Netraroga Chikitsaa

Reference:
C.Chi.26, A.H.U.8-16, S.U.9-17, N.R. Netra Roga

Introduction:
Netra Roga are the diseases of the organ Netra.
These Vyaadhi areconsidered as Madhyama Maargagata Vyaadhi.

Sarvagata Netraroga:
Abhishyanda Should be treated by Teekshn`a Gan`d`oosha, Naavana and Langhana (except in Vaataja) in the Poorvaroopaavasthaa.

Saamanya chikitsaa:

Administration of Saamyaakas`hana and S`hodhana Yogato as to pacify Dosha like Vaata.
To avoid causative factors of diseases and which aggravate Dosha.
Aas`hchotana is useful in all type of ophthalmic disorders.

Vis`hesha Chikitsaa:

Vaataja Abhishyanda and Vaataja Adhimantha:

Snehana (Puraan`a Ghrita) → Svedana → Siraavyadha → Sneha Virechana → Basti
Tarpan`a
Put`apaaka
धूमपान
Aas`hchotana
Sneha Parisheka
S`hirobasti
नस्य
Siraavedhana should be done at Lataat`a, Apaanga, Upanaasikaa region.
Sechana should be done with decoction of Aanoopa Maamsa , Jalaja Maamsa
Amla and Vaataghna Dravya
Tarpan`a should be done with all Sneha except Taila.

Anyatovaata and Vaataparyaya:

Poorvabhakta Ghritapaana
Saksheera Bhojana
Vaataja Abhishyanda Chikitsaa

S`hushkaakshipaaka:

Ghritapaana
Anjana
नस्य
Tarpan`a
Parisheka

Pittaja Abhishyanda and Pittaja Adhimantha:

रक्तमोक्षण
Sramsana
नस्य
Lepa
Anjana
Seka

First Aamapaanchana should be achieved then Snehapaana should be givenfollowed by Siraamoksha. Generally Pittaghna Chikitsaa should be adopted. It should be treated as per Pittaja Visarpa Chikitsaa.

Amlaadhyushita and S`hukta:

Amlaadhyushita should be treated by चिकित्सा similar to Pittaabhishyanda however, रक्तमोक्षण is contraindicated.
According to Vaagbhat`a S`hukti should be treated by चिकित्सा similar to Pittaabhishyanda.
नस्य
Anjana
Lepa
Seka
Sramsana

Dhoomadars`hee

Ghrita should be used both internally as well as externally.
चिकित्सा is similar to Raktaja and Pittaja Abhishyanda, Pittavidagdha Drisht`i and Pittaja Visarpa.

Kaphaja Abhishyanda and Kaphaja Adhimantha:

Rooksha Chikitsaa.
Sveda, Avapeed`a, Anjana, Dhooma, Seka, Pralepa, Kavalagraha, Aas`hchotana and Put`apaaka.
Tikta Dravya Siddha Ghritapaana (On every 4th day after Apatarpan`a)
रक्तमोक्षण.
Followed with Kaphaghna dietary regime, Svedana and Anulepa.

Balaasagrathita, Pisht`aka and Praklinna Vartma:

चिकित्सा issimilar to Kaphaja Abhishyanda and Adhimantha
नस्य
संसर्जन क्रम

Balaasagrathita Chikitsaa:

वमन
Virechana
Shirovirechana
रक्तमोक्षण
Kshaaranjana

Pisht`aka

Anjana

Saamanya Chikitsaa:

Raktaabhishyanda, Raktaja Adhimantha, Sirotpaata, Siraaharsha, Siraajaala, Arjuna, Avran`a S`hukra:

Snehana (Kaumbha Ghrita or Maamsarasa)
रक्तमोक्षण (Siraavedha)
S`hirovirechana, Virechana Dravya Siddha Ghritapaana
Sthaanikaa Upachaara: Pradeha, Parisheka, Nasya, Dhooma, Aas`hchyotana, Anjana,Tarpan`a and Snigdha Put`apaaka
S`hatadhauta Ghrita Abhyanga

Raktaabhishyanda, Raktaja Adhimantha, Sirotpaata and Siraaharsha with Vaatajanubandha

Mridu Sveda
जलौकावचारण and Ghritapaana in Mahatee Maatraa.(In Vaatavritta Rakta Bahus`hon`ita Avasthaa)
Vaatavritta Rakta Alpas`hon`ita Avasthaa Should be treated by चिकित्सा similar to Pittaabhishyanda.

Avran`a Shukra: should be treated with रक्तमोक्षण and other procedures of Raktaja Abhishyanda and Lekhyaanajana.

Savran`a Shukra:should beKshaaranajanamentioned inBalaasagrathita

Dviteeyapat`ala As`hrita Savran`a Shukra( Dvitvaggata Savran`a S`hukra + S`hoola ):

This should be treated by Netra Tarpan`a with Vaataghna Dravya.

Arjuna:

Should be treated by चिकित्सा similar to Pittaabhishyanda.
Amlavarga Ashchotana

Ajakaajaata:

Udaka Visraavan`a should be done by puncturing on lateral (Paars`hva) side. Then the cavity should be filled with Gomaamsa Choorn`a.
If the lids are getting elevated more due to this Ajakaajaata then Lekhana should be donefrequently.

Sas`hopha Paaka and As`hopha Paaka:

Snehana, Svedana
Siraavyadha (Apaanga Upanaasikaa Lalaat`a)
Snehana à Virechana
नस्य
Seka
Aas`hchyotana
Put`apaaka
Anjana
Amloshita / Amlaadhyushita should be treated by Pittaabhishyanda Chikitsaa.

Pilla (Chikitsaa Similar to Praklinnavartma):

Snehana followed by वमन
Siraavyadha, Virechana, S`hirovirechana Asthaapana followed by Vartma Lekhana
Patient of Pilla should be treated by frequent Vartma Lekhana, Siraavyadha, Virechana and regular Seka Aas`hchyotana, Anjana, Naavana and धूमपान.

Pooyaalasa:

रक्तमोक्षण After Snehana and Svedana
Vran`a S`hodhana / Chakshushya Dravya Upanaaha
All the Netrapaakahara Kriyaa are advisable. (Antahs`huddhi and Bahihs`huddhi)

Praklinna Vartma and Aklinna Vartma:

Snehana, Siraavyadha, Virechana, S`hirovirechana, Aasthaapana
Netra Tarpan`a
Seka
Anjana
Aas`hchyotana
नस्य
Dhooma

Lekhya Roga Following Vyaadhi are included under this category as Lekhana is the first line of treatment for all these Vyaadhi.

Utsangini
Bahala Vartma
Kardama Vartma
S`hyaava Vartma
Baddha Vartma
Klisht`a Vartma
Pothaki
Vartma S`harkaraa
Kumbhikaa

Saamaanya Chikitsaa:

Snehana should be administered followed by वमन and Virechana.
The patient should be advised to sleep in a room devoid of excessive wind flow and sun.
The patient should be advised to lie in supine position. Then the diseased eyelid should be inverted by holding in left thumb and left index finger.
Fomentation should be done with the help of a cloth dipped in warm water.
The portion should be dried with the help of gauze.
Lekhana should be done with the help of Man`d`laagra S`hastra or Anus`hastra like S`hephaali Patra etc.
When bleeding stops Svedana should be administered Manahs`hilaadi Pratisaaran`a should be applied.
After some time the lids should be cleansed with warm water and Ghrita should be sprinkled.
Then the wound should be treated as mentioned in Vran`opakrama.
Svedana and Avapeed`a Nasya should be administered after 3 days after Lekhana Karma.

Durlikhita Vartma: Snehana shouldbe administered followed by Lekhana.

Atilikhita Vartma: Sneha Sveda etc Vaatahara Upakrama

Vartmaavabandha, Klisht`a Vartma, Bahala Vartma, Pothaki:
Prachchhaana followed by Lekhana with the help of an S`hastra.

S`hyaava Vartma / Kardama Vartma:Lekhana

Kumbhakini / Kumbheekaa, S`harkaraa, Utsangini
Chhedana Lekhana

Kat`hina Vartma Pid`akaa Bhedana should be done in Pakvaavasthaa followed by Lekhana.

Bhedya Roga – Following Vyaadhi are included in this category as Bhedana is the first line of treatment for all these Vyaadhi.

Bisagranthi
Lagan`a
Anjananaamikaa
Krimigranthi
S`hleshmopanaaha

Saamaanya Chikitsaa:

All the five Vyaadhi should be treated by Snehana, then Svedana by (juice obtained from leaves after churning / fragmented leaves) Patrabhanga. Then they should be treated by general Vran`opakrama till they acquire Paakaavasthaa. After that Bhedana followed by Pratisaaran`a should be done in Paakaavasthaa.
Also after Bhedana Vran`a ropan`a should be done.

Bisagranthi

Svedana à Pakvaavasthaa
Bhedana with the help of a S`hastra
Avachoorn`ana with Saindhavaadi Choorn`a
Then application of Ghrita + Madhu followed by Vran`a Bandha.

Lagan`a

Alpa Avasthaa:
Bhedana by Pratisaaran`a
Maha Avasthaa:
Bhedana by S`hastra
क्षारकर्म and अग्निकर्म
Agnidagdha Vran`a Chikitsaa
Saamnaya Vran`a Chikitsaa

Anjananaamikaa

Chhedya Roga – Following Vyaadhi are included in this category as Chhedana is the first line of treatment for all these Vyaadhi.

Prastaaree Arma
S`hushkaarma
Raktaarma
Adhimaamsaarma
Snaayvaarma
Siraajaala
Siraa Pid`akaa
Parvan`ikaa
अर्श
अर्बुद
Pakshmakopa

Saamaanya Chkitsaa:

All these Chhedya Roga should be treated with Teekshn`a Gun`ayukta medicines that are also either Vaamaka or Virechaka.
चिकित्सा similar to Abhishyanda considering the Dosha Praadhaanya should be given.

Vis`hesha Chikitsaa:

Panchavidha Arma:Arma Chhedana S`hastrakarma:

Vamana, Virechana and S`hirovirechana should be done as prerequisite of Arma Chhedana. Then after संसर्जन क्रम the patientshould be advised Snigdha Bhojana the next day. Then the patient should be given a suitable sitting position. Then dusting with Laavan`a Choorn`a(Saindhava) should be done at the site of Arma. Arma S`hithilikaran`a is achieved by this process.
Svedana should be administered at the site of Arma.
Then the Arma should be moved about (Prighat`t`ana).
The upper and lower eyelids should be fixed properly.
Then the Arma should be held by a Bad`is`ha Yantra at the site of wrinkles. Then the patient should be advised to look laterally. Then the Arma should be lifted up with the help of a Muchun`d`ee (forceps) or a threaded needle.
Precaution should be taken not to cut the Arma while lifting up.
Then the Arma should be fixed with the help of three Bad`is`ha Yantra and cut with the help of a sharp Man`d`alaagra S`hastra.
Precaution should be taken while cutting so as not to incise the Kaneenaka. Kaneenaka Chheda may lead to excessive bleeding or Naad`ee Vran`a formation. 1/4^th part of Arma should be retained at the site while cutting, as to avoid any harm to the eye sight.
Jaalavat Arma or an Arma whichis touching the S`huklaman`d`ala should also be treated the same way.
Post-procedural regime Partisaaran`a followed by Vran`a Bandha. Then three days after Chhedana, Bandha should be opened, Karasvedana should be applied and then Vran`a S`hodhana and Ropan`a Chikitsaa should be done.
If some part of Arma is left over after Chhedana, it should be treated by Lekhana Anjana.
Alpa / Dadhinibha / Neelavarn`ee / Raktavarn`ee / Dhoosara Varn`ee / Tanu Arma should be treated by चिकित्सा similar to S`hukra.

Siraajaala:
The Siraa which are Kat`hina, should be lifted up with the help of Bad`is`ha Yantra and then cut with Man`d`alaagra S`hastra. The Pratisaaran`a Yoga mentioned in Arma are also indicated in this and also all the चिकित्सा indicated in all Netra Roga should be followed by considering the Dosha Praadhaanya.

Siraa Pid`akaa:
If the Pid`akaa doesnt subside by medicines then these should be incised by the procedure similar to Arma Chhedana. The Pratisaaran`a Yoga mentioned in Arma are also indicated in this and also all the चिकित्सा indicated in all Netra Roga should be followed after considering the Dosha Praadhaanya.

Parvan`ikaa:
This should be treated by Svedana at the site of Sandhi followed by Chhedana Karma.Then Pratisaaran`a of Saindhava and Madhu should be applied. If still some part of the Pid`akaa is left over, it should be treated by Lekhana Pratisaaran`a or Lekhana Anjana.

अर्श (Vartmaars`ha, S`hushkaars`ha), Arbuda:
These should be treated by Svedana followed by Chhedana Karma. Then Pratisaaran`a of Saindhavaadi Pratisaaran`a should be applied. If still some part of the अर्श is left over, then when the bleeding stops अग्निकर्म should be done with the help of S`halaakaa and also Avalrkhana with Kshaara should be done.

Pakshmakopa

Aas`hchotanaAdhikaaraNetra Roga

Last updated on March 31st, 2021 at 06:36 am

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