Karnasrava is a disease mentioned by Acharya Sushruta in the chapter of Karnaroga Vigyaniya under twenty eight Karnarogas. It is the condition characterized by discharge from Karna and occurs mainly due to Avarana of Vata Dosha, Therefore karna Srava (CSOM) is the one of the most common complaint encountered in clinical practice of ENT. Every year 60–300 million individuals with draining ears, 50 -60% of whom (39–200 million) suffer from significant hearing impairment.On the basis of similarity between the etiological factors, symptoms, complications, prognosis, and treatment modalities tubotympanic type of CSOM can be correlated with Karna Srava . This disease can be correlated to chronic suppurative otitis media C.S.O.M. on the basis of sign and symptoms. CSOM is chronic infection of the middle ear and mastoid. It is characterised bya permanent perforation in Tympanic membrane. Any perforation which persist for more than 12 weeks is considered as permanent and leads to CSOM.and Perforation of Tympanic membrane seen in active mucosal COM can be compared with Yapya/Krichchha Sadhya, Twaka-Mamsa Gata, and Pitta-Kaphaja Dushta Vrana. The treatment of this particular disease has never been satisfactory and therefore, a number of treatments were advised to relive this condition. Thus the study is about understanding Karna srava in its depth which can be helpful in managing the disease.
Karna srava, CSOM, Tympanic membrane, Avarana
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