Clinical Management Protocol – Giant Papillary Conjunctivitis (GPC) in Ayurveda

1. Ayurvedic Understanding

• Probable Correlation: Kaphaja–Pittaja Abhishyanda

• Doṣa Involvement: Kapha (kleda, srava, kandu) + Pitta (daha, raga, shopha)

• Dūṣya: Rasa, Rakta

• Srotas: Rasavaha, Raktavaha, and Netra srotas

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2. Treatment Objectives

• Reduce Kapha–Pitta duṣṭi in Netra.

• Relieve inflammation, itching, and discharge.

• Purify Rakta and enhance ocular immunity.

• Prevent recurrence through lifestyle regulation.

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3. Internal Medications

• Kaṣāya / Decoctions

  • Paṭolakaṭurohiṇyādi Kaṣāya – 15 ml with warm water, twice daily before food.

  • Manjishṭhādi Kaṣāya – for Raktaśodhana, 15 ml twice daily.

• Ghṛta / Medicated Ghee

  • Triphalā Ghṛta – 5 ml with warm milk at bedtime, for Netra prasadana.

• Rasāyana & Mineral Preparations

  • Saptāmṛta Lauha – 1–2 tablets twice daily with honey and ghee.

  • Chandraprabha Vati – 1–2 tablets twice daily (if mucous discharge is excessive).

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4. Local Therapies

• Āścyotana (Eye Drops)

  • Triphala kvātha, Daruharidrā svarasa, or Yaṣṭimadhu kvātha filtered, cooled, and instilled 2–3 times/day.

• Netra Prakṣālana (Eye Wash)

  • With Triphala kvātha or Yaṣṭimadhu kvātha once or twice daily.

• Anjana Karma (Collyrium)

  • Srotośodhana Anjana with Saindhava–Elādi preparation, once at night.

• Tarpana (Retaining medicated ghee over eyes) (optional in chronic/recurrent cases)

  • With Triphala Ghṛta or Mahatriphala Ghṛta for strengthening Netra dhatus.

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5. Pathya (Diet & Lifestyle)

• Favourable Diet (Pathya)

  • Light, cooling, and easily digestible foods: barley, green gram, old rice, leafy vegetables.

  • Use of ghṛta and milk in moderation.

  • Fresh Amla juice or Triphala powder at bedtime for Netra rasāyana.

• To Avoid (Apathya)

  • Excess spicy, sour, oily, junk foods (aggravates Pitta-Kapha).

  • Daytime sleeping and night awakening (disturbs Netra bala).

  • Excessive exposure to dust, wind, smoke, and prolonged contact lens usage.

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6. Lifestyle & Preventive Care

• Wash eyes daily with cooled Triphala kvātha water.

• Avoid frequent eye rubbing, overuse of contact lenses, or exposure to allergens.

• Practice Netra Yoga (palming, gentle blinking exercises).

• Maintain hygiene of spectacles and avoid irritants like cosmetic eye products.