Management Of Perennial Allergic Conjunctivitis (Vataja Abhishyanda) Through Ayurveda– A Case Report
Abstract
Allergic conjunctivitis is a highly prevalent disease, affecting about 40% of the population. It is characterized by itching, watering, redness, chemosis and lid edema, that arises due to exposure to environmental allergens such as grass or tree pollen, house dust mites, animal dander and fungal allergens. It can either seasonal or perennial. In Ayurveda, Abhishyanda (Conjunctivits) is considered to be the root cause of all other eye diseases. It is mentioned under Sarvagata rogas (Diseases affecting entire eye) and is classified into the various types depending upon the Dosha (regulatory functional factors of the body) involved. Vataja Abhishyanda (Allergic Conjunctivitis) is caused due to aggravated Vata dosha, causing Thoda (pricking type of pain), Sangharsha (foreign body sensation), Vishushka Bhava (feeling of dryness), Shishirashruta (cold, watery discharge) and Alpa Shopha (mild chemosis). Ayurveda has various treatment modalities and has given significant results. In this present study, A 13-year-old female patient approached the OPD of Shalakya Tantra (Branch of Ayurveda dealing with diseases above the clavicle), JSS Ayurveda Medical Hospital, Mysuru, India with complaints of itching, redness and watering of right eye since 1 year. She was treated with Sadhyo virechana (Therapeutic purgation), Netra Seka (Eye irrigation Therapy), Netra Pindi (Eye poultice Therapy) and Shamana Aushadhis (Palliative medicines). The results were assessed using slitlamp biomicroscopy. The patient had complete relief from the symptoms.
References
2. Sushrutha. Sushrutha Samhitha Dalhana Comm. Nibandhasangraha, Gayadasacharya Comm. Nyayachandrika Panjika on Nidanasthana, Jadavji T, Narayana R, editors. Chaukhambha Orientalia, Varanasi; 2019, Uttara Tantra 1st Chapter, Shloka No. 43, p.498
3. Shad Baab; Patrick H. Le; Bharat Gurnani; Eilene E. Kinzer; Allergic Conjunctivitis
https://www.ncbi.nlm.nih.gov/books/NBK448118/
4. Leonardi A, Castegnaro A, Valerio AL, Lazzarini D. Epidemiology of allergic conjunctivitis: clinical appearance and treatment patterns in a population-based study. Curr Opin Allergy Clin Immunol. 2015 Oct;15(5):482-8. doi: 10.1097/ACI.0000000000000204. PMID: 26258920.
5. Kanski, chap 5 conjunctiva, pg 144- 145
6. Sushrutha. Sushrutha Samhitha Dalhana Comm. Nibandhasangraha, Gayadasacharya Comm. Nyayachandrika Panjika on Nidanasthana. Jadavji T, Narayana R, editors. Chaukhambha Orientalia, Varanasi; 2019, Uttara Tantra 6th Chapter, Shloka No. 6, p.603
7. Paradakara HSS. Ashtanga Hrudayam With Sarvanga Sundaram of Arunadutta and Ayurveda Rasayana of Hemadri. 9th Ed. Varanasi (India): Chaukhambha Sanskrit Orientalia, 2005. Uttara Tantra, 15th chapter, Shloka no.1-3, pg 828
8. Sushrutha. Sushrutha Samhitha Dalhana Comm. Nibandhasangraha, Gayadasacharya Comm. Nyayachandrika Panjika on Nidanasthana. Jadavji T, Narayana R, editors. Chaukhambha Orientalia, Varanasi; 2019, Uttara Tantra 9th Chapter, Shloka No. 3-4, p.611
9. Indu, (2008), Shashileka Sanskrit commentary, Astanga Samgraha of Vriddha Vagbhata, Chaukhambha Sanskrit Series Office, Varanasi, Chikitsa sthana 15th chapter, Shloka no.25. pg 521
10. Prof Dr. Gyanendra Pandey, Dravyaguna Vijnana, Vol I, Chowkhamba Krishnadas Academy, Varanasi, pg 639 -640
11. Prof Dr. Gyanendra Pandey, Dravyaguna Vijnana, Vol I, Chowkhamba Krishnadas Academy, Varanasi, pg 181-182
12. Sharandhara, Sharandhara Samhita by Dr. Bramhanada Tripathi, Chawkhambha Surbharti Prakashana, Varanasi-2004, Uttara Khanda, Adhyaya 13, Shloka no.1, pg 422
13. H K, Amarnath & Aparna, V. (2013). CRITICAL ANALYSIS OF KRIYAKALPA. 6. 18.
14. Dhurve VA, Dudhamal TS. Formulations of Panchavalkala As Vrana Shodhana and Vrana Ropana: A Brief Review. Indian J Ancien Med Yog. 2020;13(1):17-22.
15. Taru, Poonam & Syed, Sabeena & Kute, Pournima & Shikalgar, Malan & Kad, Dhanshree & Gadakh, Archana. (2022). DASHAMOOLA: A SYSTEMATIC OVERVIEW. GIS-Zeitschrift fü Geoinformatik. 9. 1334-1345.
16. Peterson CT, Denniston K, Chopra D. Therapeutic Uses of Triphala in Ayurvedic Medicine. J Altern Complement Med. 2017 Aug;23(8):607-614. doi: 10.1089/acm.2017.0083. Epub 2017 Jul 11. PMID: 28696777; PMCID: PMC5567597.
17. Das S, Singh PK, Ameeruddin S, Kumar Bindhani B, Obaidullah WJ, Obaidullah AJ, Mishra S, Mohapatra RK. Ethnomedicinal values of Boerhaavia diffusa L. as a panacea against multiple human ailments: a state of art review. Front Chem. 2023 Nov 14;11:1297300. doi: 10.3389/fchem.2023.1297300. PMID: 38033469; PMCID: PMC10682173.
18. Dudhamal TS, Gupta SK, Bhuyan C. Role of honey (Madhu) in the management of wounds (Dushta Vrana). Int J Ayurveda Res. 2010 Oct;1(4):271-3. doi: 10.4103/0974-7788.76793. PMID: 21455457; PMCID: PMC3059452.
19. H K, Amarnath & Aparna, V. (2013). CRITICAL ANALYSIS OF KRIYAKALPA. 6. 16-18.
20. Prof Dr. Gyanendra Pandey , Dravyaguna Vijnana, Vol I, Chowkhamba Krishnadas Academy, Varanasi, pg 529-540
21. Bekir J, Mars M, Souchard JP, Bouajila J. Assessment of antioxidant, anti-inflammatory, anti-cholinesterase and cytotoxic activities of pomegranate (Punica granatum) leaves. Food and chemical toxicology. 2013 May 1;55:470-5.
22. Arun N, Singh DP. Punica granatum: a review on pharmacological and therapeutic properties. Int J Pharm Sci Res. 2012 May 1;3(5):1240.
23. Monika S, Thirumal M, Kumar PR. Phytochemical and biological review of Aegle marmelos Linn. Future science OA. 2023 Mar 1;9(3):FSO849.
24. Sahu PK, Giri DD, Singh R, Pandey P, Gupta S, Shrivastava AK, Kumar A, Pandey KD. Therapeutic and medicinal uses of Aloe vera: a review. Pharmacology & Pharmacy. 2013 Nov 8;4(08):599.
25. https://www.avnayurveda.com/product/amavatari-kashayam-kashyama-tablets/
26. Mishra, S. N. Siddhiprada Hindi commentary on Bhaishajya Ratnavali, Chaukhamba Surbharati Prakashan, Varanasi, Edition 2015, Gulmadikar, chapter 5, verse no. 113-117, P 658-659.
27. Sharma, Usha & Rani, Sheenam. (2023). Review on Praval Panchamrita Rasa: A Natural Calcium Supplement. Scholars International Journal of Traditional and Complementary Medicine. 6. 134-139. 10.36348/sijtcm.2023.v06i09.001.