Integrative Ayurvedic and Modern Management of Eye Diseases with Panchakarma, Kayachikitsa, and Shalyatantra Protocols PART -1

Integrative Ayurvedic and Modern Management of Eye Diseases with Panchakarma, Kayachikitsa, and Shalyatantra Protocols PART 1


1. Age-Related Macular Degeneration (AMD)

Modern Explanation: Degeneration of the macula leading to progressive central vision loss.

Signs & Symptoms:

  • Central vision blurring

  • Visual distortion

Ayurvedic Correlate: Timira (4th Patalagata), Patalagata Vyadhi
Doṣa: Vāta-Pitta predominance

Integrated Protocol:

  • Panchakarma:

    • Nasya: Anu Taila, Shatbindu Taila

    • Netra Tarpana: Triphala Ghṛta, Jeevantyādi Ghṛta

    • Virechana: Mild purgation with Trivrit Leha to balance Pitta

  • Kayachikitsa:

    • Rasāyana: Amalaki Rasāyana, Chyavanaprāśa

    • Saptamṛta Lauha, Punarnavādi Maṇḍūra

  • Shalyatantra:

    • If accompanied by retinal hemorrhage: Sirāvyadha or Jalaukāvacharaṇa

References: A.H. U.13/34; Su. U. 6/25; CS Cikitsā 26


2. Amblyopia (Lazy Eye)

Modern Explanation: Visual impairment due to poor visual stimulus in early development.

Signs & Symptoms:

  • Visual dullness in one eye

  • Eye misalignment

Ayurvedic Correlate: Timira (Patalagata)
Doṣa: Vāta-Pitta

Integrated Protocol:

  • Panchakarma:

    • Netra Tarpana with Mahātriphala Ghṛta

    • Nasya with Shatbindu Taila

    • Śirodhārā with Brahmi Taila

  • Kayachikitsa:

    • Medhya Rasāyana: Brahmi, Mandukaparni, Jyotishmati

    • Internal: Saptamṛta Lauha, Triphala Churna + Ghṛta

References: A.H. U.13/1-4; Su. U. 6/25


3. Anophthalmia and Microphthalmia

Modern Explanation: Congenital absence or underdevelopment of the eyeball.

Signs & Symptoms:

  • Absent/underdeveloped eyeball

  • Vision loss

Ayurvedic Correlate: Garbhaja Netra Vikāra
Doṣa: Daiva/Karmaja (Adhija Vyādhi)

Integrated Protocol:

  • Preventive (Garbhini Paricharya):

    • Masānumāsika regimen with Garbha sthāpaka aushadhis

    • Preconception Rasāyana: Suvarṇa Prāśana, Satmya Aahara

  • Supportive Post-natal Care:

    • Rasāyana: Ashwagandha, Brahmi, Shankhapushpi

    • External: Gentle Netra Sechana with Bala Siddha Taila

References: CS Śārīra 4/30–35; A.H. Sha. 1


4. Astigmatism

Modern Explanation: Uneven corneal curvature causing distorted vision.

Signs & Symptoms:

  • Blurred near & far vision

  • Eye strain, headache

Ayurvedic Correlate: Timira (Patalagata), Drishti Bheda
Doṣa: Vāta-Pitta

Integrated Protocol:

  • Panchakarma:

    • Tarpana with Jeevantyādi Ghṛta

    • Nasya with Anu Taila

    • Śirovasti or Śirodhārā with Bala-Ashwagandhādi Taila

  • Kayachikitsa:

    • Internal: Saptamṛta Lauha, Triphala Ghṛta

    • Rasāyana: Mahātriphala Ghṛta

References: Su. U.6/25; A.H. U.13


5. Behçet’s Disease

Modern Explanation: Autoimmune vasculitis affecting eyes, oral mucosa, and genitals.

Signs & Symptoms:

  • Recurrent uveitis

  • Mucocutaneous ulcers

Ayurvedic Correlate: Sarvanga Sannipātaja Vyādhi, Rakta Pitta, Abhishyanda
Doṣa: Pitta + Rakta + Kapha

Integrated Protocol:

  • Shalyatantra:

    • Jalaukāvacharaṇa (if ocular congestion)

  • Panchakarma:

    • Raktamokṣaṇa (Siravyadha / Jalauka)

    • Virechana with Avipattikara Churna

  • Kayachikitsa:

    • Internal: Kaishora Guggulu, Guduchi, Manjistha, Sariva

    • Anjana: Saindhavādi, Elaneer Kuzhambu

References: CS Cikitsā 7, SS Cikitsā 13


6. Bietti’s Crystalline Dystrophy

Modern Explanation: Rare retinal disorder with crystal deposits leading to night blindness.

Signs & Symptoms:

  • Nyctalopia

  • Peripheral vision loss

Ayurvedic Correlate: Timira → Kāca → Linganāśa
Doṣa: Vāta + Majjā Dhātu kṣaya

Integrated Protocol:

  • Panchakarma:

    • Netra Tarpana: Mahātriphala Ghṛta

    • Śirovasti with Ksheerabala Taila

    • Nasya: Brahmi Taila

  • Kayachikitsa:

    • Internal: Ashwagandha, Brahmi, Kalyanaka Ghṛta

    • Rasāyana: Medhya Rasāyanas (Vasantakusumākar Rasa)

References: A.H. U.13; Bhāvaprakāśa


7. Blepharitis

Modern Explanation: Eyelid margin inflammation due to bacterial or meibomian dysfunction.

Signs & Symptoms:

  • Itchy, swollen eyelids

  • Crusting/scaling of lashes

Ayurvedic Correlate: Kaphaja Abhishyanda, Pakṣmaśāta
Doṣa: Kapha + Pitta

Integrated Protocol:

  • Shalyatantra:

    • Lekhana Karma with Triphala Churna paste (for debris)

  • Panchakarma:

    • Parisheka with Triphalādi Kaṣāya

    • Anjana: Saindhavādi / Ropana Anjana

  • Kayachikitsa:

    • Internal: Kaishora Guggulu, Triphala Guggulu

References: Su. U.18, A.H. U.15


8. Blepharospasm

Modern Explanation: Involuntary twitching/spasms of the eyelid.

Signs & Symptoms:

  • Uncontrolled blinking

  • Eye strain, fatigue

Ayurvedic Correlate: Aksi Spandana, Nimeṣa Bahutva
Doṣa: Vātaja Netra Roga

Integrated Protocol:

  • Panchakarma:

    • Śirodhārā: Brahmi Taila

    • Abhyanga + Basti (Anuvasana with Ksheerabala Taila)

    • Nasya: Shatbindu Taila

  • Kayachikitsa:

    • Internal: Brahmi Vati, Ashwagandha, Kalyanaka Ghṛta

References: Su. U.18/33, A.H. U.13


This integrated document presents a disease-wise protocol combining Panchakarma therapies, internal medicine, surgical/para-surgical interventions (Shalyatantra), and Rasāyana support for sustained ocular health. Designed for clinical application and research enrichment.

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