Asthenopia (Dwitiya Patalgat Timira) and Triphaladi management case study

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Journal name: World Journal of Pharmaceutical Research
Original article title: Dwitiya patalgat timira (asthenopia) and its management through triphaladi putapaka - a case study
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Author:

Dr. Deshmukh R. D., Dr. Dhakate V. G. and Dr. Pardhekar P. G.


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World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Dwitiya patalgat timira (asthenopia) and its management through triphaladi putapaka - a case study

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr202011-18667

Copyright (license): WJPR: All rights reserved


Summary of article contents:

Introduction

The study focuses on Dwitiya Patalgat Timira (asthenopia), a condition characterized by visual disturbance and fatigue, which can lead to more severe vision problems. This case study by Dr. Deshmukh and colleagues seeks to highlight the efficacy of Triphaladi Putapaka, a traditional Ayurvedic therapeutic technique, in managing asthenopic symptoms. The case is documented from a patient residing in Nagpur who experienced discomfort due to prolonged computer work. Histories of various ocular disorders and their classification in Ayurvedic literature are detailed, setting the framework for the treatment approach.

The Concept of Timira and Asthenopia

Timira, classified under drishtigat rogas (eye diseases), includes a spectrum of visual disturbances beginning with simple issues but potentially culminating in complete vision loss. According to Acharya Sushruta, Timira manifests with gradations such as Dwitiya Patalagat Timira, characterized by symptoms like blurred vision and difficulty in focusing on near objects. Asthenopia, commonly referred to as eyestrain, is attributed primarily to prolonged near work (e.g., computer usage), resulting in fatigue and discomfort in the eyes. The study illustrates that asthenopia shares similar symptoms with Timira, thus emphasizing a strong correlation between the two.

The Role of Triphaladi Putapaka in Treatment

Triphaladi Putapaka is highlighted as a remedial procedure that follows Tarpana, an eye therapy aimed at alleviating ocular fatigue. This method employs a concoction of herbs and meat (aajamansa) combined with warm medicated oil to strengthen the eyes. The therapeutic mechanism involves improved ocular nutrition and hydration, facilitated by the lipophilic nature of the ingredients used, which allows for better penetration through the corneal layer. The authors explain how this treatment can help restore visual acuity and provide relief from asthenopic symptoms effectively.

Patient Case Study and Methodology

The patient, a 48-year-old male computer operator, presented with headaches, eye strain, and heavy eyelids, linked to extended screen time. A comprehensive ocular examination revealed significant visual impairments. Following informed consent, Triphaladi Putapaka was administered daily over seven days. The study meticulously outlines the procedures in preparing the therapeutic concoction and its application, assessing the patient's symptoms before and after the treatment. Notable improvements were recorded in headache intensity, eye strain, burning sensation, and heaviness of the eyelids, demonstrating the treatment’s effectiveness.

Conclusion

The findings emphasize Triphaladi Putapaka as a beneficial Ayurvedic approach to treating asthenopia and associated ocular discomfort stemming from modern-day visual demands, such as prolonged computer use. The study concludes that this ancient therapeutic practice not only alleviates symptoms but also pacifies aggravated doshas, enhancing overall eye health. Future investigations could widen the scope by exploring longer-term benefits and potential applications of Putapaka in a broader range of ocular conditions.

FAQ section (important questions/answers):

What is the main focus of the case study?

The case study focuses on treating Dwitiya Patalgat Timira (Asthenopia) using Triphaladi Putapaka therapy to relieve symptoms like blurring vision, headaches, and eye strain.

What are the symptoms of Asthenopia mentioned in the study?

Symptoms of Asthenopia include blurring of vision, burning sensation in eyes, heaviness of eyelids, and headaches, particularly following prolonged near work, such as using a computer.

What was the methodology used in the therapy?

The patient underwent Triphaladi Putapaka therapy once daily for seven days, with the treatment evaluated on both the first and last day for symptom improvement.

What ingredients are used in Triphaladi Putapaka?

Triphaladi Putapaka consists of Haritaki, Amalaki, Bibhitaki, Yashtimadhu, and Aajamansa, prepared in a specific manner to create a therapeutic effect for eye ailments.

What were the results observed after treatment?

After seven days of treatment, the patient experienced significant reductions in symptoms such as headache, eye strain, burning sensation, and eyelid heaviness.

What conclusion is drawn from the study?

The study concludes that Triphaladi Putapaka is effective for managing eye fatigue and associated symptoms due to prolonged computer usage, highlighting its therapeutic potential.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Asthenopia (Dwitiya Patalgat Timira) and Triphaladi management case study”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Putapaka (Puta-paka):
Putapaka is an Ayurvedic therapeutic procedure involving the use of herbal medicine for ocular conditions. It refers to a specific method of preparing herbal formulations that are applied topically to treat eye ailments like asthenopia. The process enhances the efficacy of treatment by allowing the herbal properties to penetrate the eye.

2) Timira:
Timira is an eye disorder characterized by visual disturbances that may lead to complete loss of vision if untreated. It is classified under Drishtigat Vikaras in Ayurveda and encompasses a range of symptoms, including blurriness and visual distortions, highlighting the significance of early diagnosis and appropriate management.

3) Patala:
Patalas refer to the layers associated with the eyeball, as described in Ayurvedic texts. Each layer, or patala, plays a crucial role in visual perception and pathology. Understanding these layers guides practitioners in diagnosing and treating eye conditions effectively, ensuring targeted therapeutic interventions.

4) Triphaladi (Triphala-adi):
Triphaladi refers to an Ayurvedic formulation that consists of three fruits: Haritaki, Amalaki, and Bibhitaki, combined with additional ingredients. This formulation is known for its various health benefits, including enhancing ocular strength and treating maladies related to vision impairment, making it crucial in managing conditions like asthenopia.

5) Rasa (Rasha):
Rasa translates to essence or juice in Sanskrit, and in the context of Ayurvedic medicine, it refers to the extracted liquid portion of medicinal compounds. Rasa is vital for therapeutic applications, serving as a concentrated form of the plant’s medicinal properties, particularly in prepared formulations like Putapaka.

6) Burning (Burn, Burned, Burnt):
Burning typically describes a sensation experienced in the eyes, often due to prolonged screen time or other factors leading to eye strain. In Ayurvedic contexts, this symptom indicates underlying doshic imbalances, necessitating treatments like Triphaladi Putapaka to alleviate discomfort and restore normal function.

7) Study (Studying):
The term study in this context denotes the systematic investigation undertaken to assess the efficacy of Triphaladi Putapaka in treating asthenopia. Such studies provide valuable insights into treatment outcomes, contributing to the scientific validation of traditional practices and enhancing the understanding of eye disorders in Ayurvedic medicine.

8) Disease:
Diseases refer to conditions that disrupt normal bodily functions and can manifest with specific symptoms. Understanding various diseases, particularly in the context of ophthalmology, is crucial for practitioners to develop effective treatment plans and promote holistic healing through Ayurveda.

9) Nagapura (Naga-pura):
Nagpur is a city in India where the research and case study on treating asthenopia with Ayurvedic methods were conducted. The geographical and cultural context of Nagpur contributes to the understanding of regional healthcare practices, patient demographics, and the prevalence of specific health issues within the community.

10) Dosha (Dosa):
Dosha refers to the three fundamental bodily humors in Ayurveda: Vata, Pitta, and Kapha. Each dosha has unique characteristics and influences health. In treating conditions like asthenopia, understanding the balance of doshas is critical for developing personalized treatment plans aimed at restoring health.

11) Shalakyatantra (Salakyatantra, Shalakya-tantra, Shalakyatamtra):
Shalakyatantra is the branch of Ayurveda that focuses on the treatment of diseases affecting the head and neck, especially the eyes, ears, nose, and throat. It incorporates various therapeutic procedures, including those for eye ailments like Timira, emphasizing the need for specialized knowledge in this area of medicine.

12) Drug:
Drugs in this context refer to the various herbal and mineral compounds used in Ayurvedic treatments. Their selection and combination are crucial for enhancing therapeutic efficacy, particularly in addressing eye-related conditions and ensuring holistic healing by utilizing the natural properties of each ingredient.

13) Accumulation (Accumulating, Accumulate):
Accumulated describes the buildup of doshas or imbalances within the body, often leading to specific ocular symptoms. Understanding the concept of accumulation is critical in Ayurvedic practice, as it helps practitioners identify underlying causes and design strategies to detoxify and rebalance the system.

14) Vitiation (Vitiated):
Vitiated describes the condition of doshas when they are out of balance or disturbed. Vitiation can lead to various health issues, including visual problems. Recognizing vitiated doshas helps practitioners create appropriate treatment plans aimed at restoring balance and alleviating symptoms caused by these disturbances.

15) Drishti (Drsti, Drishtin, Drstin):
Drishti pertains to vision or sight in Ayurvedic terminology. It is a fundamental aspect of understanding eye health and identifying disorders like Timira. Proper assessment of drishti is vital in determining the appropriate therapies required to restore normal vision and treat visual disturbances.

16) Kaca:
Kacha refers to one of the stages of eye disease in Ayurvedic texts, following Timira and preceding Linganasha. It indicates a specific condition characterized by visual impairments. Recognizing the stages helps practitioners classify the severity of an eye disease and tailor interventions accordingly.

17) Pali (Palin):
Pali is a paste made from powdered pulses used in the preparation for certain Ayurvedic therapies, particularly in eye treatments. Its application creates a protective barrier around the eyes, allowing therapeutic formulations to be administered effectively, promoting enhanced absorption and therapeutic outcomes.

18) Burning sensation:
Burning sensation in the eyes is a common symptom encountered during conditions like asthenopia. It indicates discomfort or irritation, often exacerbated by prolonged screen time. Addressing this sensation is vital for improving patient quality of life and ensuring effective management of underlying ocular health issues.

19) Vagbhata:
Vagbhata is a revered figure in Ayurveda known for his contributions to classical texts, including insights on eye treatment methods. His writings provide foundational knowledge that practitioners utilize to guide their treatments, particularly in understanding conditions like Timira and effective therapeutic strategies.

20) Pottali:
Pottali denotes a specific configuration in which herbs are wrapped and prepared for therapeutic use, particularly in Ayurvedic eye therapies. This method ensures that herbal properties are preserved during application, contributing to the effectiveness of treatments like Putapaka in managing ocular disorders.

21) Company:
Company refers to the organization or setting in which the patient works, providing context to the lifestyle factors affecting their eye health. Recognizing the nature of the workplace, such as excessive computer use, allows practitioners to understand contributing factors to the patient's condition and design suitable treatments.

22) Ghrita (Ghrta):
Ghrita is clarified butter used in Ayurvedic formulations, known for its ability to enhance the absorption of herbal properties. Its lipophilic nature enables it to cross biological membranes easily, thus improving the efficacy of therapeutic eye treatments like Putapaka by bringing beneficial compounds directly to the affected areas.

23) Vartma (Vatrma):
Vartma refers to the eyelids in Ayurvedic terminology. They serve as protective barriers and play important roles in ocular health, including regulating moisture and preventing foreign bodies. Understanding the condition of the vartma is crucial in diagnosing and treating various eye diseases effectively.

24) Water:
Water is a fundamental element used in many Ayurvedic treatments, including irrigation of the eyes post-therapy. Its soothing properties help alleviate discomfort and restore normalcy after the application of therapeutic formulations. The role of water in eye care underscores the importance of hydration in maintaining ocular health.

25) Roga:
Roga translates to disease or disorder in Ayurveda. Understanding different rogasa, including those of the eye, is essential for practitioners to provide accurate diagnoses and tailor effective interventions. This holistic approach allows for identification and treatment of comprehensive health issues affecting patients.

26) Observation:
Observation emphasizes the careful monitoring and evaluation of patients’ symptoms and treatment outcomes in Ayurvedic practice. It allows practitioners to track improvements and make necessary adjustments to treatment plans, thereby ensuring a continually responsive approach to patient care.

27) Yashtimadhu (Yastimadhu, Yashti-madhu):
Yashtimadhu, known as licorice, is a significant ingredient in Ayurvedic formulations due to its medicinal properties. It has soothing and anti-inflammatory effects that contribute to the formulation's overall effectiveness. Its incorporation in treatments highlights the reliance on herbal components for holistic health benefits.

28) Mandalakara (Mandala-kara):
Mandalakara refers to the appearance of circles and visual disturbances in the field of vision, often indicative of doshic imbalances. Recognition of mandalakara allows Ayurvedic practitioners to assess the severity of visual disorders and formulate appropriate treatment plans to address these specific symptoms effectively.

29) Linganasha (Linganasa, Linga-nasha):
Linganasha refers to a more advanced stage of eye disease in Ayurveda, indicating severe visual impairment. This classification is essential for understanding disease progression and guides practitioners in determining the urgency and type of interventions required to restore ocular health effectively.

30) Perception:
Perception refers to the way an individual interprets visual stimuli and experiences symptoms related to eye health. In Ayurveda, understanding perception helps in assessing overall eye function and tailoring therapies to address specific disturbances and improve sensory clarity.

31) Discussion:
Discussion reflects the analytical aspect of clinical studies, where findings and results are evaluated, compared, and interpreted. In the context of the report on asthenopia treatment, it provides insights into treatment efficacy and discusses future implications and potential improvements in therapy protocols.

32) Netraroga (Netra-roga):
Netraroga translates to eye diseases in Ayurveda, encompassing a range of conditions affecting visual function. Understanding netraroga emphasizes the importance of preventative and curative measures in maintaining ocular health, guiding practitioners to develop comprehensive treatment plans based on specific symptoms and underlying causes.

33) Chaturtha:
Chaturtha refers to the fourth layer of the eye as per Ayurvedic classification. Knowledge of each patala, including Chaturtha, is integral to understanding eye conditions and developing specific treatments that target issues related to the layers and their functions within visual health.

34) Prathama:
Prathama refers to the first layer of the eye in Ayurveda. Recognizing the function and condition of Prathama is essential for effective diagnosis and treatment in ophthalmology, highlighting the need to address each structural layer for comprehensive care in preserving visual acuity.

35) Haritaki:
Haritaki is one of the three fruits used in the Triphala formulation known for its medicinal properties. Its application in Ayurvedic treatments represents the emphasis on holistic healing and the use of natural substances to promote health, especially in enhancing ocular function and addressing disorders.

36) Triphala (Tri-phala):
Triphala is a traditional Ayurvedic formulation composed of three fruits: Haritaki, Amalaki, and Bibhitaki. It is revered for its various health benefits, including detoxification and enhancing overall wellness. Its inclusion in eye treatments underscores the multifaceted approach of Ayurveda in managing ocular health effectively.

37) Channel:
Channel refers to the pathways through which medicinal properties travel in the body, emphasizing the importance of targeted treatment. In the context of eye therapies, understanding how therapies reach ocular tissues is essential in ensuring effective functioning and recovery from visual disturbances.

38) Amalaki:
Amalaki is one of the three components of Triphala, known for its rich vitamin C content and antioxidant properties. It plays a significant role in Ayurvedic formulations aimed at enhancing eye health and overall wellness, showcasing the importance of natural ingredients in traditional healing practices.

39) Tarpana:
Tarpana is a therapeutic procedure focused on nourishing and hydrating the eyes. It is integral to Ayurvedic ophthalmology, particularly for treating conditions like asthenopia, as it prepares the eyes for further treatments like Putapaka, thereby enhancing overall effectiveness and patient comfort.

40) Pakshma (Paksma):
Pakshma refers to the eyelashes in Ayurveda, which play a protective role in preventing debris from entering the eye. Understanding their condition is crucial in the examination of ocular health, as they contribute to the overall integrity and safety of the eye.

41) Vikara:
Vikara is similar to Vikaras, denoting the concept of diseases or disorders in Ayurveda. Recognizing different Vikara is essential in understanding the range of conditions affecting health, facilitating the development of effective treatment strategies that address specific imbalances or pathologies.

42) Angula (Amgula):
Angula refers to a measurement unit equivalent to the width of a finger, used in Ayurveda for assessments and therapy applications. Understanding measurements like angula is essential in precise preparations and applications of drugs, ensuring that treatments are appropriately dosed and administered.

43) Nature:
Nature encompasses the inherent qualities and characteristics of substances in Ayurveda. Understanding the nature of each ingredient helps practitioners determine its therapeutic effects and interactions, enhancing the overall efficacy of treatments tailored to specific health conditions.

44) Cotton:
Cotton is frequently used in Ayurvedic treatments for cleansing and preparing the patient, especially in ocular therapies. Its soft texture ensures gentle treatment, allowing practitioners to maintain hygiene and comfort during procedures like irrigation following therapies such as Putapaka.

45) Patra:
Patra signifies a vessel or container used in the preparation and application of Ayurvedic remedies. Recognizing the importance of appropriate vessels ensures that treatments are prepared and delivered safely, maintaining the integrity of the herbal formulations utilized in patient care.

46) Netra:
Netra translates to eyes in Sanskrit and forms the basis of Ayurvedic ophthalmology. Understanding netra is crucial for practitioners working to address various eye conditions, allowing them to apply traditional knowledge effectively to enhance vision and treat eye-related diseases.

47) Bahya:
Bahya refers to external structures related to the eyes, such as the eyelids and eyelashes. Understanding bahya is important in comprehensive eye examinations and treatments, as it aids in evaluating protective mechanisms and addressing any dysfunction or disease affecting these external parts.

48) Balya:
Balya indicates a quality or substance that promotes strength and vitality. Understanding balya properties of certain herbs, especially in the context of treatments like Triphaladi, is essential for enhancing the therapeutic outcomes in managing conditions such as asthenopia effectively.

49) Masha (Masa, Ma-sha):
Masha refers to a type of pulse used in Ayurvedic practices to prepare protective pastes for treatments like Putapaka. Its use in creating Pali around the eyes highlights the importance of protective measures during therapeutic applications, ensuring patient comfort and enhancing treatment efficacy.

50) Sugar:
Sugar, in Ayurvedic assessments, could refer to the presence of glucose in the urine or assessment of general health. Evaluating for sugar levels contributes to a comprehensive understanding of a patient's overall health, influencing decisions in treatment protocols for eye conditions.

51) Cloud:
Cloud refers to visual disturbances characterized by a hazy or obscured vision related to conditions such as Timira or asthenopia. Understanding the manifestation of symptoms like cloudiness helps practitioners assess visual health and develop appropriate interventions to restore clarity.

52) Pulse:
Pulse pertains to the measurements and examination of blood flow, significant in assessing overall health in Ayurveda. Particularly in ocular health, observing pulse characteristics provides insight into physiological functions that may impact vision and guide treatment decisions.

53) Hair:
Hair, in relation to eye disorders, often symbolizes peripheral disturbances perceived by patients, such as floaters. Recognizing symptoms like these is vital in diagnosing visual issues and guiding practitioners in their approach to treatment and overall patient care.

54) Vata:
Vata is one of the three doshas in Ayurveda, representing air and ether elements. An imbalance in Vata can lead to various health issues, including eye disorders. Understanding its characteristics is essential for practitioners to create effective treatment plans that restore balance and promote health.

55) Meat:
Meat, specifically in this context, refers to Ajamansa, which is an essential component in the preparation of Triphaladi Putapaka. Its role highlights the integration of animal and herbal components within Ayurvedic practices, contributing to the nutritional and therapeutic value of eye treatments.

56) Wind:
Wind refers to a natural element that can affect health in Ayurveda. Excessive exposure to wind might contribute to ocular conditions or discomfort. Understanding environmental factors helps practitioners provide comprehensive advice to patients on managing symptoms effectively.

57) Male:
Male indicates the gender of the patient involved in the study, contributing to understanding any potential gender-based differences in the occurrence or manifestation of asthenopia. Such demographic factors can influence treatment approaches and outcomes in Ayurvedic practices.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Asthenopia (Dwitiya Patalgat Timira) and Triphaladi management case study’. Further sources in the context of Science might help you critically compare this page with similair documents:

Putapaka, Tarpan, Clinical examination, Objective of the study, Vitiated dosha, Ayurvedic Management, Case study, Objective Criteria, Visual disturbance, Classical method, Blurring of vision, Asthenopia, Refractive error, Ocular motility, Diplopia.

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