Ayurvedic Management of Epistaxis with Avapeedaka Nasya

Abstract

Raktapitta is described as a bleeding disorder in which blood aggravated by Pitta is expelled through various bodily orifices. The condition can become life-threatening depending on the volume and frequency of blood loss. Acharya Charaka has included Raktapitta among the Ashta Mahagadas. Nasagata Raktapitta, a subtype of Urdhvaga Raktapitta involving bleeding from the upper pathways, can be clinically correlated with epistaxis. Although commonly encountered across all age groups, it can occasionally manifest as an emergency. Classical Ayurvedic texts recommend therapies such as Avapeedana Nasya, Parisechana, and Ghritapana for its management. This article reports the case of a 52-year-old woman who presented to the Panchakarma outpatient department with recurrent episodes of nasal bleeding for five days. She was diagnosed with Nasagata Raktapitta. As an emergency intervention, Avapeedana Nasya using Vipareetha Lajjalu Swarasa was administered, along with oral Pravala Bhasma capsules and Drakshadi Kashaya. Ayurveda provides a safe, gentle, and non-invasive approach to the management of epistaxis. By correcting the underlying Pitta–Rakta imbalance, it not only controls acute bleeding but also helps prevent recurrence. The use of natural haemostatic formulations effectively arrests bleeding without adverse effects. These therapies are well tolerated, cost-effective, and easily accessible, making them particularly suitable for patients in resource-constrained settings.