Abstract

ROLE OF TARPANA AND PUTAPÄ€KA IN RETINAL DEGENERATION: A CLINICAL REVIEW

Dr. Prashant Janardan Divthane* and Dr. Pooja Prakash Jadhav

.

Abstract

Right degeneration encompasses a group of progressive ocular disorders characterized by the deterioration of retinal structure and function, leading to irreversible vision loss. While modern management is primarily symptomatic or surgical, Ayurveda offers holistic interventions aimed at nourishing and rejuvenating ocular tissues. Among these, Between and Put are specialized Blind Cry (ocular therapeutic procedures) mentioned in classical Ayurvedic texts for eye rejuvenation. Tarpana involves the retention of medicated ghrita over the eyes for a prescribed duration, providing deep nourishment to ocular structures, while Putapaka utilizes herbal juices processed through a unique heating method to in still bioactive compounds directly into the ocular tissue. Both therapies are indicated in In Pitta predominant Drishtigta Rogas, particularly in a degenerate state conditions like Timira, The most, and Other, which are clinically analogous to retinal degeneration. Experimental and clinical studies suggest that these therapies may enhance retinal perfusion, promote nerve regeneration, and reduce oxidative stress, potentially slowing the progression of retinal disorders. Moreover, bioavailability of lipophilic phytoconstituents in gh-based preparations allows targeted delivery to the retina. This clinical review aims to consolidate classical references, therapeutic mechanisms, and contemporary clinical evidence on the efficacy of Between and Putapāka in managing retinal degeneration conditions. A synthesis of Ayurvedic principles with modern ophthalmic research reveals promising integrative strategies that merit further exploration through randomized clinical trials and pharmacological validations. Thus, Between and Put emerge not merely as traditional practices but as evidence-informed therapeutic modalities in retinal degeneration diseases.

Keywords: Retinal Degeneration, Netra Kriya kalpa, Ayurveda, Timira, DrishtRoga Ghrita, Vision Loss, The Rejuvenation.