“Common clinical conditions in Netra( Eye ) and its Ayurvedic management” Dr. Meghana.B.Patil Asst.Professor (Dept of Shalakyatantra) KLE’s SBMK Ayurveda College Belagavi, Karnataka INDIA megs816@gmail.com 15/06/2016

ShalakyaTantra Unit 15/06/2016

Shalakyatantra One of the ashtanga of ayurveda which deals with parts above the clavicle Netra –eyes Karna , nasa, gala – Ear, nose, throat Mukha – Oral cavity Shirah – Head and scalp Ref: Sushruta samhita, Ashtanga Hridaya , Ashtanga Sangraha 15/06/2016

Netra (Eye) Pakshma Krishna Drishti Sandhi Sukla Varthma 15/06/2016

Physiological aspect Dosha Tridosha : Pitta predominant kapha and vata 1.Pitta: Alocakapitta Chakshurvaisheshika 2.Kapha: Tarpaka Kapha 3.Vaya : Pranavayu Disease aspect: “Chakshustejomayam tasya visheshat sleshmato bhayam” – The eyes should be protected from the imbalance of all the 3 doshas especially from the kapha dosha, as this is opposite to the guna of the teja mahabhuta. Therefore mainly the kapha-pitta pacifying dravyas should be used to maintain the health of the eyes 15/06/2016

Etiology of Netra Rogas Daily activities Hot water head bath Sleeping in the day time awakening late night Smoking Suppression of natural urges Mal-usage of pillows Looking at too small & too distant objects Watching moving objects Reading in moving vehicles Reading in wrong positions Occupational hazard – A.C. etc. Food items: Hot and sour items Repeated intake of food Unfavorable food items Mental factors Stress Anger Grief Fear 15/06/2016

Common clinical symptoms of Netra Redness Watering of eyes Dryness of eyes Discharge from the eyes Itching Burning sensation Foreign body sensation Ocular pain Abnormalities of eyelid movements Defective vision 15/06/2016

Eye lid swelling (Chalazion ,Blepharitis) Clinical conditions Eye lid swelling (Chalazion ,Blepharitis) Redness of eye ( Conjunctivitis,Allergic conjunctivitis) Refractive errors (Myopia) Dry eye syndrome/CVS 15/06/2016

Treatment modalities Preventive aspects Kriyakalpa Tarpana, Putapaka, Seka, Aschotana, Anjana,Pindi, Vidalaka Single drug usage Rasayana ( Rejuvenating drugs) Eye exercises 15/06/2016

Preventive aspects Promotion of eye health: 1.Padabhyanga - Foot massage 2.Nasa pana/ jala neti 15/06/2016

3. Moordhni taila: 15/06/2016

4. Pratimarsha Nasya- Instillation of 2drops of oil/ghee into nostrils 4.Pratimarsha Nasya- Instillation of 2drops of oil/ghee into nostrils. 5.Fill mouth completely with water and splash water to eyes thrice in the early morning. 6.Application of wet palms to eyes immediately after washing hands after food. 15/06/2016

Netra Kriyakalpas Specific procedures for eyes : i.General Health of eyes ii.Diseased conditions Tarpana Putapaka Seka Aschotana Anjana Pindi Vidalaka 15/06/2016

Nourishment of the eyes with plain ghee/ medicated ghee preparations 1.Tarpana : Nourishment of the eyes with plain ghee/ medicated ghee preparations 15/06/2016

2. Putapaka Name given to the special technique in order to extract juices from specific drugs and usage of mineral origin drugs Done after the tarpana procedure To strengthen the eye 15/06/2016

3. Netra Seka: Continuous pouring of medicated decoctions in single stream on the closed eyes. 15/06/2016

4. Aschotana Instillation of medicated drops in to the eyes 5 4. Aschotana Instillation of medicated drops in to the eyes 5. Anjana Application of drugs to the eyelid margin 15/06/2016

6. Pindi Placing bolus of medicines over the closed eyes 7 6. Pindi Placing bolus of medicines over the closed eyes 7. Vidalaka: Application of medicines around the eyes sparing the eyelashes 15/06/2016

Single drug usage Boons to eyes: 1.Triphala (Amalaki ,Haritaki,Vibhitaki ) 15/06/2016

2. Daruharidra: Berberis aristata 3. Haridra/ Turmeric 15/06/2016

4. Kataka beeja: Strychnos potatorum 5. Guduchi: Tinospora cordifolia 15/06/2016

7. Kumari: ( Aleovera ) 8. Draksha: ( Dry grapes) 15/06/2016

9. Shigru: Drumsticks 10. Dhanyaka:Coriadrum sativum 15/06/2016

11. Nimba : Neem leaves 12. Tulasi: 15/06/2016

Rasayana ( Rejuvinating drugs) 15/06/2016

EYE EXERCISES: Palming 2.Coldpad 15/06/2016

3. Bar swinging 4. Candle light exercises 15/06/2016

Common clinical conditions 1.Eyelids: Chalazion: Hard swelling/lump in the eyelids without any signs of infection or pain Management: Hot fomentation Haritakee lepa/ Lavanga lepa 15/06/2016

2.Blepharitis: Krimigranthi Inflammation of eyelid margin a/w severe itching and redness. Management: Maintenance of hygiene Haridra jala / Triphala kashaya + yashtimadhu seka Pratisarana – Triphala + madhu 15/06/2016

i.Allergic Conjunctivitis: Abhishyandha 3.Conjunctiva : i.Allergic Conjunctivitis: Abhishyandha Inflammation of conjunctiva, a/w itching, redness , foreign body sensation and mild discharge Management : Haridra jala seka/ Triphala kashaya Aschotana – Shigru patra swarasa + honey Tulsi patra swarasa + honey Pindi - Kumari + Guduchi 15/06/2016

Inability to see the far objects clearly Management : Yoga & Pranayama 4.Refractive Errors: i.Myopia: Timira Inability to see the far objects clearly Management : Yoga & Pranayama Seka – Triphala kashaya Tarpana – Cow’s ghee Aschotana – Ghee Eye exercises Nutritional supplements 15/06/2016

5.Dry eye syndrome/CVS ( Computer vision syndrome) : Shushkakshi paka Dryness of eyes with mild burning sensation Management : Pratimarsha nasya- Ghee/ Taila Seka- Saindhava + milk Tarpana – Ghee Aschotana – Ghee/ Milk 15/06/2016

“PREVENTION IS ALWAYS BETTER THAN CURE” 15/06/2016

Donate Eyes 15/06/2016

Thank you….. 15/06/2016