Karnapoorana is a procedure in which the medicine is instilled into the ear canal and retained for a specific time.

• Ref General Requirements SOP 
• Hot water for fomentation
• Thaila for abhyanga
• Liquid medicaments like thaila, swarasa or kashaya
• Cotton balls
• Gauze pads
• Gokarna
• Kidney tray

Manpower

• Therapist-1
• Physician-1

Preparation of tray

• Take a clean tray.
• Put towel, tailain bowl, gauze pad, cotton balls, kidney tray.

Preparation of patient

• Check vitals.
• Jeernaharalakshana assessed.
• Vegotsarga

• The patient is asked to lie in supine position.
• The patient^’sface is turned towards left side exposing the right ear.
• Oil for abhyanga is made lukewarm using a hot water bath.
• The area around the ear is massaged with lukewarm oil.
• Then hot fomentation is given around the ear, using a towel soaked in boiling water.  

• The medicine for karnapoorana is made lukewarm using a hot water bath.
• The temperature of the medicine is checked by pouring it over the dorsum of hand.
• The medicine is pouredinto the ear using a gokarnatill the whole ear canal is filled.

• After the specific duration the medicine is drained out of the ear canal into a kidney tray by slowly turning to opposite side.
• Then the ear canalis cleaned with cotton.
• The patient is asked to keep ear plugs throughout the day.

• The duration of the procedure depends upon the rogasthana.

• Headache
• Earache
• Deaf
• Lockjaw
• Cervical spondylosis

• Ear injury
• CSOM
• Burns
• Ear drum rupture

• The oil used for karnapoorana should be fresh and clean.
• Otherwise, it may cause fungal infection in the ear.
• The oil used should be lukewarm in nature.

• Burns: Cool water or a cold compress can be applied to the affected area to reduce pain and inflammation. Apply shatadouthagritha.
• Dizziness: rest in a cool place until the sensation passes.