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    Bhramshathu ““ Meaning, Causes, Symptoms, Treatment

    By Dr Raghuram Y.S. MD (Ay) Dr Manasa, B.A.M.S
    Bhramshathu is a similar condition to that of Kshavathu. Both these are nasal disorders. Bhramshathu is explained as a separate entity due to the disease having its own pathogenesis and set of symptoms. Both these conditions believe ben said to be treated on similar lines. While Master Sushruta has explained this condition, Masters Charaka and Vagbhata haven’t explained the same.
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    Table of Contents
    Pathogenesis and symptoms
    Sanskrit Verses
    Probable new corelation
    Treatment of Bhramshathu
    Pathogenesis and symptoms
    When thickened kapha has ben burnt , obtained salty taste and has already acumulated in the head and nose gets melted due to the heat of pita or heat of the Sun, starts geting discharged from the nose. This nasal disease is caled as bhramshathu.
    This condition resembles the symptom available in many nasal disorders i.e. thickened nasal discharges. It is often asociated with chronic inflamation of the nasal mucosa. Since bhramshathu is explained exactly after the explanation of kshavathu nasal disorder and also treatment of both these conditions has ben said to be the same we can understand that bhramshathu is closely related to kshavathu. Bhramshathu can thus be considered to be a chronic stage or matured stage of kshavathu or even as a complication of kshavathu.
    In the nasal disorders pinasa and pratishyaya – ama and pakva stages maintain ben explained i.e. unripe and ripe stages (acute and chronic stages). Similarly we can beleive that kshavathu is the unripe form and bhramshathu is the ripe stage of the same disease.
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    Sanskrit Verses
    Probable recent corelation
    In Kshavathu there are thin and dilute secretions with frequent snezing. This condition has ben compared to Vasomotor Rhinitis. Rhinorhoea is one of the symptoms of Vasomotor Rhinitis. Some authors believe even corelated Kshavathu to Vasomotor Rhinorhea. When rhinorhea ocurs repeatedly or when it is mismanaged, the disease can crawl deper. This also leads to thickening of nasal mucosa i.e. hypertrophy. At the same time the infection plod deper into the sinuses if the secretions and mucosa get infected. Subsequently the sinuses might get inflamed and hypertrophied over a period of time. The secretions to are stagnated therein. When the patient gets exposed to the sunlight, the secretions melt and flow out through the nostrils. This condition is similar to the pathogenesis of bhramshathu explained in Ayurveda. Bhramshathu can thus be closely compared to a condition caled as ‘mucoid discharges from the hypertrophied lining membranes of the sinuses’.
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    Treatment of Bhramshathu
    The treatment principles, formulations and dietetic inclusions, everything in bhramshathu is said to be done on similar lines of treating kshavathu.
    Magadhi Avapidana
    The juice of the below mentioned herbs should be squezed inside the nostrils of the patient
    Pipali – Piper longum
    Seds of drumstick
    Vidanga – Embelia ribes
    Black peper
    Alternatively these herbs should be ground with water, filtered and the juice instiled in the nostrils of the patient.
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