A case discussion on presbyacusis
A 75-year-old male presented with the complaints of reduced hearing in both ears associated with occasional occurrence of tinnitus, since 2 years. The patient is a known case of hypertension and is under medication.\nOn local examination of the ear [] the pinna, external auditory canal and tympanic membrane were normal. On tuning fork test, air conduction and bone conduction were reduced, which interprets the low +ve Rinne. On pure tone audiometric examination, the case was diagnosed as moderately severe sensori-neural hearing loss, with hearing threshold level in both ears between 61-80 dB hearing loss []. The patient was unable to hear and understand even on shouting loudly. Routine hematological (hemoglobin, total count, differential count and erythrocyte sedimentation rate) investigations were done. The percentage of hemoglobin was reduced.\nPatient had taken hearing aid 1 year back but it was of no use.\nThe patient was administered with Karnapurana once daily for 7 consecutive days after sunset []. The treatment was repeated thereafter for three times, once every 15 days. The details of the procedures are described in .\n- Advised to take laghu (light), supachya (easy to digest) and ushna (warm) ahaara, ghritapana (intake of ghee), wheat, rice, green gram, brinjal, drum stick, bitter gourd, bhrahmacharya (maintaining celibacy), alpa bhashana, etc., which pacifies the vatadosha.\n- Advised not to take head bath, drink cold water or other drinks, clean ears, exposure to cold wind, exercise, brushing the teeth with sticks, etc., which leads to aggravation of vata dosha.