CRITICAL ANALYSIS OF PURVA KARMA PRIOR TO NASYA W.S.R. SNEHA NASYA

Ayurveda Panchakarmas are an all-time big name for both Ayurveda doctors and patients. Their efficacy of targeting the body holistically and evacuating toxins, thereby, addressing most of the problems of an individual makes it a hit. This paper aims at estimating the contribution of Purva Karma (procedures prior to instillation of medicine) in the outcome, especially in the context of Sneha Nasya (instillation of unctuous medicine). Nasal route of administration may help address the hitches accompanying to poor bioavailability, slow absorption, drug degradation, and possible adverse events in the gastro intestinal tract and avoids the first-pass metabolism in the liver. However, when considering nasal delivery, appropriate measures need to be taken to address the limitations of drug delivery in this region. Purva Karma starts with drug preparation and ends with stage of instillation of medicine (8 check points). The role of each of them on overcoming the limitations and delivering the results is reviewed

Ayurvedic management of Retinitis Pigmentosa (Doshandha) - A Case Study

Retinitis pigmentosa (RP) is an inherited, degenerative eye disease that causes severe vision impairment due to the progressive degeneration of rod photoreceptor cells in retina. This form of retinal dystrophy manifests initial symptoms independentof age; thus, RP diagnosis occurs anywhere from early infancy to late adulthood. This primary pigmentary retinal dystrophy is a hereditary disorder predominantly affecting the rods more than the cones. The main classical triads of retinitis pigmentosa are arteriolar attenuation, Retinal bone spicule pigmentation and Waxy disc pallor. The main treatment of retinitis pigmentosa is by using Low vision aids (LVA) and Genetic counseling. As such a complete cure for retinitis pigmentosa is not present. So a treatment protocol has to be adopted that helps in at least the symptomatic relief. In Ayurveda, the signs and symptoms of this can be compared with the Lakshanas of Doshandha which is one among the Dristigata Roga. It is considered as a diseased condition in which sunset will obliterate the Dristi Mandala and makes the person blind at night time. During morning hours the rising sunrays will disperse the accumulated Dosas from Dristi to clear vision. This disease resembles Kaphajatimira in its pathogenesis, but the night blindness is the special feature. Since the disease is purely Kaphaja, a treatment attempt is planned in Kaphara and Brimhana line. The present paper discusses a case of retinitis pigmentosa and it’s Ayurvedic Treatment

Pindi and Bidalaka - A Review

Ocular Therapeutics can be broadly divided into two i.e., either in the form of Kriyakalpa (local therapeutics) or systemic therapeutics. Kriya Kalpas are the Topical ocular Therapeutics indicated in various Netra Rogas which has several advantages over oral administration of medicines as it provides more time for bio availability. Contemporary sciences also make use of transdermal absorption of medicines and are considered as an efficient method of drug delivery. As Pindi and Bidalaka are the modified forms of Lepa Kalpana, same route is followed by these two also. In this article probable mode of action and importance of Pindi and Bidalaka will be discussed

Concept of ‘Snehasaro Ayam Purushaha’ and its assessment through examination of Akshi and Karna

Shareera is considered as the essence of Sneha. Also the importance of Snehabhava for proper functioning of the Shareera is well known. A proper functioning of Jataragni, Dhatwagni and Dhatu Parinama results in optimal amount of Snehabhava in the Shareera. Functioning of Jataragni can be assessed by examination of Purisha, assessing Jarana Shakti etc., whereas for assessing the functioning of Dhatwagni and the condition of other internal environment, we need to have a close examination of other Shareera Malas, where in Mutra Pareeksha is considered to be an excellent choice. But due to practical difficulties it is impossible to conduct the same on a daily basis on all the patients. This paper aims at a complete literary review in understanding the concept of Shareera and Kleda and showing importance of the examination of other Malayanas like Akshi and Karna for understanding the overall condition of the Shareera. For the same, regular examinations in the Eye and ENT OPDs like general eye examination, otoscopy etc. and investigations like tear osmolarity can be used judiciously. These examinations can give a general idea about the functioning of Dhatwagni and thus the status of Sneha in Shareera, which can further be used for selection and administration of treatment modalities

An Ayurveda Approach in the Management of Central Serous Chorioretinopathy - A Case Study

Central Serous Chorioretinopathy (CSC) is one among the retinal disorder and a condition having high recurrence rate relatively; etiology and pathogenesis of which remains indeterminate. The effects on the retina are usually self-limited, although some people are left with permanent vision loss due to progressive and irreversible photoreceptor damage or retinal pigment epithelium atrophy. There have been a number of interventions used in CSC, including laser treatment, photodynamic therapy (PDT), intravitreal injection of anti-vascular endothelial growth factor agents, and sub threshold lasers. In Ayurveda the signs and symptoms of this can be considered under 1st and 2nd Patalagata Timira which described under Dristi gata Roga in all classics of Ayurveda. Pathogenesis suggests involvement of Pitta and Kapha dosha mainly. Therefore a treatment attempt was planned in the lines of Pitta Kapha shamana. After the treatment the quality of vision had been showed significant improvement. Foveal thickness and macular volume in OCT findings also showed significant reduction. The present paper discusses a case study of CSC and its Ayurveda Treatment

An Ayurveda Approach to the Management of Astigmatism: A Case Report

Astigmatism is a type of refractive error wherein the refraction varies in the different meridian of eye. This accounts for approximately 13% of all refractive errors.  Kriyakalpas are the special treatment protocols mentioned for the management of eye disorders in Ayurveda. This paper aims to highlight the benefits of Kriyakalpas in Myopic Astigmatism with a case study, which includes short discussion on the mode of action of various Kriyakalpas based on its bio availability. The efficacy of the treatment plan is dependent on the method of preparation of drug and mode of administration mentioned in classics. It highlights all the above said points on the basis of clinical observations during the treatment of female subject aged 10 years, diagnosed with myopic astigmatism, which can be correlated with features of Prathamapatalagata Timira. She was treated with Nasya, Aschothana, Seka, Pindi and Tarpana. Her visual acuity and Diopteric powers were evaluated before and after the treatment and in follow-ups. There was significant improvement in both the parameters which highlights the benefits of Kriyakalpas in myopic astigmatism

Efficacy of Haridradwayadi Rasakriyanjana in Shushkakshipaka w.s.r to Dry Eye Syndrome- A Case Report

Tear secretion is an integral component of the ocular surface physiology; when compromised (quantitatively or qualitatively) lead to Dry eye syndrome with several ocular symptoms and ultimately the patient may end up in corneal blindness. The symptoms of Dry eye syndrome are similar to the disease Shushkakshipaka (ocular surface inflammatory syndrome) in Ayurveda. Vata & Pitta vitiation as per Ayurveda viewpoint are the major contributing pathological factors in its manifestation. Although a number of researches have been carried out and are still continuing, no curative treatment has been achieved yet. This paper aims to establish the efficacy of Haridradwayadi Rasakriyanjana during the clinical observation of a 55 years old female subject who was diagnosed with Shushkakshipaka. She was administered with the drug Haridradwayadi Ghrita in the form of Rasakriyanjana (semi-solid collyrium) drops topically for 30 days, by using subjective and objective assessment criteria which showed a significant result. After the treatment, majority of the symptoms reduced considerably and during the follow up concluded that there was no aggravation of the same