27, February 2026

AN AYURVEDIC APPROACH TO NASAGATA RAKTAPITTA (RECURRENT EPISTAXIS): A CASE REPORT

Author(s): 1. Dr. Darshika Takle , 2.Dr. Sneh Rathod , 3. Dr. Manav Patel

Authors Affiliations:

1P.G Scholar, Department of Agada Tantra, Parul Institute of Ayurved and Research, Vadodara, Gujarat, India (Corresponding author)

2P.G Scholar, Department of Shalya Tantra, Parul Institute of Ayurved and Research, Vadodara, Gujarat.

3PG Scholar Department of PG & PhD. Studies in Dravya guna, Parul Institute of Ayurved, Parul University, Vadodara, Gujarat

DOIs:10.2015/IJIRMF/202602029     |     Paper ID: IJIRMF202602029


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Background: Epistaxis is a frequent clinical scenario, and recurrent idiopathic cases are often therapeutic challenges despite standard evidence-based management. Recurrent nasal bleeding in Ayurvedic classic is considered as Nasagata Raktapitta, which is a condition with Pitta-Rakta vitiation along with Kapha as an associate. The integration of traditional medicine in an evidence-based framework may provide more options where the conventional approach is not helpful. A case of a 39-year-old man with recurrent spontaneous nasal bleeding for 4–5 months, accompanied by acidity and burning sensation in the soles is presented. On nasal examination, inferior turbinate hypertrophy with mucosal congestion was found. Hematological investigations were within normal limits; thus systemic bleeding disorders were ruled out. The condition was clinically correlated with Nasagata Raktapitta. Intervention: A 15-day Ayurvedic treatment protocol was followed, which included Sarivadi Vati taken orally, Durva Svarasa Nasya, and Vasa-Guduchyadi Kashaya that have been recorded as Pitta-shamana, Raktastambhana, anti-inflammatory, and mucosal-stabilising actions. The patient was also given diet and lifestyle advice in line with Pitta-pacifying guidelines. Results:The patient showed symptomatic relief in a few days, and by the seventh day, epistaxis had stopped completely. The mucosal congestion was reduced to a great extent, and the acidity and burning sensations were also resolved. During the follow-up, no nasal bleeding recurrence was noticed. Conclusion: The clinical response is indicative of targeted Ayurvedic interventions as a useful complementary approach for recurrent idiopathic epistaxis, especially in cases with mucosal inflammation and Pitta–Rakta imbalance. This case emphasizes the importance of systematic research to integrate traditional medicine insights with contemporary evidence-based practice. Follow-up after treatment did not show any recurrence. This drug is an effective means in the management of Nasagata Raktapitta.
Epistaxis, Nasagata Raktapitta, Traditional medicine, Evidence-based medicine

1. Dr. Darshika Takle , 2.Dr. Sneh Rathod , 3. Dr. Manav Patel (2026); AN AYURVEDIC APPROACH TO NASAGATA RAKTAPITTA (RECURRENT EPISTAXIS): A CASE REPORT, International Journal for Innovative Research in Multidisciplinary Field, ISSN(O): 2455-0620, Vol-12, Issue-2, Available on –   https://www.ijirmf.com/

  1. Walker, T. W., Macfarlane, T. V., & McGarry, G. W. (2007). Epidemiology and chronobiology of epistaxis: An analysis of hospital admissions in Scotland 1995–2004. Clinical Otolaryngology, 32(5), 361–365.
  2. Pollice, P. A., & Yoder, M. G. (1997). Epistaxis: A retrospective review of hospitalized patients. Otolaryngology–Head and Neck Surgery, 117(1), 49–53.
  3. Pallin, D. J., Chng, Y. M., McKay, M. P., Emond, J. A., Pelletier, A. J., & Camargo, C. A., Jr. (2005). Epidemiology of epistaxis in US emergency departments, 1992–2001. Annals of Emergency Medicine, 46(1), 77–81.
  4. Schlosser, R. J. (2009). Epistaxis. New England Journal of Medicine, 360, 784–789.
  5. Wittkopf, M. L., Lee, M. T., & Chandra, R. K. (2014). Anatomy and physiology of the nasal cavity. In Bailey’s head and neck surgery–otolaryngology (5th ed.). Lippincott.
  6. Watkinson, J. C., & Clarke, R. W. (2018). Scott-Brown’s otorhinolaryngology, head and neck surgery (8th ed.). CRC Press.
  7. Pope, L. E., & Hobbs, C. G. (2005). Epistaxis: An update on current management. Postgraduate Medical Journal, 81(955), 309–314.
  8. Douglas, R., & Wormald, P. J. (2007). Update on epistaxis. Current Opinion in Otolaryngology & Head and Neck Surgery, 15(3), 180–183.
  9. Sharma, P. V. (2014). Charaka Samhita (Vols. 1–2, English trans.). Chaukhamba Orientalia.
  10. Srikantha Murthy, K. R. (2012). Sushruta Samhita. Chaukhamba Orientalia.
  11. Tripathi, R. (2015). Ashtanga Hridaya (Text & commentary). Chaukhamba Sanskrit Pratishthan.
  12. Chakrapani Datta. (2014). Ayurveda Deepika commentary on Charaka Samhita (Reprint ed.). Chaukhamba.
  13. (2012). Ashtanga Hridaya, Uttara Tantra (K. R. Srikantha Murthy, Trans.). Chaukhamba.
  14. Nadkarni, K. M. (2009). Indian materia medica. Bombay Popular Prakashan.
  15. Pandey, A., & Mishra, H. S. (2019). Therapeutic potential of Durva (Cynodon dactylon Pers.): Review study. International Journal of Life Science Research, 5(9), 1–10.
  16. Gandhi, J. (2020). Role of Ayurvedic interventions in Raktapitta (bleeding disorders): A scientific review. International Journal of Ayurveda Medicine and Health, 7(2), 18–24.
  17. Baunthiyal, M., Semwal, P., & Dwivedi, S. (2021). Haemostatic potential of medicinal plants and their phytochemicals. Journal of Mountain Research, 16(2), 155–163.
  18. Ghate, U., Kulkarni, H., & Deshpande, M. (2022). Threatened Ayurvedic herb substitution options for menorrhagia based on bioactive principle’s molecular docking study. International Journal of Pharmaceutical Investigation, 12(3), 250–258.
  19. Joshi, S., & Kumar, S. (2024). Medicinal Poaceae of India (Vol. 1).
  20. Chaudhary, S., Koirala, S. B., & Dhungana, L. (2025). Ethnomedicinal plants used for immediate care in Nepal: A cross-cultural review. Journal of Ethnobiology and Ethnomedicine, 21(3).
  21. Dubey, U., Rai, G., Shukla, R., & Pandey, V. (2021). Role of Cynodon dactylon in management of epilepsy: A brief review. Asian Pacific Journal of Health Sciences, 8(2), 180–184.
  22. Ganesan, K., & Xu, B. (2017). Ethnobotanical studies on folkloric medicinal plants in Tamil Nadu, India. Trends in Phytochemical Research, 1(2), 117–128.
  23. Patil, R. S. (2014). Efficacy of selected Ayurvedic Anubhuta Yoga in the management of Raktapitta with special reference to hemophilia (Doctoral dissertation). ProQuest Dissertations Publishing.
  24. Singh, D. R. A. A. (2016). Efficacy of integrated management on post-caesarean section cases. ResGate Publications.
  25. Gupta, P. (2013). Comparative study on spasmolytic activity of Shankha Vati and Shankha Bhasma on smooth muscles of isolated mammalian intestine (Doctoral dissertation). ProQuest Dissertations Publishing.
  26. Tiwari, R., Latheef, S. K., Ahmed, I., & Iqbal, H. M. N. (2018). Herbal immunomodulators – A remedial panacea for designing and developing effective drugs and medicines: Current scenario and future prospects. Current Drug Metabolism, 19(11), 864–877.
  27. Balachandran, P. (2023). Hepatic disorders. In Scientific basis for Ayurvedic therapies. CRC Press.
  28. Premila, M. S. (2006). Ayurvedic herbs: A clinical guide to the healing plants of traditional Indian medicine. CRC Press.

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