VAIRECHANIKA DHOOMA NASYA IN THE MANAGEMENT OF MANYSTAMBHA – A CASE STUDY

Dhooma Nasya is defined as the inhalation of medicated fumes through the nasal route and exhalation through the oral pathway. Vairechanika Dhooma Nasya is one of the three types of Dhooma Nasya used to eliminate Dosha from Jatru Urdwa Pradesha. Manyasthamba is one among the Vataja Nanatmaja Vyadhi in which Vata Dosha gets vitiated and lodges in Manya, causing Stambha (stiffness) and Ruja ( pain) of the neck. The vitiated Vata is lodged in Kaphasthana and thus involves Kapha Dosha in the pathophysiology of the disease. In Ayurveda, there are various treatment modalities; among them, Nasya has been given much importance in Urdhwajatrugata Vyadhis. Vairechanika Dhooma Nasya is a type of Nasya Karma indicated in the management of Manyastambha as it relieves Kapha Avrutha Vata Dosha. A 24-year-old male patient had pain and stiffness in the neck region, and on examination, there was a decreased range of cervical movement. The patient was treated with Vairechanika Dhooma Nasya for seven days with Vairechanika Dhooma Varti in the dose of three puffs in each nostril, thrice a day. After a follow-up period of 14 days, there was a marked improvement in pain and range of movement.