2.2 Ayurvedic assessment
After interviewing, case taking and examining the patient, it was found that the patient was habituated to Kapha (Kapha, doṣha responsible for cohesiveness—ITA-2.1.3.1) prakopaka (Aggravation of kapha—ITA-5.2.3.3) food and lifestyle, which also contributed to mandagni (Depressed or weak state of digestive, metabolic factors—ITA-2.6.11) and excess Kleda (moistness/soddening—SAT-D.2534) in the body, directly becoming the nidana (factors directly or indirectly implicated in the etiology of a disease—ITA-4.4.1) for this condition.
According to the Ayurvedic assessment of the disease, nasal blockage was confirmed to be sroto-avarodha due to Kahpha prakopa, facial numbness and headache due to vata and kapha prakopa, and pain in the palate due to vata prakopa. Krumjia shiroroga (headache due to kṛmi/worm infestation—ITA—5.67.7) was diagnosed, and treatment was given on the basis of the principles of krumjia shiro roga (headache due to kṛmi/worm infestation—ITA—5.67.7), kaphaja (worm or parasite arising from vitiated kapha—ITA—5.13.5) and rataja krumi (worm formed in blood and affecting blood vessels—ITA—5.13.7) lodged in the nose and dushivisha (cumulative poisoning with mild effects over time—ITA—5.72.13).