Sinusitis is a condition which causes dull to throbbing pain and pressure in your head and face. This is caused by inflammation of the sinuses (small air chambers in the facial bones behind the eyebrows,cheeks and jaws).

The sinuses are air-filled spaces in the skull. They are located behind the forehead, nasal bones, cheeks, and eyes. Healthy sinuses contain no bacteria or other germs. Most of the time, mucus is able to drain out and air is able to flow through the sinuses.

When the sinus openings become blocked or too much mucus builds up, bacteria and other germs can grow more easily.

Sinusitis can occur from one of these conditions:

• Small hairs (cilia) in the sinuses fail to properly move mucus out. This may be due to some medical conditions.
• Colds and allergies may cause too much mucus to be made or block the opening of the sinuses.
• A deviated nasal septum, nasal bone spur, or nasal polyps may block the opening of the sinuses.


The symptoms of acute sinusitis in adults usually follow a cold that does not get better or gets worse after 5 – 7 days.

Symptoms include:

• Bad breath or loss of smell
• Cough, often worse at night
• Fatigue and general feeling of being ill
• Fever
• Headache — pressure-like pain, pain behind the eyes, toothache, or tenderness of the face
• Nasal stuffiness and discharge
• Sore throat and postnasal drip
Symptoms of chronic sinusitis are the same as those of acute sinusitis, but tend to be milder and last longer than 12 weeks.
Symptoms of sinusitis in children include:
• Cold or respiratory illness that has been getting better and then begins to get worse
• High fever, along with a darkened nasal discharge, that lasts for at least 3 days
• Nasal discharge, with or without a cough, that has been present for more than 10 days and is not improving.


General line of treatment: AYURVEDA
External treatment –
Lepa – Application of medicinal pastes
Seka – Stream pouring of medicated liquids
Upanaha – Poultices
Kavala / Gandusha – Gargles

Internal treatment –

Nasya therapy: Nasya means nasal instillation of medicaments. It is the best treatment for all types of headaches including Sinusitis.


It is done in 3 stages –


Purvakarma (Pre-treatment procedures):
Preparation of the patient and counseling.
Deepana (Appetizers, medicines for metabolic correction) and Pachana (medicines which digest ama – intermediate products of digestion, endotoxins) medicines are given before the treatment.
Immediate Purvakarma – Massage to the face and neck (abhyanga) is given with medicated oils like Ksheerabala Tailam etc followed by facial steaming (swedana)


Pradhana Karma (main procedure) –
Nasal drops are instilled with medicated oils like Anutailam, Shadbindu Tailam etc in seated or lying down position. The patient is instructed not to swallow the medication and spit it in a spit-bowl.


aschat Karma (Post-treatment procedure) –
Patient is kept under observation for an hour or so Patient is given a salt water gargle Patient is discharged with instructions regarding diet, lifestyle, and medicines to be taken etc




The above said procedure is followed when the treatment is done with patient as out-patient. In-patients are not discharged.The treatment is carried on for 7-10 days depending on the nature and intensity of the disease Purvakarma may not be required when the medicament is a herbal powder or juice or processed milk


Virechana – Therapeutic purgation
Vamana – Therapeutic Emesis
Internal Medicatons: Ayurvedic Herbal medicines.

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