Abstract

EFFICACY OF JALAUKAVCHARANA IN THE MANAGEMENT OF PUYALASA WITH SPECIAL REFERENCE TO ACUTE DACRYOCYSTITIS, A CASE STUDY

Nisar Ali Khan* and Shivrupa Baburao Kasture

Abstract

Puyalasa, one among the Sandhigatharoga can be corelated to dacryocystitis based on the symptomatology which includes swelling in inner canthus (Shopha on Kaninika Sandhi) which later undergoes suppuration causing thick purulent discharge (Puyastrava). Dacyrocystitis, is an inflammation of lacrimal sac of eye, is common occurrence in rural area of India, recurrent attacks of acute dacryocystitis lead to Lacrimal abscess, cellulitis or chronicity, where surgical removal of sac is an only option in children & adults. Though Puyalasa is due to Tridosha and Raktaa & it is considered as Sadhya (curable) disease. The Treatment includes Siravedh, Upanaha & Anjana kriya & internal medication which can reduce the recurrence rate & other complications in eyes. A diagnosed case of acute dacryocystitis with complaints of pain, sticky discharge from eye, inflammation near right inner canthus since 10 days approached to OPD & was managed by Jalaukavcharana, significant improvement was noticed in pain, redness, purulent discharge from eye & swelling. In present study, aim is to find an alternative or conjugate method to reduce inflammation of acute dacryocystitis, which may also decrease complications i.e. cellulitis, lacrimal abscess or fistula.

Keywords: Puyalasa, Jalaukavacharana, Acute Dacryocystitis.