Vol. 3, Issue 1, Part A (2026)

Shalakya Tantra, an integral branch of Ayurveda, offers holistic therapeutic approaches for managing diseases of the head and neck region. Among its various treatments, Karnachikitsa, a specialized therapy targeting ear-related disorders, has been historically applied to treat Paediatric ENT (Ear, Nose, and Throat) disorders. The significance of Karnachikitsa in Paediatric care has gained attention due to its non-invasive nature, effectiveness in managing conditions like otitis media, hearing loss, and recurrent ear infections, and its potential to reduce reliance on pharmaceutical treatments. This review aims to explore the principles of Shalakya Tantra and its application of Karnachikitsa in children. Through an examination of various studies, clinical practices, and case reports, this article synthesizes the current understanding of Karnachikitsa as a therapeutic modality in Paediatric ENT disorders. It discusses the mechanisms of action, benefits, and challenges associated with this Ayurvedic therapy. Furthermore, the article emphasizes the importance of integrating traditional practices like Karnachikitsa with modern medical approaches to achieve better patient outcomes. The objective of this review is to provide a comprehensive overview of the role of Karnachikitsa in managing Paediatric ENT conditions, while highlighting the gaps in research and the need for further clinical trials. The hypothesis posits that incorporating Karnachikitsa into Paediatric ENT management can offer a safe, effective, and holistic alternative or adjunct to conventional treatments.