The Efficacy of Yashtimadhu, Daruharidra Kwatha Ashchyotana in Pittaja Abhishyanda with respect to acute bacterial conjunctivitis, a case study.

Abstract

                         Conjunctivitis i.e., inflammation of conjunctiva is very much common disease seen worldwide. It manifests itself in many types and grades, but it is usually of an infective and allergic origin. Hyperaemia varies in degree and in distribution as well as secretion varies in nature and amount. The nature of secretion is of diagnostic importance. Further conjunctivitis can be due to infectious or of noninfective inflammatory aetiology. Acute conjunctivitis may be further classified based type of discharge (Mucoid/Mucopurulent), conjunctival reaction (Follicular/Papillary) or aetiological (Bacterial, Viral, Chlamydial or Fungal). Here local conjunctival tissue gets inflamed as well secondary infections takes place. The most causative organisms are Staphylococcus aureus, Haemophilus influenza, Neisseria gonorrhoeae, Corynebacterium diphtheriae. This inflammatory process affects the ocular tissues. If not treated on time, infections can spread all over the eye affecting adjacent eye as well and can reach to sporadic or epidemic phase. Complications such as corneal involvement, can occur over a period of time. Therefore, the ocular therapeutic called Ashchyotana is the one, in which instillation of medicated drops, into open eye from a height of two Angulas, is done. Ashchyotana is the first line of treatment for eye diseases ^[1].

                              Here the Pittaja Abhishyanda resembles the acute mucopurulent conjunctivitis in modern. A 29 years old male patient diagnosed with bacterial conjunctivitis on clinical presentation was advised Ashchyotana.