ABSTRACT
Karna is one among the important panchgyanendriya increase in chronological age. It usually manifests
which perceives shabdha. These gyanendriya are acts after the age of 65yrs or even in earlier than 60 if
like bridge for communication in socia
social life. Badirya there is predisposing risk factors. In Ayurveda
is a disease affecting Karna. Impairment in hearing Badhirya is described under Karna roga
ro by Acharyas.
mechanism is termed as badhirya when it affects elder Acharya Sushruta stated that vitiated
v Vata or Vata
age group it is called as Vardhakyajanya Badhirya. It Kapha dosha causes margavarodha in shabdhavaha
is most common socio-medical
medical disability. In modern srotas leading to Badhirya1 , when it affects at old age
it correlates to Presbyacusis –it it is condition where is called Vardhakyajanya Badhirya.
there is progressive sensory hearing loss in bilateral
and unilateral ear as the age progresses, which is Presbyacusis affects more than half of adults by age
associated with poor speech discrimination. It of 75 years, most adults over the age of 80, and nearly
hampers the quality of life in elderly individual and all adults who are 90yrs or older. The WHO estimates
leads to psychological disorders,
sorders, depression, social that in 2025 there will be 1.2 billion people over
isolation and loss of self-esteem. 60years of age worldwide,with more than 500million
individuals who will suffers significant
signific impairment
Karna poorana is the main treatment modality which from Presbycusis2. As per Ayurveda, Badhirya
is explained in classics for karna rogas. Use of manifests by vitiated vata dosha and in old age there
Balya(Nervine tonic) dravya in the form of sneha will is predominance of Vata dosha and also dhatu kshaya
alleviates the doshas and Rasayana chikitsa in older leads to Vardhakyajanya
ardhakyajanya Bhadirya.
Bhadi
age group helps in prevention of rasadi dhatu kshaya.
Allied science contributed aural rehabilitation
rehabilitation- The risk factors for Presbyaacusis includes Genetic
Hearing aids, Speech therapy etc which is not suitable factors, Environmental factors like –noisy
for all and even some cannot offer those because of environment, ototoxicity, systemic disease –
financial issues. Presbycusis
resbycusis is most common old age HTN,DM2 other metabolic disorders and inner ear
problem in developing countries after Arthritis and damage through bad habits. As the age progresses
HTN. There is need of prevention, rehabilitation and there is degeneration of auditory nerve cells which
Ayurveda chikitsa to overcome disability. leads to presbyacusis.
cusis. Histopathloigically four distinct
types have been described as per degenerative area by
Keywords: Vardhakyajanya Bhadhirya, Presbyacusis, Schuknecht(1974).3
Rehabilitation, Karnapoorana Neural presbyacusis- Degeneration of the cells of
spiral ganglion, starting at the basal coil and
INTRODUCTION progressing to the apex. There is high tone loss
Presbyacusis is “Hidden diability” as patient may or but speech discrimination is poor.
may not be aware of the hearing loss in initial stage. It Sensory presbyacusis- Degeneration
egeneration of the organ
is a sensorineural hearing loss associated with of corti, starting at the basal coil and progressing
Prevention is better than treating Presbyacusis as the should go under routine systemic health check up to
aging is irreversible and inevitable process in life and focus on risk factors and taking treatment for it.
it leads to social isolation, feeling of social inferiority
even they suffers from pshycological illness like Aural rehabilitation is adopted in Age related sensory
depression as the aged people depends on hearing to neural deafness, It includes diagnosis and
overcome other disabilities at old age age. Prevention implementation of different types of hearing
includes avoidance of noisy environment; reduce the rehabilitations.
gunshooting and high frequency music sounds. One