Ophthalmology

The following informations are indebted to the best Ayurvedic opthalmologist in Kerala. The stress nature of office type jobs are finding its place in any organization. Long hours spent in front of the computer systems, computer vision syndrome etc are finding its place among many individuals. Eye healthcare is an important arena that can be earmarked for preventive and curative aspects. Ophthalmology physicians of Kerala Ayurveda have developed their own special medicines and treatment methodologies regarding the preventive and curative healthcare of most of the disorders of eye. Dr Santakumari is a very sought after ophthalmology specialist in the Ayurveda circles of Kerala with about three decades of experience in ophthalmology practice. Nevertheless, I solicit more inputs from other efficient, experienced, open minded, Shalakyam practicing physicians to share their knowledge and experience to this forum. Requests have been made to various physicians of this branch for the same. The following clinical conditions are just few of the cases that regularly come across in clinical experience in the Ayurveda college hospitals of Kerala.

Contributors

 I, Dr Sreejith Pillai, am deeply indebted to the below Ayurveda practioners & professionals who spent their valuable time and energy in the preparation of this material

Dr P K Santakumari MD (Ayu)

Former Head of the Dept of Shalakya Tantra, Govt. Ayurveda College, Trivandrum, pksanthakumari@rediffmail.com, Ph: 0471 2731352, 9387734578
1

Dr Jomon Joseph Daniel MD (Ayu)

Dept of ISM, Malappuram Dist, drjomonjoseph@yahoo.co.in, Ph. +91 9746565374
1

Dr Sreejith Pillai

Phone: +91 9447349992, WhatsApp: +91 9495963876, Email: agnivesh.info@gmail.com

Medical Conditions

1. SINUSITIS - ACUTE PHASE
Nasal drops of special herbs relieve the pain and congestion within one to 3 hours.
2. MIGRAINE
Application of “talam” – medicated oil or paste over bregma ensures quick pain relief in 15 -30 minutes.
3. ACUTE MANAGEMENT OF CEREBRAL HEMORRHAGE
not possible
4. MANAGEMENT OF ARTERIAL BLOCK
not possible
5. RESIDUAL IMPACT OF THE ABOVE TWO CONDITIONS
possible
6. ACUTE CONGESTIVE GLAUCOMA
Immediate pain relief by leech application .This ensures the results as good as an injection.
7. EYESTRAIN
Sekam and talam makes it possible to provide relief with in hours.
8. CORNEAL ABRASION
Due to foreign body, severe burns , trauma – poor prognosis.

Durva ghritham is found very effective for topical application.

9. CORNEAL ULCERS - KSHATHA SHUKLAM
Symptomatic relief is very much possible the same day, for healing5 to 20 days are required depending upon the intensity of lesion.

Corneal opacity that is mild – curable by Ayurveda.

It’s a regular experience that by Ayurvedic treatments of topical application and internal medications in a corneal ulcer, chances of opacity become very minimal.

Corneal ulcer secondary to infection – poor prognosis – Ayurvedic measures do not help.

Corneal opacity that is dense – poor prognosis – Ayurveda can not manage.

10. STYE - ANJANA PITAKA
Parasurgical measure like I &D.
11. BLEPHARITIS - PILLAM
Total cure in 7 days time. For some patients there are chances of recurrence.
12. FOLLICULAR CONJUNCTIVITIS - SIKATHA VARTHMAM
Ayurvedic management ensures very less chances of recurrence.

Immediate response to the treatment done.

13. CONJUNCTIVAL INFECTIONS - UTHKLISHTAM, KARDAMA VARTHMAM
Response time 5- 15 days by sekam ,ashchotanam etc.
14. MADAROSIS - PAKSHMA SHATHAM
Leeching followed by anjanam.
15. PTOSIS, BLEPHAROSPASM - VATHA HATHAM
Ayurveda is the best choice as there are no side effects like steroids.

Needs course of treatment for a month.

16. PTERYGIUM - ARMAM
Surgery the best option.

It is possible to avoid the recurrence with the help of special Anjanas for two months duration that are very effectively employed in treatments.

17. SCLERITIS, EPISCLERITIS
Modern medicine has better management.
18. DRY EYE
A very common ever increasing ailment .

Unlike the modern medicine’s artificial eye drops that have side effects in the long run, Ayurvedic approach is more on the systemic lines and offer better results.

Course of treatment of 3 weeks each twice a year is required for substantial cure.

19. BLOOD VESSELS SPREADING LIKE IN THE CORNEA - SIRASHUKLAM
Intensity of the condition can be surely reduced by jalooka / leech therapy.
20. CATARACT
Ayurveda is helpful in very early stage but practically not much patients would be available for such a follow up.

Modern medicine has a better role in this.

21. MACULAR EDEMA
In 3 weeks of duration of treatments appreciatble level of cure is achieved and further recurrences can surely be reduced.
22. RETINAL HEMORRHAGE
This condition can be arrested by 15 – 45 days of treatment.
23. DIABETIC RETINOPATHY
Ayurveda treatments are found to be better in Background affected retinopathy.

Similar is the matter with hemorrhage, leakage ,exudates – these three can be arrested much better by Ayurveda.

Proliferative retinopaty – poor prognosis in Ayurveda.

24. GLAUCOMA
Signs and symptoms can be surely controlled and the clinical entity maintained with out problems for a long period.

Closed angle glaucoma – nothing can be done by any means.

25. RETINAL DETACHMENT
Partial detachment is well responding to Ayurvedic treatments of one month with medicines as follow up.

Total detachment – impossible by Ayurveda .

Its note worthy that selection of head oil is very important regarding diseases of the eye.

26. DEGENERATIVE DISEASES
These are the areas in which modern science has nothing significant to offer but Ayurveda can surely enhance the quality of life .
27. MACULAR DEGENERATION
Ayurvedic management is found to have much better positive impact on the prognosis of the disease.
28. RETINITIS PIGMENTOSA
Further degeneration can be surely arrested whereas the previous damaged cells cannot be regenerated. Enormous importance is attached to food & life style for palliative care of the desease.
29. EXTERNAL HORDEOLUM OR STYE - ANJANA PITAKA
An easily treatable condition and responds well within a few days treatment. In recurring cases, deworming, refractive error correction – if any, may be needed.
30. CHALAZION - LAGANAM
Very good prognosis. Treatable through internal medications and a minor surgical procedure as explained in Ayurvedic classics.
31. EPISCLERITIS AND SCLERITIS
The different stages of this disease are beautifully explained in Ayurvedic classical texts and are entitled as separate diseases as sirolpatha, siraharsha, sirajala – all of which are curable with 1 – 2 months of treatment.
32. SUB CONJUNCTIVAL HEMORRHAGE - ARJUNAM
Can be cured within 5 to 10 days. Installation of a special eye drops is described in this context.
33. PTERYGION - ARMAM
Surgical and post surgical management are well explained and is now practiced in Ayurveda colleges. Recurrence rate in very low.
34. DIFFERENT STAGES OF CATARACT
Explained as thimiram, Kachams, linganasam. Duration of medication depends on the stage and chronicity of the disease. Modern surgery is the best option in chronic cases.
35. CONJUNCTIVITIS - AMLOSHITHA
Easily curable with local and internal medications with in a few days.
36. PAN OPHTHALMITIS - AKSHIPAKATHYAYAM
Vision may not be always preserved by treatment. But complications that lead to evisceration or dissemination of infection can be very well managed / prevented.
37. DEAFNESS - BADHIRATHWAM
Treatment methods, duration and prognosis depends on the cause, duration etc.
38. TINNITUS - KARNANADAM
Curable with local and internal medication.
39. SUPPURATIVE OTITIS CONDITIONS - POOTHIKARNAM, KARNAPAKAM
Very good result yielding conditions. Ayurvedic treatment procedures are found to activate healing of membrane rupture rapidly and conditions were gromet insertion was advised have responded very well.
40. CONDITIONS OF WAX IMPACTION AND ITS COMPLICATIONS - KARNAPRATHINAHAM
Easily curable within 2 weeks (maximum)
41. ALLERGIC/ VASOMOTOR RHINORRHOEA - BRISAKSHAVAROGAM
Some times responds immediately but usually needs a long duration treatment of two months for complete results.
42. CHRONIC/ HYPERTROPHIC RHINITIS - DUSHTA PRATHISYAYAM
A treatable condition, needs long duration management of at least six weeks.
43. NASAL POLYP - NASARSAS RESPONDS VERY WELL TO LOCAL DRUG APPLICATION/ MINOR SURGICAL PROCEDURES
In 3 weeks of duration of treatments appreciatble level of cure is achieved and further recurrences can surely be reduced.
44. STOMATITIS - MUKHAPAKAM
A very easily treatable condition. But in chronic and recurrent cases there is need to rule out some underlying pathology and can be treated for it. Usually responds well within 1- 2 months treatment.
45. TRIGEMINAL NEURALGIA - ANANTAVATHAM
A tough prognosis disease to be brought under control. Curable but recurrence rate is quite high.
46. MIGRAINE/ VASCULAR HEADACHE - SOORYAVARTHAM
Usually not completely curable, but can be managed well and can reduce the recurrence rate. Some physicians opine its curable & recurrence is rare for many patients.
47. VARIOUS FORMS OF HEADACHES ( TENSION HEADACHE ETC.) - VATHIKA, PAITHIKA & KATHAJA SIRASOOLA ETC.
Treatment depends mainly on the causative / provocative factors and clinical features. Success rate is high.
48. ALOPACIA AREATA - INDRALUPTHA
Yields very good results. Hair growth is regained within 20 – 35 days.
49. TONSILITIS - THUNDIKERI
Curable in the initial as well as chronic stages.
50. DENTAL CARIES
In Ayurvedic texts, the different stages of this are explained as separate diseases and the initial stages as Seethadanta, danta harsha etc – if managed at this stage, further progress can be arrested.
But the last stage is Krimidantha & has to be extracted.
51. MYOPIA
Clinical features and treatment are explained in the context of drishti rogas. Even myopias with high refractive errors respond well to internal medications, local treatment procedures, eye exercises etc.

Some may need repeated treatment schedules at intervals of six months.

52. OPHTHALMIA NEONATORUM - KUKOONAKAM
Effective treatment options against local / systemic steroid therapy which has widespread immediate and late complications are explained in Ayurvedic classics.