RHINITIS VASOMOTOR

• A type of non allergic rhinitis caused by an increase in blood flow to the nasal mucosa
• Clinically simulating nasal allergy with symptoms of nasal obstruction, rhinorrhoea and sneezing. One or other of these symptoms may predominate
• All tests of nasal allergy will be negative and condition usually persist throughout the year

• Idiopathic
• Temperature changes – dry air, cold, changes in humidity
• Irritant odours – Perfumes, cigarette smoke
• Drugs – NSAID , Aspirin , beta blockers

Symptoms

• Paroxysmal sneezing - Bouts of sneezing start just after getting out of the bed in the morning
• Excessive rhinorrhoea - This accompanies sneezing or may be the only predominant symptom. It is profuse and watery and may wet several handkerchiefs. The nose may drip when patient leans forward
• Nasal obstruction- This alters side to side and it is more marked at night. Dependent side of nose gets blocked when lying on one side
• Postnasal drip

Signs

• Nasal mucosa over the turbinates is generally congested and Hypertrophic

Complication

• Nasal polyp , Hypertrophic rhinitis

• Clinical diagnosis
• Rhinoscopy
• Total and differential count

Medical

• Avoidance of physical factors which provoke symptoms
• Antihistaminics and oral nasal decongestants

Surgical

• Vidian neurectomy

Ayurvedic Treatment

• Advice to avoid seetha viharas

Internal Medicines

• Dashamoola katutrayam Kashaya
• Taleesadi Choorna
• Vyoshadi vataka
• Indukantha gritha
• Haridra khanda
• Laxmi vilasa rasa

Procedures

• Kabalam - Triphala kashaya +Trikatu choorna
• Dhoopana - Haridra varthi

Chronic Nature

• Nasya - Surasa swarasam + Saindava + honey
• Jaloukavacharana – over forehead
• Shirodhara - Surasadi taila