Abstract

Background: Allergic Rhinitis (AR) is a pervasive global disorder of the upper respiratory tract, characterized by IgE-mediated hypersensitivity reactions. In Ayurveda, this condition aligns symptomatically and pathogenically with Vataj Pratishyaya, involving the vitiation of Vata and Kapha and localization of pathology in the Pranavaha Srotas (respiratory channels). Chronic forms of the disease necessitate a comprehensive, multimodal approach that targets both localized nasal symptoms and systemic root causes, such as compromised digestive fire (Agni) and toxin accumulation (Ama). [i],[ii]

Case Presentation: A 22-year-old female patient presented with chronic Vataj Pratishyaya, manifesting as severe sneezing, rhinorrhoea, nasal congestion, and nasal itching persisting for 2–3 years. Initial clinical assessment yielded a Total Nasal Symptom Score (TNSS) of 11 out of 12. Objective laboratory markers indicated an inflammatory and allergic state, with an Absolute Eosinophil Count (AEC) of 1.08×103/μL and an Erythrocyte Sedimentation Rate (ESR) of 32 mm/Hr.   

Intervention: The subject was enrolled in a 30-day single-arm exploratory study. The patient received a combined therapeutic regimen consisting of Nidigdhika Avaleha (6g, orally, twice daily) and Shadbindu Taila Nasya (2 drops bilaterally, twice daily).   

Results: The intervention resulted in significant clinical remission. The subjective Total Nasal Symptom Score (TNSS) decreased substantially, moving from a baseline of 11 to a post-treatment score of 4, reflecting 63.6% symptomatic relief. Concurrently, objective anti-allergic and anti-inflammatory effects were recorded: the Absolute Eosinophil Count (AEC) decreased by 16.67% (from 1.08×103/μL to 0.90×103/μL), and the Erythrocyte Sedimentation Rate (ESR) decreased by 21.87% (from 32 mm/Hr to 25 mm/Hr).   

Conclusion: The synergistic application of systemic Nidigdhika Avaleha and local Shadbindu Taila Nasya provides a highly effective therapeutic approach for chronic Vataj Pratishyaya. The regimen not only alleviates cardinal symptoms but also demonstrably modulates underlying allergic inflammation, confirming its potential for holistic management.