A clinical trial to compare Ayurvedic medicated oil put in the ears with the same treatment plus an Ayurvedic powder taken by mouth in people with ringing or buzzing in the ears and hearing loss due to inner ear or hearing nerve problems

INTERVENTION: CONDITION: Health Condition 1: H833‐ Noise effects on inner ear PRIMARY OUTCOME: Efficacy of the intervention on signs and symptoms of Karnanada (tinnitus associated with SNHL) using tinnitus questionnaire and pure tone audiometry at the outset of the study and again after 30 days intervention.Timepoint: Pure tone audiometry and tinnitus questionnaire will be done at the outset and again after 30 days. SECONDARY OUTCOME: NILTimepoint: NIL INCLUSION CRITERIA: 1. Patients between the age of eighteen to fifty years 2. Patients will be selected on the basis of signs and symptoms of karnanada tinnitus associated with sensorineural hearing loss described as per Ayurvedic texts as different types of sound sensation in ear like bheri (cuttle drum sound) mrudunga (roaring sensation) shankha (ringing sensation) 3. Diagnosis of subjective non pulsatile tinnitus (uni or bilateral) that is persistent (commonly more than or equal to 3 months) 4. Sensorineural hearing loss confirmed by Pure Tone Audiometry (PTA) 5. Stable baseline care (no new tinnitus treatments started within last 2 to 4 weeks such as hearing aid fitting, CBT initiation, new meds aimed at tinnitus, etc 6. Ability to comply willing for daily ear procedure, taking oral medicine, coming for follow ups and provide informed consent