Sudden deafness, also known as sudden sensorineural hearing loss (SSHL), is rapid hearing loss that can occur all at once or over a period of up to three days. SSHL is defined as a loss of at least 30 decibels in three connected frequencies, and typically occurs in one ear. This can be accompanied by dizziness and ringing in the ears. Only about 10% of those affected have known causes which include infections, trauma, immune disorders, circulatory or neurological disorders, or drugs toxic to the ears. While most people recover on their own within a few weeks, around 15% of symptoms gradually get worse. Standard management includes elimination of the known cause, antibiotics, steroids, and inhalation of a mixture of carbon dioxide and oxygen.
Ayurvedic treatment for SSHL involves treating the known cause of the condition and providing symptomatic treatment for the hearing loss. Ear and upper respiratory tract infections can be treated with medications such as Sukshma-Triphala, Sitopaladi-Powder, Tribhuvan-Kirti-Ras, Kamdudha-Ras, Sutshekhar-Ras, Shwas-Kas-Mishran-Ras , Ras-Sindur, Yashtimadhuk (Glycyrrhiza glabra), Kantakari (Solanum xanthocarpum) and Pippali (Piper longum). Immune disorders can be treated with drugs like Tulsi (Ocimum sanctum), Ashwagandha (Withania somnifera), Pippali, Manjishtha (Rubia cordifolia), Guduchi (Tinospora cordifolia), Yashtimadhuk, Bhumiamalaki (Phyllanthus niruri Malaki), Suvarna- (Phyllanthus niruri), Suvarna-Malini Malini-Vasant and Madhu-Malini-Vasant.
Treatment of circulatory disorders is important in the management of SSHL because it is believed that reduced blood flow to internal organs in the ears could primarily contribute to sudden hearing loss. The drugs are used to clear blood clots, reduce blood toxins and blockage, as well as inflammation of the artery walls. These drugs include Tapyadi-Loh, Ekangveer-Ras, Maha-Yograj-Guggulu, Saarivadi-Vati, Punarnava-Mandur, Manjishthadi-Qadha, Saarivasav, Arogya-Vardhini, Lashunadi-Vati, Suvarna Bhasaki, Panchamblica-Parispati. ), Haridra (Curcuma longa), Nimba (Azadirachta indica), Saariva (Hemidesmus indicus), Guggulu (Commiphora mukul), Patol (Trichosanthe dioica), Patha (Cissampelos pareira), Musta (Cyperus rotundus), Kutki (Picrauharidra) (Berberis aristata). Neurological causes can be treated with the help of drugs like Bruhat-Vat-Chintamani, Maha-Vat-Vidhvans-Ras, Vat-Gajankush-Ras, Vish-Tinduk-Vati, and Agni-Tundi-Vati.
In addition, symptomatic treatment of SSHL includes the use of drugs such as Kaishor-Guggulu, Panch-Tikta-Ghrut-Guggulu, Punarnavadi-Guggulu, Maha-Rasnadi-Guggulu, Saarivadi-Vati, Punarnava-Mandur, Abhrak-Bhasma , Suvarna-Bhasma, Raupya -Bhasma, Mukta-Bhasma and Pathyadi-Qadha. These drugs improve the perfusion of the inner ear and also increase the function of the auditory nerve.
Judicious use of Ayurvedic drugs can thus be used to treat refractory SSHL patients who do not improve spontaneously or with conventional treatment.