Ophthalmology

The following information are indebted to a very senior Ayurvedic opthalmologist Dr PK Santakumari whom I met in 2006  in Kerala.Now she is approachable in www.mathaonline.com  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. She is a very sought after ophthalmology specialist in the Ayurveda circles of Kerala with about three decades of experience in ophthalmology practice. I met her in 2006 for my thesis work.

In 2011, I met  a very unique Ayurvedic opthalmologist in Kerala, Dr Sreeja Sukeshan MD (Ayu) PhD. Her clinical experience is of the most highest order in Kerala and is very well experienced from allopathic aspects of opthamology and ENT too. Soon we shall have inputs from her in a written format as she is deeply committed to propagation of realistic, ethical, success oriented protocols teaching to doctors all over kerala. She is very thorough in documentation of cases.

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 SP Sreejit MD (Ayu), am deeply indebted to the below Ayurveda practioners and professionals who spent their valuable time and energy in the preparation of this material

9

Dr PK Santakumari MD (Ayu)

Former HoD Shalakya Tantra, Govt Ayurveda College, Trivandrum, pksanthakumari@rediffmail.com Ph: 0471 2731352, +91 93877 34578 www.mathaonline.com

9

Dr Jomon Joseph Daniel MD (Ayu)

Dept of ISM, Malappuram Dist, Kerala jomonjosephdaniel@gmail.com  Ph: +91 95670 71225

Medical Conditions

01 SINUSITIS - ACUTE PHASE
Nasal drops of special herbs relieve the pain and congestion within one to 3 hours
02 MIGRAINE
Application of talam – medicated oil or paste over bregma ensures quick pain relief in 15 – 30 minutes
03 ACUTE MANAGEMENT OF CEREBRAL HEMORRHAGE
Not possible
04 MANAGEMENT OF ARTERIAL BLOCK
Not possible
05 RESIDUAL IMPACT OF THE ABOVE TWO CONDITIONS
Possible
06 ACUTE CONGESTIVE GLAUCOMA
Immediate pain relief by leech application

This ensures the results as good as an injection

07 EYE STRAIN
Sekam and talam makes it possible to provide relief with in hours
08 CORNEAL ABRASION
Due to foreign body, severe burns, trauma – poor prognosis

Durva ghritham is found very effective for topical application

09 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, EPI SCLERITIS
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 - SIRA SHUKLAM
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 EPI SCLERITIS 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 - POOTHI KARNAM, KARNA PAKAM
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 - KARNA PRATHINAHAM
Easily curable within 2 weeks (maximum)
41 ALLERGIC/ VASO MOTOR RHINORRHOEA - BRISAKSHAVA ROGAM
Some times responds immediately but usually needs a long duration treatment of two months for complete results
42 CHRONIC/ HYPER TROPHIC 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 - MUKHA PAKAM
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 - ANANTA VATHAM
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 HEAD ACHES (TENSION HEAD ACHE ETC.) - VATHIKA, PAITHIKA & KATHAJA SIRA SOOLA 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

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