Peenasa is the Ayurvedic term for sinusitis, characterized by inflammation of the nasal sinuses, often accompanied by mucus accumulation, headache, and congestion.

In Ayurveda, sinusitis (Peenasa) occurs due to an imbalance of Kapha and Vata doshas. The vitiation leads to blockage of nasal passages, accumulation of mucus, and inflammation in the sinus cavities..Swelling of the sinuses leading to mucus buildup and difficulty in breathing

• Excessive consumption of cold, heavy, or oily foods (e.g., dairy products, sweets).
• Kapha-aggravating foods, such as fried foods, refined sugars, and cold beverages.

• Exposure to cold climates without proper protection.
• Suppression of natural urges, such as sneezing or crying.
• Prolonged exposure to dust, smoke, and allergens.
• Improper sleep routines and stress.

Vitiation of Kapha and Vata doshas leads to the obstruction of channels (Srotas) in the head region, causing inflammation and mucus build-up in the sinus cavities.

                                    Peenasa (Sinusitis)
                                    /            |             \
                               Vata Type     Kapha Type     Sannipata Type
                              /                   |                   \
              Dryness, Pain    |     Mucus, Congestion  |    Combined Symptoms
        Difficulty Breathing   |    Heaviness in Head   |     Severe Blockage
                               |                       | 
                          Prodromal Symptoms: Mild Congestion, Headache, Fatigue

 

                                    Peenasa (Sinusitis)
                                    /            |             \
                               Vata Type     Kapha Type     Sannipata Type
                              /                   |                   \
              Dryness, Pain    |     Mucus, Congestion  |    Combined Symptoms
        Difficulty Breathing   |    Heaviness in Head   |     Severe Blockage
                               |                       | 
                          Prodromal Symptoms: Mild Congestion, Headache, Fatigue
                            |
                    Treatment Approaches:
            Herbal Remedies | Nasya | Panch

• Mild headache or heaviness in the head.
• Sensation of a runny or blocked nose.
• General fatigue or tiredness.
• Itchy or watery eyes.

• Pain and tenderness in the sinus area
• nasal discharge
• mucus production

• Congestion and difficulty breathing through the nose.
• Pressure and pain around the eyes, forehead, and nose.
• Post-nasal drip (mucus dripping down the back of the throat).
• Headache or heaviness in the head.
• Loss of smell or taste.

• Vataja Peenasa: Dry and painful, with difficulty breathing.
• Kaphaja Peenasa: Mucus accumulation, heaviness, and congestion.
• Sannipataja Peenasa: A combination of both, with severe symptoms.

• Chronic sinus infections.
• Loss of smell and taste.
• Nasal polyps.
• DNS
• Facial pain or pressure

Sadhya (Curable): With proper treatment, especially in the early stages.

Herbal Remedies:

• Trikatu (ginger, long pepper, black pepper): Helps to balance Kapha.
• Tulsi (Holy Basil): Helps to clear respiratory channels.
• Haridra (Turmeric): Anti-inflammatory and helps reduce sinus swelling.
• Pippali (Long Pepper): Promotes digestion and reduces Ama.

Panchakarma (Detoxification Procedures):

• Vamana (Emesis Therapy): To expel excess Kapha from the body.
• Nasal Cleansing (Neti): Use of saline or medicated water for nasal irrigation.

Mudra:

• Prana Mudra: To balance Vata and Kapha doshas.

Yoga and Pranayama:

• Bhramari Pranayama: Helps to relieve sinus pressure and reduce headaches.
• Jala Neti: Nasal cleansing to clear blockages.
• Kapalabhati: Helps to expel mucus and toxins.

Acupressure Points:

• LI20 (Large Intestine 20): Located on either side of the nostrils to relieve nasal congestion.
• BL2 (Bladder 2): Above the inner corner of the eyes, for sinus relief.

• Vamana
  • Ingredients:
    • Yashti madhu
  • Dosage: 4lit
  • Duration: 1
  • Instructions:
• Nasya
  • Ingredients:
    • Panchagavya Nasal Drops ( 4 drops in each nostril)
    • Shad-Bindu Tail ( 1 drop in each nostril)
  • Dosage: Panchagavya 4 & shadbindu 1 drop in each nostril
  • Duration: 14 days
  • Instructions:

• Warm, light, and easy-to-digest foods, like soups and steamed vegetables.
• Spices like ginger, cumin, and black pepper to boost digestion and clear Kapha.
• Honey mixed with warm water to reduce Kapha.

• Cold, heavy, or greasy foods, especially dairy.
• Cold drinks or refrigerated items.
• Sweets and sugar-heavy foods.

Sinusitis is an inflammation of the sinuses, typically caused by infections, allergies, or structural issues such as a deviated septum. Symptoms include congestion, facial pain, and post-nasal drip.

A. Modern Investigations:

• Nasal endoscopy.
• CT scan of the sinuses.
• Allergy tests.
• X-rays of the sinuses.

B. Ayurvedic Investigations:

• Nadi Pariksha (Pulse Diagnosis): To assess doshic imbalance.
• Jihva Pariksha (Tongue Examination): To assess Ama and dosha involvement.
• Shabda Pariksha (Voice Examination): To evaluate respiratory blockages.