To assess the efficacy of Marma Chikitsa in the management of Karnanada (Tinnitus) - A Case Study

Ayurveda is the science of life. It helps people to maintain health by following various dos and don'ts. Sense organs are considered an important part of the body. Ayurveda describes these sense organs as Indriya. The ear is called karma Indriya. Karnanada is related to ear disease, which is described in Shushruth Samhita. 28 Karna Rogas are mentioned in Sharirsthan 3/5. There are 25 Karna Rogas described in Ashtang Hridaya Uttarsthan 17/2. Ashtang Sangraha also describes 25 Karna Rogas. Vitiated Vata Dosha either entering other channels (Vimarga Gamana) or encircled by Kaphadi Doshas (sangam) in Sabda Vaha Srotas produces different types of sounds in the ear, like Bheri, Mrudanga, Shankha, etc., and is known as Karnanada. The prevalence and incidence of tinnitus suggest that tinnitus affects more than 740 million adults globally and is perceived as a major problem by more than 120 million people, mostly aged 65 years or older. Tinnitus is the perception of sound in the absence of any external input. Symptoms can be unilateral or bilateral, present with or without hearing loss, and resemble ringing, hissing, whistling, humming, buzzing, chirping, or clicking sounds. Marma is defined as a region of the body in which there is an intersection of Mamsa, Sira, Snayu, Asthi, and Sandhi. These are vital points in the human body, and any injury to these leads to disability and, if not treated properly, leads to a fatal condition. Although no medicines have been approved to date by the FDA, several classes of medication are often used to treat patients with tinnitus.