A 18 year old male patient came with the complaints of Pain in Ear on & off since 5-6 year Tonsillitis on & off Sore throat on & off Known case of DNS Consulted many ENT Experts but not get satisfactory results He also underwent surgical removal of wisdom tooth last year Weight 55 kg Hight 162cm Prakriti Vata Pittaja Kostha Krura Agni Teevra Nindra Samanya Mano Vaha Sthiti Anxious, he wants to be a singer Mala Mutra Pravratti Samanya (Vibandha on & off) I have advised for Lakshmi Vilas Rasa (Naradiya) 2 tab BD Septilin 1 tab BD Bilwa Tailam for Karna Poorana Sitopaladi Churna + Vacha Churna + Madhu for Lehana Amritarishta 20 ml BD with equal quantity of water Explained about Pathya-Apathya and Nidana Parivarjana, which is most important to avoid reoccurrence Please share your clinical experience with such case, and give your input on this management

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@Dr. Hemant Adhikari Sir, As per the relevant history and X ray plate of PNS, it is a case of Deviated Nasal Septum. But the patient is currently came with complaints of Earache with a long history. You have prescribed a good number of medications to combat the situation. Best of Luck. You may add 1. Karna Dhupana along with this. 2. Sarivadi Vati in proper dose 3. Valiya Rasnadi Kashayam 20ml BD in empty stomach with half glass Luke warm water to relieve from the pain. 4. Anu Taila Nasyam for DNS 5. Refer to a good ENT specialist from Ayurveda Section or Allopath section.

DNS is Shastra Sadhya? Thats why I left it
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Tab.Sarivadi bati 2bd Lakshamivilsh ras 1bd Tribhuvankirti ras 1bd Sutsekhar 1bd Tab.Shitopaladi 1bd with warm water n apply Karnbindu tail both ears bd .

Thank you Doctor
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Beautifully explained & nice management Agreed with Ur Line of treatment if possible than add Swamla & advice regular gargle.. @Dr. Hemant Adhikari sir

Thank you doctor
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Would like to suggest nasya F/B dhoompan,as all complaints are urdhwajatrugat. Prefer Snehik nasya i/v/o pain(vaat) Also as you said,pt wants to persue his carrer in singing, enquire abt headphones usage for longer duration

Thank you doctor
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Dear Dr. Hemant Adhikari Sir, I would like to add swedankarma after karnapurna. I agree with your line of treatment.

Thank you doctor
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Sir I am agree with Your line of Treatment. I would like to add sarivadi Vati.

Thank you doctor
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Sir you have prescribed good medication but sir also advice for pranayam and sarivadi vati can also be given according patient condition.

He regularly do Meditation
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@Dr. Hemant Adhikari Sir, Agree with your line of treatment, u can also go with - 1. Virechan - Koshta shodhan 2. Swedan F/o by Anu tail Nasya 3. Haridra + Triphala kwath - Gandush 4. Saptamrit loha + Sarivadi Vati 5. Septilin Syp. Rest F/o pathya apathya Practicing 1st two strictly will ensure u early results.

Thank you doctor
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Your line of treatment is in accordance with pt complaints, even you can add Saribadi vati along with triphala gargle. Before that pls Check if any raise in Esinophils and treat accordingly to stop the recurrence.

Sure.... Thanks for the input
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