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Meniere’s disease is a disorder of internal ear, in which endolymphatic system is distended with endolymph. It is characterized by vertigo, sensory neural hearing loss, tinnitus and aural fullness. Bhrama, Karnaksweda, Karnanada, Karnabadhirya can be compared with Meniere’s disease symptomatically. However, it is not possible to compare Meniere’s diseases with any Ayurvedic disease. Here treatment protocol used was Dhanvayas Kwatha, Punarnavashtaka Kwatha, Eranda Bhrusta Haritaki internally with Ksheera Bala Taila Nasya and Asanbilwadi Taila Karnapoorana. After 3 months of treatment patient got relief from vertigo and tinnitus and mild hearing loss persist. Hence the single case report shows that Ayurvedic management of Meniere’s disease gives excellent result. Keyword: Asanbilwadi Taila Karnapoorana, Dhanvayas Kwatha, Ksheera Bala Taila Nasya, Punarnavasthaka Kwatha. INTERNATIONAL AYURVEDIC MEDICAL JOURNAL Bhoomi Mehta et al: Ayurvedic Management of Meniere’s Disease: A Case Report doi: 10.46607/iamj.0807322020 | IAMJ July 2020 | www.iamj.in 4016 INTRODUCTION Meniere’s disease, also called endolymphatic hydrops. It is a disorder of internal ear, in which endolymphatic system is distended with endolymph. It is characterized by vertigo, sensory neural hearing loss, tinnitus and aural fullness. The main pathology in Meniere’s disease is distention of endolymphatic system due to increased volume of endolymph. This can be result either from increased production of endolymph or faulty absorption of endolymph or both. The exact cause of Meniere’s disease is not yet known. Potential etiological or precipitating conditions include genetic variations, infection, vascular risk factors, diet, allergy, autonomic, endocrine and autoimmune factors. In this disease, symptoms occur at irregular and unpredictable intervals. Vertigo comes in attacks; with sudden onset and patient have feeling of rotation of himself or his environment. Hearing loss usually accompanies vertigo and it improves after attack and may be normal during the period of remission but after recurrent attacks some hearing loss is permanent. Tinnitus is low pitched type and is aggravated during acute attack. The annual incidence of Meniere’s disease is 5-7 / 10,000. Disease is common in middle age group. In the differential diagnosis of Meniere’s disease, vestibular migraine, vestibular paroxysmia and chronic subjective dizziness have to be considered. To exclude these Meniere’s like diseases full clinical examination of the head and neck region (including vestibular examination), liminal and speech audiometry, tympanometry, multidetector computed tomography (CT scan) of the temporal bone, MRI of the posterior fossa (with intravenous injection of gadolinium), blood analysis (haematology, thyroid, biochemical and genetic testing). The posterior fossa MRI with intravenous administration of gadolinium is the most sensitive examination to exclude cerebellopontine angle and inner ear pathology (in the absence of any contraindications to MRI). Treatment in the modern science for this is disease is conservative management only and generally is treated with counseling for dietary restrictions, drug therapy and surgical interventions to prevent recurrence of vertigo. Hearing loss is treated by hearing aids, boneconduction implants for unilateral deafness and cochlear implantation in cases of bilateral profound hearing loss. According to Ayurvedic text Bhrama, Karnaskweda, Karnanada, Karnabadhirya can be compared with Meniere’s disease symptomatically. However, it is not possible to compare Meniere’s diseases with any Ayurvedic disease. Shrotrendriya is seat of Vayu and Akasha Mahabhuta. So, Vata Shamaka Dravya should be used. In Bhrama there is vitiation of Vata Pitta Dosha, So Vata Pitta Shamaka treatment should be given. There is an accumulation of endolymph in the membranous labyrinth, thus in the modern pharmacology diuretics are recommended and salt restriction is advised. Hence in the management of Meniere’s disease Shothaghna, Mutraladravya Prayoga if given therapeutically and if Vishyandakaraka, Kledajanaka Dravyas like Samudra Lavana are restricted, clinical improvement will be necessarily noticed.

AYURVEDIC MANAGEMENT OF MENIERE’S DISEASE: A CASE REPORT