Presbycusis is one among the many socio-medical proliferated by 25-50% of people in the age group of 65-70 yrs& by nearly 50% of those over 75 ms, which is considered as a disability in older people. In the India hearing difficulty is years of age. According to WHO the proportion of population that are elderly is increasing at a rapid rate-by 2025, nearly 1.2 billion people will be over the age of 60yr consequently the prevalence of age related auditory & vestibular dysfunction will increase. A Hindu married 63 yr. old male patient visited the outpatient department of k G Mittal Ayurved hospital, Mumbai with complaint of Diminished of hearing in both ear, Ringing sensation in both ear & Vertigo. The patient was diagnosed as case of Presbycusis. Tablet Amarsundari Vati 2TDS (each250mg), Powder combination of Amalaki churna (1gm)+ Ashwagandha Churna(1gm)+ Punarnava Churna(500mg)+Bala Churna (500mg)+Sunhihurna (250mg) & Syp Maharasnadi Kwath10ml TDS were administered for 3 months. After the 3 months treatment, a significant response in various symptoms such as Diminished of hearing, Ringing sensation & Vertigo was found.
Keywords: Presbycusis; Hearing loss; Diminished of hearing; Tinnitus, Vertigo; Badhirya
Presbycusis is one among the many socio-medical problems, which is considered as a disability in older people. The hearing impairment in elderly people is described as Presbycusis. Hearing problems among elderly people is a major issue and a person with hearing loss may be unable to hear to respond. All this can make them feel frustrated, lonely and depressed. It is the third most common chronic condition after arthritis and hypertensive diseases among elders. According to WHO the proportion of population that are elderly is increasing at a rapid rate-by 2025, nearly 1.2 billion people will be over the age of 60yr consequently the prevalence of age related auditory & vestibular dysfunction will increase . In the India hearing difficulty is reported by 25-50% of people in the age group of 65-70yrs.& by nearly 50% of those over 75 years of age. Hearing loss can be improved by using the hearing aids. Hearing aids work well for some while for others; it may not be a perfect solution due to many reasons such as some people does not buy aids that meet their needs, incorrect amplification adjustments , low custom design etc. In classics of Ayurveda this ailment has been described as Badhirya under the heading of ear diseases . Vatahar Chikitsa (Neuroprotective Treatment) is one of the major treatments for ear diseases explained in classics. Clinical observation has shown its effectiveness in the management of Hearing loss .
A Hindu married 63 yr. old male patient visited the outpatient department of k G Mittal Ayurved hospital OPD No. 201816520, Mumbai with complaint of Diminished of hearing
in both ear, Ringing sensation in both ear & Vertigo. The patient
was diagnosed as case of Presbycusis. A history of the present illness revealed that the patient was apparently normal 3 year back. Gradually he experienced the above said symptoms. The problem increased day by day, and the patient consulted his family physician & was on internal medicine which relieved the condition for a time being. After 1 month, the patient experienced frequent ringing sound in both ear, increased deafness & dizziness [4,5]. Hence, the patient consulted ENT surgeon where the patient was diagnosed as Presbycusis disease through otoscopic examination of Ear, Audiometry & clinical examination. The patient was on conservative treatment for 1year (tablet vermin 16mg tds, tablet minicar 1 bd, tablet neurobionics forte 1 bd) where the patient had no Long-term relief. The personal history revealed that the patient is vegetarian. Patient was addicted to smoking. There was no genetic linkage of the disease observed in the family. The general examination of patient showed pulse rate of 74/min, respiratory rate of 20/min, blood pressure of 130/80mm of Hg & body weight of 59kg. Otoscopic examination of Tympanic membrane showed Bilateral sclerosis with retraction of Tympanic membrane. Tuning fork test revealed positive rinne’s test for both the ear while Weber’s test showed sound lateralised to both the ear equally. Audiological Examination (Pure tone Audiometry) showed moderate to moderately high Sensory neural deafness on both the ear. Based on clinical examination, the patient was diagnosed as a case of Presbycusis .
The following oral medicines were administered for 3 months.
I. Tb. Amarsundari Vati 2TDS (each250mg)
II. Powder combination of following medicines= 1tsf two
a. Aamalakichurna (1gm)
b. Ashwagandha Churna (1gm)
c. Punarnava Churna (500mg)
d. Bala Churna (500mg)
e. Sunthi churna (250mg)
III. Syp Maharasnadi Kwath10ml TDS.
The medicines were procured from outside Ayurvedic
pharmaceutical shop. Follow up was taken once in 15 days for
3 months. On the first follow up, the patient reported reduction
in the symptom of blocking of ear. Ringing in ear were seen
once in 4 days or occasionally. Improvement was observed
in Dizziness. Improvement was noted in general sound sleep,
anxiety. Complete relief was noted in all the signs & symptoms
by the patient on the third follow up, after 3 months of treatment
with above medication patients Audiometry report shows mild
hearing Loss. So, Hearing loss from Moderate to Moderately
High After 3 months of treatment reduced to mild Hearing Loss.
The patient was on follow up till 2 months, without any single
episode of relapse .
According to Ayurved, the patient was diagnosed as a case of
Badhirya with main dosh being Vata. Hence the line of treatment
mainly includes Neuro-protection, antioxidation & vasodilation
. The smoking addiction of patient was reduced by counseling
& Advised to avoid noisy environment. The property of
Amarsundari Vati is acts Oto- neuroprotective by virtue of its
Vatashamak & Majjakshobhshamak properties. Amarsundari
vati is acts as Vatanadishamak due vatashamak ingredients
present in it. It also has potent antioxidant effect. Amarsundari
Vati is acidic in nature, excess of hydrogen ions is useful for
capillary circulation. Increased H+ ions concentration dilate
the capillary . As Amarsundari Vati is having excess of H+
ions concentration it causes dilatation of capillary. The powder
combination Medicine are also acting as Neuro Protective. The
powder combination acts as Rejuvenating to Vestibule-Cochlear
Nerve, also acts as Anti-inflammatory reducing degenerative
condition of Nerve due to old age. Syp. Maharasnadi Kwath
produces vasodilatation, reduces pain & inflammation. Improves
functional efficiency of affected part. Reduces stiffness of
Ossicular Joints .
Based on clinical signs & symptoms, the disease Presbycusis
can be correlated to ayurvedic Badhirya. In this study Tablet
Amarsundari Vati, Powder combination of amalaka churna
(1gm)+ Ashwagandha Churna(1gm)+ Punarnava Churna
(500mg)+Bala Churna (500mg)+Sunthi churna (250mg) &
Syp Maharasnadi Kwath was found to be safe & effective in the
management of Presbycusis (Badhirya).