Otosclerosis is a genetically mediated metabolic bone disease that affects only the bones in the middle part of the human ear. Women are affected twice as often as men. Otosclerosis usually develops in the third decade of life. The bones in the middle ear first turn spongy and later become dense and sclerotic, and become fixed to each other and to the eardrum, resulting in conductive hearing loss. Occasionally, this process can involve other parts of the inner ear and produce sensorineural hearing loss. The symptoms of otosclerosis include hearing loss, a buzzing sound in the ear and dizziness. Surgical intervention and the use of hearing aids are used in the management of otosclerosis.
The Ayurvedic treatment of otosclerosis is aimed at the preservation of hearing and attempting to halt or reverse the process of otosclerosis. Medicines like Panch-Tikta-Ghrut-Guggulu, Laxadi-Guggulu, Punarnavadi-Guggulu and Saarivadi-Vati are used to treat the basic pathology of the disease. Medicines like Kaishor-Guggulu, Tapyadi-Loh, Ekang-Veer-Ras and Bruhat-Vat-Chintamani are used to prevent damage to the inner ear and the resultant sensorineural hearing loss. Herbal medicines like Haritaki (Terminalia chebula), Amalaki (Emblica officinalis), Manjishtha (Rubia cordifolia), Saariva (Hemidesmus indicus), Punarnava (Boerhaavia diffusa), Kutki (Picrorrhiza kurroa), Asthishrunkhala (Cissus quadrangularis), Laxa (Purified wax), Guduchi (Tinospora cordifolia) and Musta (Cyperus rotundus) can also be used for this purpose. In addition, in order to reverse the process of otosclerosis, medicines like Shankh-Bhasma, Godanti-Bhasma, Praval-Bhasma, Praval-Panchamrut and Panchamrut-Parpati are used in combination with medicines like Tamra-Bhasma, Abhrak-Bhasma and Trivang-Bhasma.
Clinical progression of this disease is unpredictable. Since bilateral involvement of the ears is common, early initiation of treatment is recommended in order to derive maximum therapeutic benefit. Ayurvedic treatment can also help to prevent sensorineural hearing loss which can result in complete deafness.