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Pinasa – Which means, Signs, Remedy

By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S

Peenasa is without doubt one of the most essential nasal issues. It is usually known as as Apinasa. It both manifests independently or as a consequence / complication of one other nasal dysfunction – Pratishyaya which is commonly in comparison with rhinitis. In historical Ayurveda treatises each these situations are sometimes used synonymous to one another.

Some authors have even thought-about pinasa and apinasa as completely different illness situations. Peenasa is a situation which develops on the backdrop of / complication of pratishyaya. Apinasa is one other impartial situation which is analogous to Pinasa, develops attributable to Pinasa and has nearly comparable signs as these of Pratishyaya.
Learn – Allergic Rhinitis: Causes, Remedies, Ayurvedic treatment, Herbs

Thus we don’t get to see clear differentiation between these two situations described within the classics despite each phrases getting used. This additionally provides us an impression that these two situations are one and the identical however given with completely different names by completely different authors.

Based on Bhavaprakasha treatise each pinasa and apinasa are the identical situations.

Grasp Vagbhata’s rationalization of two situations pinasa and avinasa (as an alternative of apinasa) provides us a distinct clarification concerning these two situations. Avi means sheep, Nasa means nostril. Based on Vagbhata Avinasa is a situation wherein the one’s nostril will get stuffy and crammed with extra phlegm similar to the nostril of a sheep is crammed with phlegm at all times.
Learn – Atrophic Rhinitis: Ayurvedic Treatment, Home Remedies, Herbs, Medicines


Apinasa is a illness of the nostril brought on by mixed vitiation of vata and kapha. It’ll current with indicators and signs just like these of pratishyaya. Particular signs embody –

  • Anahyate – feeling of fullness within the nostril / feeling stuffy
  • Vidhupyate – really feel as if smoke is being eradicated from the nostril
  • Vipachyate – formation of pus within the nostril
  • Prajvalati iva – really feel as if the nostril is burning
  • Na vetti gandha rasascha – lack of notion of sensation of odor and style
  • Jantu jushtam – nostril bothered by worms
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Kapha will get elevated within the nostril and causes blockage within the channels (passages) of the nostril and causes a situation known as as apinasa / avinasa.

Signs embody –

  • Ghurghurakam Shwasam – added sounds whereas respiratory – as that of wheeze or crepitus
  • Pinasadhika Vedana – extra ache and discomfort compared to pinasa
  • Averiva sravati asya praklinna tena nasika – discharges happen from the nostril similar to from the nostril of the sheep and therefore the nasal cavity at all times retains moist
  • Ajasram pichchilam shitam pakvam singhanakam ghanam – nasal discharges that are thick, sticky, chilly, combined with pus and continuously getting discharged from the nostril (mucopurulent discharges)

Varieties, Phases of Peenasa

1. Ama Pinasa / Apakva Pinasa –

It’s the stage of the illness in an immature / unripe kind. The signs embody –

  • Shiro gurutva – heaviness of the top
  • Aruchi – tastelessness
  • Nasa srava – discharges from the nostril
  • Tanu swaraha – thinning of voice
  • Kshama – debility
  • Shtivanam cha abhikshnam – steady / repeated spitting

2. Pakva Peenasa –

It’s the stage of the illness in its mature / ripened kind. The signs embody –

Remedy of Pinasa / Apeenasa

  • Oleation
  • Sudation
  • Emesis
  • Purgation / laxative
  • Bhaktam tikshnam alpam laghu syat – meals much less in amount, gentle to digest and penetrative in property
  • Hot water
  • Dhumapanam cha kale – medicated smoking in correct time
  • Avapidana – type of nasal medicine wherein the medicines are pressed into the nostrils

Sanskrit Verses

Helpful formulations

1. Exterior therapies

Hingvadi Avapidana – the beneath talked about herbs needs to be floor and their juice pressed into the nostrils. Alternatively the powder of those substances needs to be given for snuffing –

  • Hingu – asafetida / Ferula narthex
  • Trikatu – Piper longum, Piper nigrum and Zingiber officinale
  • Punarnava – Boerhavia diffusa
  • Laksha – Laccifer lacca
  • Tulasi bija – seeds of Ocimum sanctum
  • Katphala – Myrica esculenta
  • Vacha – Acorus calamus
  • Kushta – Saussurea lappa
  • Shigru – Moringa oleifera

Kalingadi Avapidana – juice of the beneath talked about needs to be instilled into the nostrils of the affected person –

Madhuchishtadi Dhuma – Smoke coming from burning the beneath talked about substances needs to be inhaled –

  • Bee wax
  • Guggulu – Commiphora mukul

Shatahvadi Dhuma – the beneath talked about needs to be burnt collectively and the smoke inhaled –

  • Shatahva – Anethum sowa
  • Cinnamon
  • Bala mula – roots of Sida cordifolia
  • Shyonaka – Oroxylum indicum
  • Erandamula – roots of Ricinus calamus
  • Bilva – bark of Aegle marmelos
  • Aragvadha – resin of Cassia fistula
  • Vasa – muscle fats
  • Ghee
  • Bee wax

Yavanyadi Nasya – the beneath talked about herbs needs to be crushed, tied in a bolus, heated on the pan and the smoke coming from it needs to be inhaled –

  • Yavani – Trachyspermum ammi
  • Agnimantha – Premna integrifolia / Clerodendrum phlomidis
  • Vacha – Acorus calamus
  • Cumin
  • Kalajaji – Nigella sativa

Pathadi Taila Nasya – nasal drops needs to be instilled utilizing the oil ready with the beneath talked about substances –

  • Patha – Cissampelos pareira
  • Turmeric
  • Daruharidra – Berberis aristata
  • Pippali – Piper longum
  • Murva – Marsdenia tenacissima
  • Jasmine leaves

Shigru Taila Nasya – nasal drops needs to be instilled utilizing the oil ready with the beneath talked about substances –

2. Inner medicine

Maricha-Guda – In every kind of pinasa, black pepper and Jaggery needs to be consumed with curds.

Panchamuli Ksheera – Milk processed with Brihat Panchamula – 5 larger roots needs to be prescribed. The roots of the beneath talked about herbs shall be taken –

  • Bilva – Aegle marmelos
  • Agnimantha – Clerodendrum phlomidis
  • Shyonaka – Oroxylum indicum
  • Patala – Stereospermum suaveolens
  • Gambhari – Gmelina arborea

Chitraka-Haritaki siddha ksheera – Milk processed with Chitraka – Plumbago zeylanica and Haritaki – Terminalia chebula needs to be prescribed.

Vidanga Kwatha – decoction ready with Vidanga – Embelia ribes combined with ghee and jaggery needs to be served.

Godhuma – Preparations made by cooking collectively of wheat flour, ghee and jaggery is nice.

Vidanga Shashkuli – Massive spherical pancake ready with powder of Vidanga – Embelia ribes combined with wheat flour helps nearly as good treatment and eating regimen for sufferers of pinasa. Whereas on this eating regimen, the particular person ought to drink chilly water at bedtime.

Katphaladi Churna / Kashaya – Decoction or powder ready utilizing the beneath talked about herbs shall be prescribed –

  • Katphala – Myrica nagi
  • Pushkaramula – Inula racemosa
  • Trikatu – Piper longum, Piper nigrum and Zingiber officinale
  • Yavasa – Alhagi camelorum
  • Shatapushpa – Anethum sowa

Vyoshadi Vati – tablets needs to be used for sucking.

Tentative trendy comparability

There are numerous nasal ailments defined in trendy texts which resemble the reason of signs of Pinasa / Apinasa however the situation defined in Ayurveda may be very intently in comparison with ‘Atrophic Rhinitis’.

Click to Consult Dr Raghuram Y.S. MD (Ayu) 

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