An appraisal on kriyakalpa in netraroga (occular therapeutics)

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Journal name: World Journal of Pharmaceutical Research
Original article title: An appraisal on kriyakalpa in netraroga (occular therapeutics)
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Author:

Dr. Yuwaraj Kale and Sarika Choure


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: An appraisal on kriyakalpa in netraroga (occular therapeutics)

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

Doi: 10.20959/wjpr20207-18198

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Summary of article contents:

Introduction

Kriyakalpas are significant therapeutic procedures in Ayurvedic ophthalmology, forming an integral part of ocular therapeutics. They provide specialized methods for treating eye diseases while ensuring maximum efficacy through targeted drug application. Different Kriyakalpa techniques focus on achieving effective drug concentration, absorption, and appropriate contact time with eye tissues, tailored according to the specific dosha imbalances and disease types.

The Importance of Kriyakalpa in Eye Care

Kriyakalpas are designed to improve drug delivery to ocular tissues. Unlike conventional oral medications, which must undergo digestion and metabolic processes (pachan kriya), Kriyakalpa techniques allow for direct application of medications to the eye. This circumvents barriers like blood aqueous and blood vitreous interfaces, enabling more effective treatment of conditions affecting the eye. By controlling tissue contact time and selecting medications based on disease status, Kriyakalpas can achieve superior drug concentration at the target site.

Different Types of Kriyakalpa Procedures

In Ayurveda, several Kriyakalpa procedures are documented, including Tarpana, Putapaka, Aschyotana, and Anjana, each with distinct methodologies and indications. Tarpana involves the retention of medicinal oils or ghees over the eye, providing nourishment and relief from conditions like dryness and visual disturbance. Conversely, Putapaka prepares medicated solutions for similar applications, varying in composition and retention time. Aschyotana entails the instillation of drops directly into the open eye, often used as a first-line treatment for acute eye diseases, while Anjana involves applying medicated pastes to the inner eyelid. Each procedure has specific indications, contraindications, and optimal timing based on the nature of the dosha involved.

The Mechanism of Action in Kriyakalpa

Kriyakalpa procedures utilize the anatomical pathways of the eye for effective drug absorption. Medicines can penetrate through the akshikosha, eyelids, and other ocular structures, promoting therapeutic action at the minute tissue level. Factors affecting drug penetration include solubility in both water and fats, molecular weight, and the use of wetting agents. This localized approach enhances bioavailability, ultimately targeting the desired regions of the eye effectively. Various other treatment modalities within Ayurvedic practices, such as gharshan and avachurnan, complement Kriyakalpa techniques, enriching the therapeutic arsenal available for eye care.

Conclusion

The Kriyakalpa procedures present a scientifically grounded framework for addressing various ophthalmic issues in Ayurveda. By leveraging the unique properties of different medicinal formulations and their modes of application, practitioners can provide tailored treatments based on individual patient needs, disease status, and anatomical considerations. As modern lifestyles challenge eye health with increasing screen time and related disorders, integrating Kriyakalpa practices into contemporary treatment paradigms holds promise for addressing these growing concerns effectively across all age groups.

FAQ section (important questions/answers):

What is Kriyakalpa in Ayurveda and its significance?

Kriyakalpa refers to therapeutic procedures in Ayurvedic ophthalmology. They are designed to enhance drug absorption and treat ocular diseases by achieving maximum drug concentration at the site of action.

How does Kriyakalpa differ from oral medications in efficacy?

Unlike oral medications that require digestion and face several absorption barriers, Kriyakalpa procedures allow direct application of drugs to the eye, providing quicker and more effective treatment for ocular issues.

What are the types of Kriyakalpa mentioned in Ayurvedic texts?

Various types of Kriyakalpa include Seka, Aschyotana, Tarpana, Putpaka, and Anjana. Each type is intended for specific conditions based on dosha predominance and the stage of eye diseases.

What are the indications for Tarpana and Putapaka procedures?

Tarpana is used for dry eyes and visual disturbances, while Putapaka addresses similar conditions with variations in ingredient preparation. Both have specific retention times based on the dosha involved.

What preparations are necessary for Kriyakalpa procedures?

Kriyakalpa procedures require a well-ventilated room, appropriate medications, and preparation of the patient. The procedure involves three steps: purvakarma (preparation), pradhankarma (main procedure), and paschatkarma (post-care).

How does Kriyakalpa treatment enhance drug absorption in the eye?

Kriyakalpa enhances drug absorption through various eye tissues including the eyelids and cornea. Factors such as drug solubility and molecular weight also contribute to effective penetration and therapeutic action.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “An appraisal on kriyakalpa in netraroga (occular therapeutics)”. 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) Drug:
'Drugs' encompass a broader category of medicinal substances used in Ayurvedic treatments, including those employed in Kriyakalpas. Their selection based on conditions and doshas is vital for enhancing therapeutic efficacy, with formulations designed to ensure effective absorption and targeted action on ocular tissues.

2) Disease:
'Diseases' refer to the various conditions affecting the eyes that are treated using Kriyakalpa techniques. Identifying the specific type of netraroga facilitates appropriate treatment modalities, as each disease has unique characteristics that require tailored therapeutic approaches to restore ocular health.

3) Anjana (Amjana):
'Anjana' refers to a specific Kriyakalpa procedure where medicinal pastes or powders are applied to the inner side of the lower eyelid. This treatment is utilized when doshas are fully manifested in the eye, and it serves to alleviate symptoms associated with eye diseases by leveraging the properties of the applied substance.

4) Medicine:
'Medicines' in this context refers to the various compounds and formulations utilized in Ayurvedic treatments for eye diseases. The effectiveness of these medicines is significantly enhanced by carefully selecting and administering them through specific Kriyakalpa techniques that maximize their therapeutic potential.

5) Putapaka (Puta-paka):
'Putapaka' is a Kriyakalpa method involving the application of medicated substances, similar to Tarpana, but with distinct preparation and duration. This treatment is indicated for specific ocular conditions, focusing on healing through localized application of medicinal materials with a careful consideration of dosage and timing.

6) Seka (Sheka):
'Seka' is a Kriyakalpa technique involving the gentle pouring of liquid medication over the open eye. It's primarily indicated for acute conditions, ensuring that the therapeutic agents reach the target tissues rapidly while adhering to specific dosha considerations for maximum efficacy.

7) Ayurveda (Ayus-veda):
'Ayurveda' is the traditional Indian system of medicine, emphasizing holistic healing through diet, lifestyle, and herbal remedies. It forms the foundational philosophy for Kriyakalpa practices, integrating the understanding of body constitution (doshas) and the interrelationship between health and environment.

8) Tarpana:
'Tarpana' is a localized Ayurvedic procedure involving the application of medicated ghee around the eyes. It provides nourishment and rejuvenation, indicated for various ocular conditions like dryness and visual disturbances, with specific retention times based on dosha imbalances and other factors.

9) Lekhana:
'Lekhana' refers to a Kriyakalpa procedure which mainly focuses on scraping or removing impurities from tissues. This technique is used in specific treatments to address vascular or inflammatory issues in eye disorders, targeting dosha imbalances by employing appropriate medicinal formulations.

10) Ropana:
'Ropana' is a Kriyakalpa technique aimed at healing and tissue regeneration in ocular conditions. It focuses on restoring health and vitality through specific medications that support repair mechanisms, essential for treating diseases that compromise the integrity of ocular tissues.

11) Dosha (Dosa):
'Dosha' indicates the fundamental bodily energies in Ayurveda (Vata, Pitta, Kapha) that govern physiological processes. Analyzing dosha imbalances aids practitioners in tailoring Kriyakalpa treatments for diseases, ensuring that the therapeutic interventions align with the patient's constitution and specific health conditions.

12) Pindi (Pimdi):
'Pindi' is a Kriyakalpa method where a paste is applied to the eye in a cloth compress. This technique alleviates inflammation and promotes healing, especially in the early stages of eye diseases, demonstrating how minor physical interventions can have significant therapeutic effects.

13) Shalakyatantra (Salakyatantra, Shalakya-tantra, Shalakyatamtra):
'Shalakyatantra' is an essential branch of Ayurveda focused on treating disorders above the neck, particularly eye and ENT issues. It encompasses Kriyakalpa practices and emphasizes techniques specifically designed for ocular health, linking ancient wisdom with practical therapeutic approaches.

14) Netraroga (Netra-roga):
'Netra-roga' translates to eye diseases in Ayurveda. Understanding the various manifestations of netra-roga allows practitioners to customize Kriyakalpa treatments, reinforcing the necessity of personalized medicine in treating ocular health effectively and compassionately.

15) Snehana:
'Snehana' involves the use of oily substances, particularly medicated ghee, in Ayurvedic treatments. This method is essential in nurturing and lubricating ocular tissues, providing a therapeutic benefit through enhanced absorption of active compounds during Kriyakalpa procedures.

16) Blood:
'Blood' plays a pivotal role in Ayurvedic medicine, indicating the systemic level at which certain treatments operate. Understanding the interactions between ocular therapies and the blood flow to the eye enhances the effectiveness of drugs administered through Kriyakalpa procedures.

17) Purvakarma (Purvakarman, Purva-karman):
'Purvakarma' refers to preparatory steps essential before performing Kriyakalpa procedures. It involves setting up the treatment area and collecting necessary materials, ensuring that the environment is conducive to therapy, which is critical for achieving desired therapeutic outcomes in eye treatments.

18) Prasadana:
'Prasadana' denotes a therapeutic Kriyakalpa technique focusing on giving satisfaction or relief through the application of specific medicinal pastes. This method is beneficial for restoring balance in the eye, aiding in recovery from various ocular conditions through its targeted approach.

19) Vitiation (Vitiated):
'Vitiated' relates to the imbalance of doshas that leads to the manifestation of diseases. Recognizing which doshas are vitiated in a patient allows practitioners to formulate targeted therapies in Kriyakalpa, facilitating the restoration of health by addressing root causes of eye issues.

20) Samhita:
'Samhita' refers to classic Ayurvedic texts that compile knowledge on various treatments and methodologies. These texts serve as foundational resources, guiding practitioners in understanding Kriyakalpa techniques while ensuring adherence to traditional wisdom in contemporary application.

21) Vyadhin (Vyadhi):
'Vyadhi' refers to diseases or disorders in Ayurveda. A comprehensive understanding of the specific vyadhi affecting a patient enables customized Kriyakalpa treatments, allowing practitioners to employ suitable medications tailored to the unique characteristics of each condition.

22) Nagapura (Naga-pura):
'Nagpur' is a geographic location in India where Ayurvedic practices and education, including those surrounding Kriyakalpa and Shalakyatantra, are prevalent. Regional practices may influence treatment methodologies, contributing to a rich tradition of ocular therapy within this context.

23) Netra:
'Netra' means 'eye' in Sanskrit and is central to the study and practice of Ayurvedic ophthalmology. Treatments focusing on Netra emphasize not only healing but also maintaining ocular health through targeted Kriyakalpa techniques designed for specific eye conditions.

24) Science (Scientific):
'Scientific' denotes the empirical and evidence-based approach integration within Ayurvedic practice. The Kriyakalpa methods spotlight a systematic way of treating ocular concerns, offering validation through modern scientific understanding and enhancing the relevance of historical practices in contemporary healthcare.

25) Parisheka (Pariseka):
'Pariseka' in Ayurvedic ophthalmology refers to the pouring of medicated liquids over the open eye, a procedure that ensures drug efficacy for treating acute eye diseases. Proper timing and application are paramount for extracting its full therapeutic benefits.

26) Avastha:
'Avastha' references the stage of a disease, highlighting its fluctuations over time. Knowledge of Avastha informs practitioners about the appropriate timing and method of Kriyakalpa administration, tailoring treatments to the current state of the condition for optimal outcomes.

27) Sandhi (Shandhi, Samdhi):
'Sandhis' relate to joints or connections in the body, including those affecting ocular health. Analyzing the relationship between sandhis and eye diseases assists in devising comprehensive Kriyakalpa therapies that address interconnected bodily systems.

28) Angula (Amgula):
'Angula' is a unit of measurement used in Ayurvedic practices, especially in determining distances for procedures like Aschyotana. Precise measurements ensure efficiency and accuracy in treatment application, which is integral to the success of Kriyakalpa therapies.

29) Kriya:
'Kriya' means action, denoting the therapeutic actions taken in Ayurveda. In Kriyakalpa, specific kriyas are deployed for eye treatments, encompassing diverse methodological approaches tailored to addressing ocular disorders effectively.

30) Pitta:
'Pitta' is one of the three doshas in Ayurveda associated with metabolic processes. Understanding the balance of Pitta is crucial in the treatment of eye conditions, as vitiation can lead to specific ocular ailments requiring targeted Kriyakalpa interventions.

31) Vidhi:
'Vidhi' translates to the procedure or method, indicating the systematic approach to treatments in Ayurveda. Each Kriyakalpa method adheres to standardized vidhi, which ensures that practitioners deliver therapies effectively and consistently tailored to individual patient needs.

32) Table:
'Table' refers to a systematic presentation of information or data. Within Ayurvedic literature, tables often summarize various Kriyakalpa methods and their indications, allowing practitioners quick reference to enhance their clinical decision-making for eye therapies.

33) Roga:
'Roga' means disease in a general sense, encompassing all forms of illness in Ayurvedic terminology. Understanding the specific rog of a patient allows tailored treatment approaches, ensuring that Kriyakalpa techniques directly address the unique aspects of the individual’s condition.

34) Ashtangasamgraha (Astangasamgraha, Astangasangraha, Ashtanga-samgraha, Ashtanga-sangraha, Ashtangasangraha):
'Astanga-sangraha' is an essential classic text in Ayurveda that outlines comprehensive knowledge on the eight branches of Ayurvedic medicine. Its teachings guide practitioners in applying Kriyakalpa methods within ophthalmology, emphasizing traditional wisdom in contemporary practice.

35) Avagunthana (Avagumthana):
'Avagunthana' refers to a technique involving the application of medicinal substances using a cloth. This method enhances localized healing around the ocular area, seamlessly integrating traditional applications within modern therapeutic practices in eye treatments.

36) Shringataka (Srngataka, Shrimgataka):
'Shringataka' denotes specific points or areas in Ayurvedic medicine that influence treatment efficacy. Recognizing these points during Kriyakalpa procedures enhances the therapeutic impact on ocular conditions by allowing practitioners to target interventions precisely.

37) Akshikosha (Aksikosa):
'Akshikosha' pertains to the anatomical structures of the eye crucial for drug absorption. In Kriyakalpa, understanding Akshikosha enhances the effective administration of therapies, ensuring that medicines reach targeted ocular tissues for optimal therapeutic outcomes.

38) Abhishyanda (Abhisyanda):
'Abhisyanda' indicates a specific eye condition characterized by excessive tearing or fluid accumulation. Kriyakalpa therapies, particularly targeting Abhisyanda, focus on restoring balance to ocular fluids through strategic application of prescribed medicinal formulations.

39) Abhyanjana (Abhyamjana):
'Abhyanjana' refers to Kriyakalpa techniques involving the use of medicinal applications on the eyelids. This method is crucial for treating various eye conditions by leveraging the properties of drugs applied in a controlled manner directly associated with the infected areas.

40) Mithyayoga (Mithya-yoga):
'Mithyayoga' signifies incorrect combinations of treatments or medications in Ayurveda. Identifying Mithyayoga is essential in Kriyakalpa, ensuring that practitioners administer effective therapies without counteracting effects, thereby enhancing the overall efficacy of treatment protocols.

41) Adhishthana (Adhisthana):
'Adhistana' refers to the site or locality of treatment. Proper identification of Adhistana facilitates the application of Kriyakalpa procedures, ensuring targeted interventions that address the specific site of disease manifestation in ocular treatments.

42) Vagbhata:
'Vagbhata' is an influential figure in Ayurvedic medicine whose writings contribute to foundational texts and practices. His formulations regarding Kriyakalpa solidify the understanding and application of Ayurvedic principles in treating ocular ailments effectively.

43) Samgraha (Sangraha):
'Sangraha' refers to the assembly or compilation of knowledge in Ayurveda. It encapsulates vital information about Kriyakalpa methods and principles regarding eye therapies, ensuring accessibility for practitioners to utilize for effective patient care.

44) Indriya (Imdriya):
'Indriya' means senses or sensory organs in Ayurveda. The eye, as a divine indriya, signifies the need for precise Kriyakalpa techniques that enhance and maintain sensory functionality, ensuring comprehensive approaches to ocular health.

45) Kaphaja:
'Kaphaja' refers to conditions where the Kapha dosha is predominant, resulting in specific ocular manifestations. Understanding Kaphaja conditions allows practitioners to select suitable Kriyakalpa treatments that address excess Kapha effectively, ensuring balanced therapies.

46) Kalpana:
'Kalpana' signifies the method or technique of formulating medicines. In Kriyakalpa, the correct Kalpana is essential for preparing effective ocular treatments that align with the principles of Ayurveda, enhancing healing processes.

47) Salaka (Shalaka):
'Shalaka' refers to an applicator used for delivering medicated substances to the eyelid. This tool is essential for ensuring accurate administration during Kriyakalpa, maximizing the therapeutic potential of procedures aimed at addressing eye conditions.

48) Upanaha:
'Upanaha' is a technique involving the application of medicinal pastes to localized areas. In Kriyakalpa, this approach supports targeted treatment of specific ocular conditions, exemplifying how localized therapies can aid in the overall healing process.

49) Atiyoga:
'Atiyoga' refers to the excessive application of treatments. Recognizing when Atiyoga is employed in Kriyakalpa is critical to avoid adverse effects, ensuring that therapies produce maximum therapeutic benefits without causing harm to the patient.

50) Ashtanga (Astanga, Ashtan-anga):
'Astanga' means eight branches of Ayurveda, each specializing in different aspects of health care. Understanding Astanga sets the foundation for Kriyakalpa practices aimed at treating ocular diseases, promoting a holistic approach to healing and wellness.

51) Pittaja (Pitta-ja):
'Pittaja' refers to disorders primarily influenced by the Pitta dosha. Identifying Pittaja conditions allows for targeted Kriyakalpa therapies that address heat and inflammation in ocular disorders, restoring balance to eye health effectively.

52) Pouring:
'Pouring' refers to the technique used in Kriyakalpa procedures, such as Parisheka, where liquid medications are applied to the eye. This method is fundamental for delivering targeted treatments to the ocular surface for rapid relief from various conditions.

53) Dealing:
'Dealing' indicates the practitioner’s approach to managing ocular conditions. Effective dealing in Kriyakalpa involves assessing each patient's unique symptoms, history, and dosha balance to tailor treatments that align with Ayurvedic principles.

54) Surface:
'Surface' pertains to the external area of the eye, vital for Kriyakalpa procedures. Understanding the ocular surface's anatomy and physiology is essential for optimizing therapeutic agents applied during treatments, enhancing their absorption and efficacy.

55) Dravya:
'Dravya' means substance or material used for treatment in Ayurveda. In Kriyakalpa, specific dravyas tailored to the condition being treated enhance the likelihood of achieving desired therapeutic outcomes for ocular health.

56) Patala:
'Patala' indicates layers or strata, especially within the context of eye anatomy. In Kriyakalpa, understanding patalas is essential for applying treatments effectively to reach deeper tissues and achieve optimal therapeutic effects.

57) Vikara:
'Vikara' refers to the manifestation of dis-ease or abnormality. Identifying the specific vikara that affects the eye allows for the targeted application of Kriyakalpa techniques, promoting healing and restoring harmony within the ocular system.

58) Ghrita (Ghrta):
'Ghrita' is clarified butter used in Ayurvedic preparations, particularly in Kriyakalpa. Its nourishing properties make it ideal for applications like Tarpana, enhancing the therapeutic impact by providing moisture, soothing inflammation, and facilitating healing in ocular disorders.

59) Shopha (Sopha):
'Shopha' refers to swelling, which can occur in various ocular conditions. Recognizing shopha enables practitioners to select appropriate Kriyakalpa treatments that reduce inflammation and promote recovery in affected eye tissues.

60) Sthana:
'Sthana' means site or location, indicating where treatment should be applied. Proper identification of sthana is crucial in Kriyakalpa, ensuring interventions are concentrated at the affected ocular regions for effective treatment.

61) Shukla (Sukla):
'Shukla' refers to conditions characterized by white discoloration or related abnormalities in the eye. Acknowledging shukla conditions allows practitioners to focus Kriyakalpa techniques that specifically target such manifestations for restoration.

62) Ghrana:
'Ghrana' is the sense of smell in Ayurveda, underpinning the importance of sensory perception in treatment. Acknowledging ghrana points to the holistic approach of Ayurveda, integrating all senses into the healing process, including during Kriyakalpa interventions.

63) Vataja (Vata-ja):
'Vataja' denotes disorders predominantly influenced by the Vata dosha. Utilizing Kriyakalpa methods tailored toward Vataja conditions ensures that the treatments specifically address related symptoms and promote balance effectively within the ocular system.

64) Kaksha (Kaksa, Kaksheshu):
'Kaksha' pertains to the treatment room where Kriyakalpa procedures are conducted. Creating an ideal kaksha environment is critical for maximizing patient comfort and treatment efficacy, facilitating the overall therapeutic process.

65) Sharika (Sarika):
'Sarika' refers to an individual co-author in the study, indicating collaboration and contribution to the understanding of Kriyakalpa. Collaborative efforts emphasize diverse expertise, enriching Ayurvedic practice in ocular therapeutics.

66) Mandal:
'Mandal' indicates a circle or group, often in the context of broader health networks. In Kriyakalpa treatments, understanding mandal relationships allows for holistic approaches to patient care, accommodating interconnections between various health aspects.

67) Powder:
'Powder' refers to finely ground medicinal substances used in preparing Ayurvedic formulations. In Kriyakalpa, the use of powder facilitates effective application and absorption of medicines to targeted ocular areas, enhancing therapeutic action.

68) Puran:
'Pooran' refers to the filling or complete application of treatments, reflecting a comprehensive approach in Kriyakalpa. Completing the therapeutic procedure effectively ensures that all areas of concern are addressed thoroughly, optimizing healing.

69) Kapha:
'Kapha' is one of the three doshas, associated with structure and lubrication. Understanding kapha's influence is crucial in diagnosing ocular conditions as excess kapha can lead to various eye diseases requiring targeted Kriyakalpa interventions.

70) Karma (Karman):
'Karma' means action or procedure in Ayurveda, emphasizing the significance of intentional actions taken within Kriyakalpa. Each karmic step in treatment reflects the systematic application of Ayurvedic principles, promoting healing while respecting the intricacies of patients' conditions.

71) Sneha:
'Sneha' denotes the oily or unctuous substances used in Ayurvedic medicines, emphasizing their role in Kriyakalpa for nourishing and healing. Sneha aids in soothing and moisturizing the ocular environment, facilitating absorption of therapeutic agents applied during treatments.

72) Marma:
'Marma' represents vital points within the body affecting overall health. Understanding marma points during Kriyakalpa enhances treatment effectiveness as these points can influence the healing process due to their connections with energy flow.

73) Kandu (Kamdu):
'Kandu' refers to itching, a common symptom in various ocular conditions. Identifying kandu helps practitioners target treatments through Kriyakalpa effectively, addressing discomfort while restoring balance to the ocular health.

74) Ayoga (Ayas-ga):
'Ayoga' signifies inappropriate or ineffective application of treatments. Recognizing ayoga in Kriyakalpa ceremonies is vital for practitioners to avoid adverse outcomes, ensuring that therapeutic interventions align precisely with Ayurvedic principles for optimal success.

75) Water:
'Water' is a fundamental element in Ayurveda that underpins various therapeutic practices, including Kriyakalpa. The correct use of water-based formulations improves the effectiveness of ocular treatments through hydration, cleansing, and facilitating the absorption of medicinal agents.

[Note: The above list is limited to 75. Total glossary definitions available: 80]

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Discover the significance of concepts within the article: ‘An appraisal on kriyakalpa in netraroga (occular therapeutics)’. Further sources in the context of Science might help you critically compare this page with similair documents:

Anjana, Tarpana, Putapaka, Purvakarma, Ashchyotana, Parisheka, Vidalaka, Sukshmatva, Matrakala, Vitiated dosha, Dosha predominance, Pradhankarma, Paschatkarma, Therapeutic concentration, Ayurvedic ophthalmology, Kriyakalpa procedure, Hight concentration drugs, Kriyakalpa Kaksha, Screen addiction, Ayurveda kriyakalp, Ocular therapeutic, Bio-availability of drug.

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