Single Blind Randomized Comparative Clinical
Study ofEfficacy of Ashwagandha Taila (Oil) Ear
dropand Bilva Taila (Oil) Ear drop in the Management
Gangaprasad A Waghmare*
K G Mittal Ayurved College, India
Submission: February 07, 2017; Published: February 28, 2017
*Corresponding author: Gangaprasad A Waghmare, K G Mittal Ayurved College, Charni road, Mumbai-02, Tel:+91 9096566633 ;Email:firstname.lastname@example.org
How to cite this article: Gangaprasad A W. Single Blind Randomized Comparative Clinical Study ofEfficacy of Ashwagandha Taila (Oil) Ear dropand Bilva
002 Taila (Oil) Ear drop in the Management of Presbycusis. Glob J Oto 2017; 4(2): 555632. DOI: 10.19080/GJO.2017.04.555632
With the aim to evaluate the efficacy of Ashwagandha Taila (Oil) Ear drop and Bilva Taila (Oil) Ear drop in the management of Presbycusis,
a Single blind randomized clinical study was done. For the clinical study of Presbycusis, 30 subjects was selected and studied. Subject’s fulfilling
thecriteria of diagnosis was studied irrespective of their religion, caste, sex and socio-economic status from shalakya-tantra (ENT) department
of the institute after thorough scrutiny and proper consentin his/her language.
The Subject’s having age between 55-75 yrs was selected for the clinical Study. Detail history of the patient were elicited, pathological
investigation including Hb, TLC, DLC, RBS and required radiological investigation were done in a diagnostic Centre. The examination of the Ear
Audiometry, Vestibular examination, Otoscopic examination is also carried out with the help of modern viewing techniques. After observation
and analytical study with the help of Wilcoxon sign rank test and Man-whiteny test it was concluded that in Presbycusis treatment with
AshwagandhaTaila (Oil) Ear drop shows more effective Result in relieving sign and symptoms than BilvaTaila(Oil)Ear drop.
Presbycusisis one among the many socio-medical
problems, which is considered as a disability in older people
. Presbycusis is being described as hearing impairment in
elderly people . Hearing impairment among elderly people
is a major issue and a person with hearing loss may be unable
to hear to respond, this scenario can make them feel frustrated,
lonely and depressed . Presbycusis is the third most common
chronic condition after arthritis and hypertension among elders.
According to WHO nearly 1.2 billion people will be over the age
of 60yr consequently the prevalence of age related auditory and
vestibular dysfunction will increase by 2025 .
Hearing loss can be improved by using the hearing aids,
but it may not be a perfect solution for all . In classics of
Ayurveda this ailment has been described as karnabaadhirya
under the heading of ear diseases [5,6]. Ear dropa (Instillation
of medicated Ayurvedic Oil into the external auditory canal) is one of the major treatments for ear diseases explained in
classics . Clinical observation has shown its effectiveness in
the management of presbyacusis .
In the Group A the Mean Vertigo was observe to be 1.533
before treatment that reduced to 1.633 after treatment (p value
>0.05), the Mean Tinnitus was observe to be 2.5 before treatment
that reduced to 0.6667 after treatment (p value <0.05), the
Mean Deafness was observe to be 2.325 before treatment that
reduced to 0.7000 after treatment (p value <0.05). In the Group
B the Mean Vertigo was observe to be 1.500 before treatment
that reduced to 1.400 after treatment (p value >0.05), the Mean
Tinnitus was observe to be 2..433 before treatment that reduced
to 1.234 after treatment (p value <0.05), the Mean Deafness was
observe to be 2.400 before treatment that reduced to 1.025 after
treatment (p value <0.05).
To examine either the groups differs from each other
significantly or not, further data are treated by Mann whiteny
U score test. For Vertigo the mean difference in value in group A
was 0.05647 while that in Group B was 0.1050(p value >0.05).
For Tinnitus the mean difference in value in group A was 1.633
while that in Group B was 0.8637(p value <0.05). For Deafness
the mean difference in value in group A was 1.667 while that in
Group B was 1.133(p value <0.05).
In this series, 30 patients of Presbycusis were studied, no
any difference in sex ratio is found i.e. both male to female ratio
is equal, 83.33% patients belonging to Hindu religion, maximum
number of patient are educated up to mid school and high school
i.e. 36.66% each. 70% of patients are from lower socio-economic
level, 45% patient were suffering from Presbycusis since more
than 5 yrs, 61.66% patient were having aphavatajprakriti,
40.33% patient were having mandagni, 67.33% patients were
taking sheet gunatmaka Ahar while 69.66% patient were taking
rukshagunatmakAhar, 38.33% patient were taking dominant
katurasatmakaAhar and 72.33% patients were taking mixed
type of diet. In this study 100% patients of both groups were having vata dosh dushti while 75% patient were having kapha
dosh dushti, 100% patients of both groups were having Rasa
dushyadushti while Mansa and Majjadushyadushti were 80%
and 71.66% respectively. 25% patients were living in Noisy
residential area, 18.33% patients were doing labor work and
30% patients were having history of addictions. After doing
inference confidently by Wilcoxon Sign Rank Test, it is found
that in group A except for Vertigo difference between before
treatment and after treatment are statistically highly significant
forTinnitus & Deafness.
Also in group B treatment with BilvaTaila (Oil) Ear drop
are effective in relieving symptoms of Presbycusise xcept for
symptom Vertigo. After doing Mann-Whiteny U Test to examine
difference between effectof treatment in both groups it is found
that for Tinnitus & Deafness the inference is highly significant.
I.e. for above symptoms Group A shows better result than Group
B. But for Vertigo the inference is in-significant. The properties
of Ashwagandhataila(Oil) i.e. Rejuvenating in nature, excess of
hydrogen ions are useful for capillary circulation. Increased H+
ions concentration dilate the capillary. As Ashwagandhataila
(Oil) is having excess of H+ ions concentration it causes dilatation
of capillary. Irritation of the skin produces vasodilatation in
the locality. In neurology this reflex is known as Axon reflex.
From the above discussion, it is clear that Subjects having
clinical features of Presbycusis are more significantly reduced in Group A than Group B which itself prove that treatment with
AshwagandhaTaila (Oil) Ear drop is better than treatment with
BilvaTaila (Oil)Ear drop in presbycusis.