Karna Paligata Rogas by Harshita Hyati

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कर्ण पालीगत व्याधि

HARSHITA HYATI
FINAL YEAR BAMS
DGMAMC GADAG
Contents

 Introduction
 Number according to Sushruta and vagbhata
 Types according to acharya Sushruta and vagbhata
 sadhyasadhyata
 Bahya karna rogas in detail with modern correlation
 Treatment
Introduction

 Karna paali (karna lathika)– ear lobe


 Karna peetam(putikopari pradesha)–seat of auricle
 Karna putrika– ear auricle/pinna
 Karna shashkuli–exrernal auditory meatus

Karna paligata roga refrence


A.Sa.Ut 17th and 21st chapter
Su.sa.chi 25th chapter
NUMBER OF KARNAPALIGATA
ROGAS

Acc to acharya vagbhata


10 bahya karna rogas 7 karna paligata
3 karna shashkuligata
Acc . Acharya Sushruta
5 karnapaligata rogas which are among 10 mentioned by acharya
vagbhata
CLASSIFICATION

संख्या संप्राप्ति
कू चिकर्ण, पिप्पली, विदारिका,पाळीशोष,तंत्रिका,
परीपोटो,उत्पातो,उन्मन्थ, दुःख वर्धन,लिह्याख्या:।
इंदु, अ सं उ २१/१५३

परिपोटस्तथोत्पात उन्मन्थो दुःखवर्धनः ||३||
पञ्चमः परिलेही च कर्णपाल्यां गदाः स्मृताः |
सु चि २५/३
Acc. To acharya vagbhata. Acc acharya sushruta
1. Kuchikarna 1. Paripota
2. Pippali 2. Utpata
3. Unmantha
3. Vidarika 4. Dukhavardhana
4. Palishosha 5. Parileha
5. Tantrika
6. Paripota
7. Utpata
8. Unmantha
9. Dukhavardhana
10. Lehika
SADHYASADHYATA

 पिप्पाली सर्वजं शूलं विदारी कू चिकर्णक:।


एशामसद्या: यापैका तन्त्रिका अन्यास्तु साध्येत।। va.ut.17/ 25
Asadhya- pippali,tridoshajashoola,vidarika,kuchikarna
Yapya-tantrika
Sadhya-remaining
KUCHIKARNA

 गर्भे अनिलात्संकु चिता शष्कु ली कू चिकर्णक:। Va.ut.17/16


Due to the vata prakopa in garbhaavasta karna shashkuli
contracts and the condition calld as kuchikarna
Dosha-vata
Sadhyasadhyata-asadhya
Modern correlation-
PIPPALI

 एको निरुगनेको वा गर्भे मासांकरः स्थिरः।। Va ut 17/16


One or more pain less immobile and sprouty muscular Structures
grows during intra uterine life resembling pippali Develop on
karna shashkuli (pinna) and such condition called as karna
pippali
 Asadhya
Modern correlation-
PALISHOSHA

 सिरास्थ: कु रूते वायु: पालिशोषम तदाह्वयत्। वा.उ.17/19


Vitiatiated vata when occupies siras causes drying and emaciation
of karnapali and this condition called as ka rona shosha
 Sadhya vyadhi
 Dosha- vata dosha
 Treatment vag.ut.18/38-41
1. Similar to the treatment of vataja karnashoola
2. Udvartana with Powders of tila,priyalabeeja, yashtimadhu
Ashwagandha,yava
3. Abhyanga with brumhana snehas like shatavariashvagandha
taila,jeevantii,jeevaka, eranda etc followed by
swedana,lepa,nasya and shastra karma
TANTRIKA

 कु शा दृढा च तंत्रीवत पली वातेन तंत्रिका। Vag ut 17/19


Vata dushti causing the transformation of ear pinna/lobe into
wirelike, hard strong emaciated structure and this condition
known as tantrika.
Probably next stage of palishosha
 Dosha-vata
 yapya
 Treatment vag.ut.22/89
1. Same as Treatenent Measures mentioned in palishosha
PARIPOTA

• Dosha-vata
• Sadhya vyadhi

When karna vedana is delayed for longer period of time considering tender
karnapali then punchured suddenly causing black and। Reddish swelling
with pain and induration.
Treatment
1. Vatahara chikitsa
2. Abhyanga and mardana with brumhana snehas
3. Shothahara ,shoopahara chikitsa
UTAPTA

उत्पात: पित्ताशोणितात ।
गुर्वाभरण भाराध्ये: श्यावो रुक दाहा पाकवान
श्वयथु: स्फोटपिटिका रागोषाक्ले दसंयुत।। Vag.ut.17/21
Inflammatory condition of lobe caused be wearing heavy ear ornaments
to ear lobe causing clinical features like pain, burning,blister
formation,blakiish discolouration, suppurative oedema with discharge.
 Dosha-pitta dosha-raktadushti
 Sadhya vyadhi
 Treatment
1. Rakta mokshana using jalouka
2. Cool applications at site.
3. Application of medicated pastes,oil,ghee, made of pitta hara
dravyas
4. Abhyanga with jambwaditaila
5. Anti inflammatory and wound healing therapy should be given
LEHIKA

:
• Dosha- kapha and
rakta
• Sadhya vyadhi.

Vitiatiated kapha and rakta doshasand krimi causes inflammation of lobe


causing itching, exudation, pulsating pain if not treated in time results in
destruction of lobe
Tretement:
1. Swedana with cow dung lump
2. Leepa prepared of vidanga macirated with sheep’s urine
3. Abhyanga with sarshapa taila processed with vidanga , maricha ,madanaphala
and nimbapatra taila.
UNMANTHA

• Dosha-
vatakaphaja
• Sadhya vyadhi

Vitiated kapha and vata produces painless ,immmobile,same coloured,odema on karna pali with
itching sensation is known as unmantha.
Treatment:
1. Nasya teekshana nasya with katphala churna.
2. Abhyanga with kapha vata hara dravyas
3. Lepa-tila,sarshapa,lodhra, haridra and daruharidra.
DUKHAVARDHANA

• Dosha-tridosha
• Sadhya vyadhi

Tridosha vitiated due to improper karna vedana and improper widening of the hole causing pain,
burning,odema,itching sensation and discharge.This condition called as dukha vardana.
Treatment:
1. Laksha vidangadi taila abhyanga
2. Vrana chikitsa
VIDARIKA
 Incurable congenital as well as aquired disease of auricle caused by
vitiatiated tridoshas characterized by painful static skin coloured
swelling seen on karna shashkuli it suppurates and discharge fluid
resembling musterd oil.its healing is delayed but when it heals karna
shashkuli become constricted and deformed and condition called
vidarika.
 Asadhya vyadhi.
 Treatment:
Karna vidhradi treatment can be adapted.

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