Vartma Kandu and Krimigranthi in Ayurveda: An Insight into Inflammatory Eyelid Disorders
1. Modern Explanation:
Blepharitis is a chronic inflammatory condition of the eyelid margins, caused by:
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Bacterial infection (Staphylococcus)
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Seborrheic dermatitis
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Mite infestation (Demodex)
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Poor eyelid hygiene
It affects the meibomian glands and eyelash follicles, leading to irritation and recurrent eye discomfort.
2. Signs and Symptoms:
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Itchy, red, swollen eyelids
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Crusting of eyelashes
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Burning or gritty sensation
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Watery eyes
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Foreign body sensation
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Flaky skin at lid margins
3. Ayurvedic Correlation:
🟢 Closely correlated with:
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Vartma Kandu (वर्त्म कण्डु) – itching of the eyelids
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Vartmarsha (वर्त्मर्ष) – burning and inflammation
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Krimigranthi (कृमिग्रन्थिः) – worm infestation (symbolic for microbial or mite-related blepharitis)
These are conditions of the Vartma (eyelid), primarily caused by Kapha-Pitta dushti and Krimi involvement.
4. Doṣa–Duṣya–Samprāpti:
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Doṣa: Kapha + Pitta + Krimi
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Duṣya: Rasa, Rakta, Mamsa
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Samprāpti: Kapha blocks eyelid channels, Pitta causes inflammation, and Krimi/microorganisms aggravate symptoms
5. Śloka References:
Suśruta Uttara Tantra 10/6:
"वर्त्म कण्डूः स वातेन, पित्तेन स्रावदारुणः।
कफेन स्थूलो गुरुश्चैव, त्रिदोषात्तु महाव्रणः॥”
🔹 Vartmakandu is caused by Vāta and Kapha-Pitta—itching, swelling, and oozing are observed.
Suśruta Uttara 10/18–20:
"कृमयस्तेऽत्र प्रसक्ता, तस्मात् कृमिहन्ति भेषजम्॥”
🔹 The disease involves Krimi (microbes/parasites), hence anti-Krimi treatment is essential.
6. Ayurvedic Management:
🔹 Local Therapies:
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Lid hygiene with Triphala decoction wash
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Aśchyotana:
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Darvi + Triphala + Musta Kashaya
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Yashtimadhu decoction + cow milk
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Anjana:
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Krimighna Anjana (Triphala Rasakriya + Jasada Bhasma)
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Lepa:
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Lodhra + Daruharidra + Chandana paste on eyelids (externally)
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🔹 Internal Medicines:
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Vidangadi Loha – Krimighna and Rakta-shodhaka
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Nimbadi Guggulu – Pitta-Kapha-Krimighna
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Triphala Churna – daily
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Haridra Khanda – itching and Rakta dushti
🔹 Panchakarma:
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Virechana: Mild purgation for Pitta control
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Nasya: Anu Taila or Jeevantyadi Taila
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Krimighna Basti: For chronic or recurrent cases
🔹 Rasayana:
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Amla Rasayana, Triphala Rasayana
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Guduchi + Haridra capsules
🔹 Pathya:
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Use boiled Triphala water to cleanse eyes
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Include: Amla, ghee, green gram soup, barley, neem
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Avoid: Oily food, curd, sweets, dust exposure, cosmetics, rubbing eyes
📝 Summary Insight:
Blepharitis is understood in Ayurveda through the lens of Vartma rogas, especially Kapha-Pitta dushti and Krimi-related vitiation. Ayurveda focuses on local cleansing, Krimighna chikitsā, and Rasayana for recurrence prevention.
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