Sinusitis is the condition of inflamed or swollen tissues lining the sinuses. Normally, sinuses are filled with air, but when sinuses become blocked and filled with fluid, germs (bacteria, viruses, and fungi) can grow and cause inflammation. When you have a congested nose or coloured discharge with headache, facial pain, and/or swelling around the sinuses, you may have sinusitis. Sinusitis is known as pinas in Ayurveda. It can affect people of any age and sex. The common conditions that cause sinus blockage include the common cold, allergic rhinitis (swelling of the lining of the nose), nasal polyps (small growths in the lining of the nose), or a deviated septum (a shift in the nasal cavity)

Types of sinusitis.

• Acute sinusitis — a sudden onset of symptoms such as runny, stuffy nose and facial pain that does not go away after 10 to 14 days. Acute sinusitis can last up to 4 weeks. Sub-acute sinusitis — an inflammation lasting 4 to  8 weeks or longer.Recurrent sinusitis — several attacks within a year.

Signs and symptoms of sinusitis

Difficulty in breathing due to blockage of one or both nostrils.Headache — mild to intense or heaviness at the front of the head, Radiating pain in the ears, upper jaw, and teeth, Feverish, Swelling around eyes and cheeks, Bad breath, Ear blockages, Cough, Thick mucus discharge.

Causes of Sinusitis

Increased intake of dry, oily, spicy foods that are too hot or too cold; foods that are heavy and hard to digest, poor food combinations. Impaired kapha (water element) accumulates in the sinuses and blocks the flow of vata (air), Impaired pitta (fire) causes swelling and irritation of the tissues of the sinuses, Exposure to cold or dusty and dry weather, Staying awake till late in the night and sleeping in the daytime, Repeated respiratory infections, Deviated nasal septum, Nasal polyps, Dust or pollen allergies, Infections in the mouth such as can be caused by tooth decay, Impaired immune system.

Ayurvedic management of sinusitis

In Ayurveda, acute sinusitis is due to aggravated Kapha and vata in the region above the clavicle (collar bone). Treatment modalities involve ayurvedic detoxification (panchakarma), external therapies, internal medications, diet, and lifestyle modifications. Nasya plays a very important role in treating sinusitis.

Nasya (sinus treatment)

Nasya karma, also simply called nasya, is one of the five detoxification therapies mentioned in Ayurveda. It is highly successful in treating sinusitis. It is a process in which medicated oil or powder or fresh juice is administered through the nostrils to clear accumulated Kapha.

• Nasya introduces drops of medicated oil into the nasal passages where it penetrates the mucosal lining and promotes healing of the nose and sinus region. Accompanied by a gentle sinus massage, nasya stimulates energy movement and healing in the area. Nasya also prevents the recurrence of sinusitis.
• Shirodhara (pouring of warm medicated oil on the forehead).Oil pulling (swishing of warm oil around the mouth and gums).
• Neti – sinus rinse with salt water (needs special instruction and advice from your Ayurvedic practitioner).
• Steam inhalation– Add either ginger, eucalyptus oil, clove oil, or other medicated herbs (as prescribed) to boiling water in a bowl. Place face over the bowl at a comfortable distance, with a towel over the head, and gently inhale the steam for 10-15 minutes. Repeat 2-3 times/day while your condition is active, and then once/day for maintenance.

Do’s and Don’ts-

Avoid exposure to any specific allergens and cool breezes. Avoid cold and refrigerated food and drink, including cold water. Avoid dairy foods while you are treating sinusitis. Eat warm and cooked food and drink only hot or warm water. Include warming spices like black pepper, garlic, ginger, fenugreek and