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More useful medicines are Pulsatilla, Natrum mur., Kali bichromicum, Silicea , Belladonna, Rhus toxicodendron, Natrum sulphuricum, and Lachesis.
It is also observed that different medicines have affinity towards particular type of sinus affected. Pulsatilla was frequently indicated medicine in this study. It had particular affinity for maxillary, frontal and fronto-maxillary sinusitis; it emerged as useful medicine when the prescribing symptoms consisted of thirstlessness, thick, purulent, greenish yellow catarrh.
Kali bichromicum was the next most frequently indicated medicine in frontal sinusitis with pain in supraorbital region, root of nose and scanty, sticky and purulent nasal discharge.
Natrum mur. was another medicine which was in parallel to kali bichromicum, indicated in chronic fronto- maxillary sinusitis with supraorbital headache and aggravated around 9-10 am.
Natrum sulph like Natrum mur. also acted well in chronic fronto maxillary sinusitis but was worse during damp cold or monsoons.
Lachesis was useful in left sided chronic maxillary sinusitis, with dryness of mouth during sleep, nasal obstruction causing choking at night.
Malaria officinalis had favourable action on acute frontal-maxillary sinusitis in patients with constitutional symptoms like malaise, fever and thirst for cold water
Natrum ars was used as specific medicine for sinusitis of chronic origin when there was obstruction, post nasal catarrh and pharyngeal congestion, aggravated in damp cold weather.
Hepar sulph. is another medicine which was indicated for acute sinusitis (frontal/ fronto-maxillary) becoming chronic with passage of time and it was associated with allergic rhinitis. These patients were much sensitive to cold.
Mercurius solubilis had favourable action on frontal sinusitis which was worse at night with nasal obstruction. Typically the patient had moist, thickly coated indented tongue with foul breath.
Calc.sulph. was indicated in chronic sinusitis with thick yellow discharge associated with burning in palms and soles. The symptoms were better from washing with cold water.
Cassia sophera Q- found to be useful when prescribed on the presenting symptoms of blocked nose causing difficult breathing, sneezing in bouts. The medicine was given to patients suffering from chronic sinusitis of fronto-maxillary origin after the acute attack was abated. This corroborates with the findings of drug proving as well as clinical verification of Cassia sophera
Sabadilla 30 - indicated mainly in left sided sinusitis associated acute rhinitis with sneezing, and getting relief from hot fomentation
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