Case Report
Year: 2021 | Month: May | Volume: 11 | Issue: 5 | Pages: 229-235
DOI: https://doi.org/10.52403/ijhsr.20210537
Effect of Kaulitika Varti-Madhu Ashchyotana in the Management of Kaphaja Abhishyanda with Special Reference to Vernal Keratoconjunctivitis (VKC) – A Case Study
Raju Kumar1, Prabhakar Vardhan2, Gulab Chand Pamnani3, Rajendra Kumar Soni4
1PG Scholar, PG Department of Shalakya Tantra, National Institute of Ayurveda, Jaipur, Rajasthan, India
2Assistant Professor, PG Department of Shalakya Tantra, National Institute of Ayurveda, Jaipur, Rajasthan, India
3Associate Professor, PG Department of Shalakya Tantra, National Institute of Ayurveda, Jaipur, Rajasthan, India
4Lecturer, Shalakya Tantra Department, National Institute of Ayurveda, Jaipur, Rajasthan, India
Corresponding Author: Raju Kumar
ABSTRACT
Rationale: Vernal Keratoconjunctivitis (VKC) is a recurrent bilateral chronic allergic inflammatory disease of the ocular surface affecting mainly young children in first decade of life. As per Ayurveda, the disease VKC bears resemblance to the kaphaja abhishyanda which is one among four types of abhishyanda (conjunctivitis). The line of treatment of abhishyanda is langhana (fasting), lepana (anointing with medicated paste), swedana (causing perspiration), siravedhana (venesection), virechana (purgation), anjana (collyria application) and ashchyotana (guttae application) respectively. Based on this principle, the present case was managed with amapachanayoga and ashchyotana as per classical guidelines.
Background: An Indian female aged 23 years presented in December 2020 with complaints of severe itching, watering, redness, papillae on upper palpebral conjunctiva, gelatinous opacification (approx. 2 mm in size) around the limbus and Tranta’s dots for 11 years. The patient had recurrent episodes of this illness since last 11 years.
Intervention and Outcome: The patient was treated on prescribed line of treatment i.e. langhana (amapachana) and ashchyotana as described in Ayurveda for abhishyanda disease. Before treatment, the severity score determined by the 5-5-5 Exacerbation Grading Scale in VKC was 145. After the therapy, the severity score reduced to 0.00. Hence, 100% improvement in disease severity.
Key words: abhishyanda, ashcyotana, amapachana, spring catarrah.