2. OCULAR MANIFESTATIONS in SYSTEMIC DISEASES
Presented by
Vd.Pravin M. Bhat
M.S. (Scholar)
Guide & H.O.D
Dr.S.M.Panzade
Dept. Of Shalakyatantra
Govt. Ayurved College & Hospital
Nanded (M.S.)

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4. Aims & Objectives
To study the eye manifestations (Lakshana) in systemic diseases.
To understand the Dosha – Dushya Pradhanya in eye.
To study the Hetu & Samprapti of eye diseases.

5. INTRODUCTION
The eyes are frequently involved in diseases affecting the rest of the body
Ocular manifestations in certain multisystem disorders may offer a diagnostic clue
Sometime the eye involvement may be subtle enough to avoid detection unless the clinicians knows to look for it

6. Anatomy of Eye

7. Netra Sharir Rachana Doshapradhanya in Netramandal:
1.Pakshmamandal Vayu Mahabhuta, Vata Dosha
2.Vartmamandal Vyanavayu & Pranavayu
3.Shuklamandal Predominance of Kaphadosha
Anubandhi Pitta Dosha
4.Krishnamandal Vata Dosha
5.Drishtimandal All 3 Doshas Equally Involved

8. Netra Sharir Rachana
6.IntraOcular Fluids Aap Mahabhuta KaphaDosha Predominance 7.Drishtikacham Aap Mahabhuta KaphaDosha Predominance 8.Iris Vayu Mahabhuta VataDosha 9.Choroid Agni Mahabhuta - PittaDosa 10.Drishtipatal All 5 Mahabhuta & 3 Doshas Alochaka Pitta Receives & Analyses the Indriyartha

9. Netra Sharir Rachana
Each & every part of eyeball has its own predominant Mahabhoota & Dosha .So diseases of one part is restricted to that part only.
Parts of eye Mahabhuta Doshapradhanya
Muscular part Prithvi Kapha
Vascular Part Agni Pitta
Black Part Vayu Vata
White Part Jala Kapha
Lacrymal Passage Akash Vata
PALAM BHRUVO AGNITATO RAKTAM VATAT KRISHNAM SITAM JALAT |
AKASHAT ASHRUMARGASCHA JAYANTE NETRABUDBUDAM ||
-SUSHRUTA

10. Eyes are most important among the 5 dnyanendriya
Eyes are most important among the 5 dnyanendriya. So its function can be considered as function of dnyanendriya

11. Netraroga Nidan (Etiological factors of eye diseases)
Vitiation of Pitta is the leading etiological factor in the development of eye diseases
Hetu Aharaj
Viharaj
Manasik
Sarvadehik Vyadhi
Treatment factors,etc

12. Hetu & Samprapti
It is seen that 70-80% of systemic diseases have their own ocular manifestations.Because eye is highly sensitive structure.
An ocular disease develops along with a systemic disease, when the two diseases are having common Nidana.
e.g. Timira & Prameha

13. Samprapti of Netraroga
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14. SIRABHIRURDWAM PRASRUTA NETRAVAYAVAMASHRITA||
Sarvaroga Nidanokta Hetavah
Sarvadehik doshadushtikar Achakshushya Hetu
Hetu
Sarvadehik Doshadushti Netrasthit Doshadushti
Sarvadehik Vyadhi Netraroga
SIRABHIRURDWAM PRASRUTA NETRAVAYAVAMASHRITA||
Ashtang Hridayam

15. Samprapti
Ushna,Tikshna , Sara , Snigdha & Drava guna of pitta are increased.
Properties of Raktadhatu deranged.The density viscosity are decreased.The vessels are dilated & become more permeable.
The vitiated Dosha always have an affinity towards that area of the eye, where there is predominance of that particular Dosha by nature.

16. Vitiated Vata affects Krishnamandal drishtimandal.
Vitiated Pitta affects Vascular Parts.
Vitiated Kapha affects Intraocular Fluids,Shuklamandal.

17. Examinations of eye Systemic examination Examination of an eye
Ashtavidha Dashavidha
ROGAKRANT SHARIRASYA STHANANYASHTO NIRIKSHAYET | NADIMUTRAMALAJIVHASHABDASPARSHDRIKAKRUTI ||
Yogaratnakar
Ashtavidha Pariksha gives information about the Dosha , Prakriti & Systemic diseases of patient.

18. Examination of eye Dashavidha Pariksha :
DUSHYAM DESHAM BALAM KALAM ANALAM PRAKRITIM VAYAH |
SATVAM SATMYAM TATHA AHARAM AVASTHNSCHA PRITHAGVIDHA ||
-Charaka
Prakriti & its relation with eye:
Vataprakriti Shyava Netra
Pittaprakriti Pingala Netra
Kaphaprakriti Shukla Netra

19. Ocular Manifestations in systemic Diseases
SYMPTOM ON EYE
DOSHA
DUSHYA 1
JWARA(Purvarupa)
NAYANPLAVA
PITTA
MAMSA 2
GRAHANI
TIMIRA
VATA 3
PANDU
AKSHIKUTU SHOTHA
KAPHA
RAKTA, MAMSA 4
KAMALA
HARIDRA NETRATA
RAKTA 5
RAKTAPITTA
AKSHIGATA RAKTASRAVA 6
RAJAYAKSHMA
SHUKLE-AKSHNO 7
KRIMI
SHYAVA NETRATA 8
SHITAPITTA
RAKTALOCHANATA

20. Ocular Manifestations in systemic Diseases
SYMPTOM ON EYE
DOSHA
DUSHYA 9
APANA VAYU AVARODHA
DRISHTIVADHA
VATA
MAJJA 10
JARASHOSHA
AKSHISHUSHKATA,MALACHHAVI
MAMASA, MAJJA 11
MAHASHWASA
VIBHRANTALOCHANA 12
ANNAVAHA SROTAS VIDDHA
ANDHYA 13
MAJJAKSHAYA
TIMIRADARSHANAM 14
ARSHA(Purvarupa)
NETRASHOPHA 15
KSHAYAJA KASA
SHRIMADDASHANNETRATA
TRIDOSHA
SHUKRA 16
URDHWASHWASA
URDHWADRISHTIVIBHRANTAKSHA

21. Ocular Manifestations in systemic Diseases
SYMPTOM ON EYE
DOSHA
DUSHYA 17
CHHINNA SHWASA
VIPLUTAKSHA RAKTAIKLOCHANA
VATA 18
TAMAKASHWASA
UCHHRITAKSHA
KAPHA VATA 19
SWARABHEDA
KRISHNA NAYANA 20
TRISHNA
RAKTEKSHNATWAM
PITTA 21
UNMAD
DRISHTI ADHIRATA 22
APASMARA(Asadhya)
PRACHALITA BHRIVAM
TRIDOSHA 23
VATAVYADHI
AKSHIHUNDANA 24
APATANAKA
VARTMASTAMBHA 25
ARDITA
NETRADINAM CHA VAIKRITAM 26
JRIMBHA NNIRODHAJA UDAVARTA
AKSHIROGA 27
NIDRARODHAJ UDAVARTA
AKSHIJADYA
VATA KAPHA

22. DISCUSSION
Eye is one of the vital organ & almost 70-80% systemic diseases are responsible for the generation of eye pathology.
Most of the time we cannot get results only by local treatment of some eye diseases. At that time we consider about Sarvadehik samprapti (Systemic cause).
E.g.--- Chalazion (Hetu– constipation, supression of natural urges,DM,High Myopia)

23. DISCUSSION
Detail history of patient is necessary. Because we can do treatment with the help of knowledge of Hetu & Dosha,Dushya.
While doing local treatment we have to think about Dosha & in case of Sarvadehik chikitsa we should think about Agni & Hetu.

24. CONCLUSION
While treating Netra Vyadhis along with Sthanik Chikitsa (Local treatment) systemic examination is also necessary & vice versa.
A detail history focusing on Hetus ,Dosha-Dushya & Samprapti is mandatory for successful treatment of eye diseases.
Netra Sharir & its Dosha-Dushya relation should also be taken into consideration.
This study emphasizes on utmost importance of eye as a Diagnostic Tool.

25. Bibliography Caraka Samhita Sushruta samhita Ashtang Hridayam
Madhav Nidan
Yogaratnakar
Textbook of ophthalmology in Ayurveda By Dr.P.K.Shanthakumari (Kerala).
Lakshankosha By Vd.D.P.Gadgil (Tilak Maharashtra Vidyapeeth,Pune)

26. Thank You…!
THANK YOU

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