Ayurvedic management of dry eye- a case study

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Journal name: World Journal of Pharmaceutical Research
Original article title: Ayurvedic management of dry eye- 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:

Jayvant Kharat and Pradnya Ambekar


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Ayurvedic management of dry eye- a case study

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

Doi: 10.20959/wjpr20207-16987

Copyright (license): WJPR: All rights reserved


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Summary of article contents:

Introduction

Dry eye syndrome is a prevalent condition characterized by insufficient lubrication and moisture on the ocular surface, leading to discomfort and potential damage. According to the International Dry Eye Workshop, it is a multifactorial disease of the tears and ocular surface, manifesting as symptoms of ocular discomfort and visual disturbances. In Ayurveda, a similar condition known as Shushkakshipaka aligns with the symptoms of dry eye, indicating a vata-pittaj imbalance. This case study discusses the Ayurvedic management of a diagnosed dry eye condition through various therapeutic interventions.

Ayurvedic Management Techniques

The management of dry eye through Ayurveda involves treatments such as Deepana Pachana, Koshthashodhana, Nasya, Tarpana, and Shaman Snehapana. Deepana Pachana is achieved using Chitrakadi Vati to prepare the body for subsequent treatments. Koshthashodhana, carried out with Avipattikar Churna, aims to detoxify the gastrointestinal tract, ensuring effective absorption of further treatments. These foundational steps are essential before administering Nasya and Tarpana, which utilize specific herbal oils for targeted ocular relief.

Nasya and Its Effectiveness

Nasya, a nasal therapy, was applied using Anutaila, which is recognized in Ayurveda for its ability to balance the tridoshas (vata, pitta, and kapha) and is particularly indicated for conditions like Shushkakshipaka. The nasal route is considered effective as it directs the medicinal properties to the head and eyes, addressing the underlying imbalances that contribute to dry eye symptoms. The practice was conducted over three sessions, significantly contributing to the alleviation of the patient's symptoms.

The Role of Tarpana in Treatment

Tarpana, a therapeutic eye treatment using Jivantyadi Ghrita, offers lubrication to the ocular surface, complementing the effectiveness of Nasya. This procedure aims to soothe and nourish the eyes, addressing the dryness by counteracting the vata-pitta imbalance. The application of Jivantyadi Ghrita in Tarpana not only promotes ocular health but also aligns with Ayurveda's principle of using restorative treatments for the eyes. This approach has been shown to yield substantial improvement in symptoms associated with dry eye.

Conclusion

This case study underscores the efficacy of Ayurvedic interventions in managing dry eye syndrome, demonstrating significant improvements through structured therapies such as Nasya and Tarpana. The findings highlight the relevance of classical Ayurvedic practices in addressing ocular discomfort and maintaining eye health. Overall, the study supports the potential of Ayurvedic treatment modalities to offer holistic and significant relief for individuals suffering from dry eye syndrome, reaffirming the importance of integrating traditional practices in modern healthcare.

FAQ section (important questions/answers):

What is dry eye syndrome and its causes?

Dry eye syndrome is a multifactorial ocular surface disease caused by insufficient lubrication due to tear film instability. Symptoms include discomfort, irritation, and visual disturbances. It can stem from environmental factors, prolonged screen time, and certain health conditions.

What Ayurvedic condition correlates with dry eye?

In Ayurveda, dry eye is symptomatically associated with Shushkakshipaka, a disease characterized by dryness, foreign body sensation, and difficulty in opening the eyes. It's primarily linked to vata and pitta dosha imbalances.

What traditional treatments were used in the study?

The study employed Ayurvedic treatments including Deepana Pachana, Koshthashodhana, Nasya with Anutaila, Tarpana with Jivantyadi Ghrita, and oral snehapana with Jivantyadi Ghrita. These aimed to balance doshas and provide ocular lubrication.

What methods were used to measure treatment effectiveness?

Effectiveness was assessed through the Schirmer's test, tear film break-up time, and fluorescein staining. Improvement in these tests indicated positive responses to the Ayurvedic treatments administered.

What were the key findings from the case study?

The study demonstrated significant improvement in both symptoms and diagnostic criteria for dry eye, with increased tear production and stability of the tear film following Ayurvedic treatment.

Can Ayurvedic treatments effectively manage dry eye syndrome?

Yes, the study concludes that Ayurvedic treatments, particularly Nasya and Tarpana, provide effective relief from symptoms of dry eye, emphasizing the importance of traditional approaches in managing this condition.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Ayurvedic management of dry eye- a 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) Nasya (Nashya):
Nasya refers to the Ayurvedic therapeutic procedure where medicated oils or powders are administered through the nostrils. It is believed to clear nasal passages, enhance sensory functions, and balance doshas, particularly in diseases affecting the head and eyes, such as dry eye syndrome. This treatment is prescribed to address doshic imbalances.

2) Tear:
Tears are vital for lubricating the eyes, protecting against irritation, and maintaining clarity in vision. In dry eye syndrome, inadequate tear production leads to discomfort and visual issues. Ayurvedic treatments aim to restore proper tear function and enhance overall ocular health.

3) Tarpana:
Tarpana is an Ayurvedic therapy for eye care where medicated ghee (oil) is applied to the eyes. This treatment nourishes the ocular tissues, enhances vision, and provides relief from dryness and irritation. It is particularly beneficial in conditions like Shushkakshipaka, which presents with dry eye symptoms.

4) Ghrita (Ghrta):
Ghrita, or medicated ghee, plays a vital role in Ayurvedic treatments. It is prepared by infusing clarified butter with herbal ingredients, enhancing therapeutic properties. In the context of eye care, Ghrita nourishes and lubricates the eye surface, helping to alleviate conditions like dry eye syndrome by soothing inflammation.

5) Jivantyadi:
Jivantyadi refers to a specific Ayurvedic formulation that includes beneficial herbs known for their rejuvenating properties. It is often used in eye treatments, particularly in Tarpana procedures, to promote ocular health and comfort. Its application aims to balance the doshas and restore moisture to the eyes.

6) Surface:
The ocular surface consists of the cornea and conjunctiva, playing a crucial role in vision and eye health. A stable tear film is essential for maintaining comfort and clear vision. In the case of dry eye syndrome, disturbances in the surface integrity lead to discomfort and vision abnormalities.

7) Study (Studying):
The study documented in the article focuses on the Ayurvedic management of dry eye syndrome through a case study. It highlights the methodology, treatment modalities, and outcomes of using Ayurvedic interventions like Nasya and Tarpana, emphasizing the potential benefits of traditional therapies in contemporary healthcare settings.

8) Anutaila (Anu-taila):
Anu-taila is a specific type of medicated oil in Ayurveda used for Nasya treatments. Its formulation is designed to pacify the doshas, particularly beneficial for treating disorders of the head and eyes. Its therapeutic application is crucial in managing dry eye symptoms effectively.

9) Disease:
In the context of the document, disease refers to Shushkakshipaka, an Ayurvedic classification that aligns with modern dry eye syndrome. This diagnosis encompasses symptoms such as dryness and irritation of the eyes, necessitating targeted therapies to restore health and balance to the ocular region.

10) Burning sensation:
Burning sensation is a common symptom associated with dry eye syndrome, indicating discomfort and irritation on the ocular surface. This symptom results from inflammation or instability of the tear film, prompting the need for therapeutic interventions aimed at soothing and protecting the eyes.

11) Burning (Burn, Burned, Burnt):
Burning refers to a specific type of discomfort often experienced by individuals with dry eye syndrome. It underscores the impact of inadequate lubrication on the ocular surface and is a primary indicator that necessitates intervention to restore comfort and normal eye function.

12) Itching:
Itching is another frequent symptom of dry eye syndrome, resulting from irritation of the ocular surface. This sensation compels individuals to rub their eyes, potentially exacerbating the condition. Ayurvedic treatments aim to eliminate this discomfort by enhancing moisture and reducing inflammation.

13) Parisheka (Pariseka):
Parisheka is an Ayurvedic therapeutic practice involving the pouring or sprinkling of medicated liquids over the body or specific areas, including the eyes. This method aims to hydrate and nourish, thus providing relief from dryness and discomfort often linked with eye disorders like dry eye syndrome.

14) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine originating from India, emphasizing balance among body, mind, and spirit. It utilizes plant-based therapies and holistic approaches to treat various conditions, including chronic diseases such as dry eye, by addressing underlying doshic imbalances and promoting natural healing.

15) Pariksha (Pariksa):
Pariksha refers to the diagnostic assessment process in Ayurveda, which involves evaluating a patient's condition through various methods. This could include pulse diagnosis, observation, and testing to determine the imbalances in doshas and identify suitable treatments for ailments like dry eye syndrome.

16) Medicine:
In the context of the discussed study, medicine denotes the herbal formulations and treatments used to manage dry eye syndrome. These Ayurvedic medicines aim to balance the body's doshas and restore eye health, thereby alleviating symptoms such as dryness, burning, and irritation.

17) Nostril:
The nostril refers to each of the two external openings of the nose. In the context of Ayurvedic treatments, it is significant as the administration site for Nasya therapies, which play an essential role in treating conditions like dry eye syndrome by introducing healing substances directly into the body.

18) India:
India is the country of origin for Ayurveda, the system of medicine described in the study. The traditional practices and remedies developed in India continue to influence modern medical approaches and offer alternative solutions to health problems such as dry eye syndrome.

19) Table:
In the document, 'Table' references the structured presentation of data, particularly diagnostic criteria and treatment approaches used in the study. Tables facilitate clearer comparisons of results before and after treatments, making it easier to assess the effectiveness of Ayurvedic interventions in managing dry eye syndrome.

20) Vati:
Vati refers to tablets or pills made from Ayurvedic herbs that are compressed into a specific dosage form. In the study, Chitrakadi Vati is highlighted as part of the treatment plan aimed at addressing the root causes of dry eye by balancing the bodily doshas.

21) Drug:
In this context, drug refers to the specific herbal substances utilized in Ayurvedic treatments. The selection of these drugs is based on their therapeutic properties aimed at balancing doshas and alleviating symptoms associated with conditions such as dry eye syndrome.

22) Shalakyatantra (Salakyatantra, Shalakya-tantra, Shalakyatamtra):
Shalakya-tantra is a branch of Ayurveda that focuses on the diagnosis and treatment of diseases related to the head and neck, including eye health. This discipline ensures that practitioners apply the correct therapeutic methods to address ocular conditions like dry eye effectively.

23) Maharashtra (Maharastra, Maha-rashtra):
Maharashtra is the Indian state where the study took place, reflecting the regional application of Ayurvedic practices. The cultural and historical significance of Ayurveda in Maharashtra contributes to the ongoing research and treatment initiatives for conditions such as dry eye syndrome.

24) Snehana:
Snehana refers to the Ayurvedic practice of oleation or oil application on the body. This therapy provides nourishment and healing, particularly in the treatment of ocular conditions by restoring moisture to the eyes and alleviating symptoms associated with dryness and irritation.

25) Haridra:
Haridra, known as turmeric, is an Ayurvedic herb recognized for its anti-inflammatory and healing properties. In the context of eye care, it can be included in Parisheka treatments to enhance ocular health and comfort, addressing symptoms such as discomfort and irritation in dry eyes.

26) Tantra (Tantrism, Tamtra):
Tantra refers to the various branches and methodologies within Ayurveda that specialize in treating specific ailments. In this document, Shalakya-tantra, which focuses on ocular and head diseases, underscores the significance of comprehensive, tailored approaches to managing conditions like dry eye syndrome.

27) Bengal (Bemgal):
Bengal is mentioned in the context of Rose Bengal staining, a diagnostic technique used to assess ocular surface integrity. The application of this staining helps evaluate the severity of dry eye syndrome, highlighting the diagnostic and therapeutic practices relevant in eye care.

28) Taila (Thaila):
Taila translates to oil in Ayurvedic texts, often indicating the use of medicated oils in treatments. Oils are integral to various therapies, such as Nasya and Tarpana, where they are applied to support eye health and restore balance to dry, irritated eyes.

29) Water:
Water plays a crucial role in the overall health of the body, including the eyes. Adequate hydration is essential for maintaining tear film stability. In cases of dry eye syndrome, addressing hydration through dietary adjustments and topical treatments is vital for symptom relief.

30) Ashta (Asta, Astan, Ashtan):
Ashta refers to the location, ADAMC Ashta, where the study was conducted. The setting provides a background for understanding the application of Ayurvedic practices and patient treatment options available in that region, reflecting the integration of traditional medicine in modern healthcare.

31) Pune:
Pune is the city in Maharashtra, India, where the researchers were based. Known for its educational and medical institutions, Pune serves as a hub for Ayurvedic research and practices, supporting initiatives focused on traditional treatments for eye conditions like dry eye syndrome.

32) Sign:
Sign refers to the observable symptoms and clinical indicators of dry eye syndrome that are assessed throughout the study. The sign helps practitioners understand the severity of a condition and evaluate the efficacy of the treatments applied, ensuring timely adjustments to the therapeutic approach.

33) Male:
The study features a 25-year-old male patient presenting with dry eye symptoms. Gender may influence symptom expression and treatment outcomes, and the male patient demographic emphasizes the spectrum of individuals affected by dry eye syndrome, warranting comprehensive management approaches.

34) Tridoshahara (Tridosahara, Tridosha-hara):
Tridoshahara refers to substances or treatments effective in balancing the three doshas (Vata, Pitta, Kapha) in Ayurveda. Interventions such as Anutaila, described in the study, are categorized as Tridoshahara, indicating their broad efficacy in managing various conditions, including eye diseases.

35) Shringataka (Srngataka, Shrimgataka):
Shringataka refers to the area associated with the head, particularly in Ayurvedic physiology. Treatments administered through the nostrils target this region, facilitating the delivery of medicinal properties to the brain and eyes, crucial for managing symptoms of dry eye effectively.

36) Discussion:
The discussion section of the study elaborates on the effectiveness of Ayurvedic treatments for dry eye syndrome. It synthesizes findings, evaluates the rationale behind chosen therapies, and highlights the significance of traditional practices in a modern medical context, advocating for further research.

37) Irritation:
Irritation is a hallmark symptom of dry eye syndrome, leading to discomfort and visual fluctuations. Recognizing irritation as a primary complaint in patients is crucial for selecting appropriate therapeutic modalities in Ayurveda designed to alleviate this unpleasant sensation and restore comfort.

38) Uttamanga (Uttama-anga, Uttamamga):
Uttamanga refers to the 'superior parts of the body' in Ayurvedic terminology. Understanding the role of these anatomical features in relation to conditions like dry eye syndrome aids in creating targeted treatments that consider the holistic interaction of different body areas and their functions.

39) Vatapitta (Vata-pitta):
Vatapitta is a doshic classification in Ayurveda referring to an imbalance characterized by the predominance of Vata and Pitta doshas. It's essential to identify this imbalance in patients with dry eye syndrome to tailor Ayurvedic treatments effectively, ensuring they address specific doshic needs.

40) Jivaniya:
Jivaniya refers to a category of Ayurvedic medicines and formulations considered revitalizing and nourishing. In dry eye treatment, Jivantyadi Ghrita exemplifies Jivaniya substances that promote ocular health by enhancing lubrication and reducing symptoms associated with dryness and discomfort.

41) Samanya:
Samanya translates to common or general in Ayurvedic terms. It often refers to the assessment of typical bodily conditions and symptoms observed during examination. Understanding Samanya contributes to accurate diagnostics and personalized treatment strategies for conditions such as dry eye syndrome.

42) Sparsha (Sparsa):
Sparsha means touch in Sanskrit and is referenced in the context of sensory assessment during diagnosis. Sparsha evaluation can help determine the quality of sensation in the ocular surface, which is critical in understanding the severity of conditions like dry eye syndrome.

43) Snigdha:
Snigdha refers to oily or unctuous properties attributed to certain Ayurvedic substances. It indicates the ability to hydrate and nourish tissues. Snigdha qualities in treatments like Ghrita are pivotal in alleviating dryness in the ocular surface, typical in conditions like dry eye syndrome.

44) Tearing:
Tearing is a reflex action that may occur in response to irritation or dryness of the eye. While it may seem counterintuitive, excessive tearing can sometimes be a symptom of dry eye syndrome, highlighting the need for a comprehensive evaluation and balanced treatment approach.

45) Siddha:
Siddha refers to the refined preparation of Ayurvedic substances. In the context of the study, Siddha medicines signify the culmination of traditional knowledge and practices to create effective formulations aimed at treating specific conditions, including dry eye and associated symptoms.

46) Shabda (Sabda):
Shabda translates to sound in Sanskrit, though in this context may relate to the importance of communication in documenting symptoms and patient history. Understanding Shabda enhances the overall assessment process in Ayurveda, ensuring thorough diagnostics and treatment planning.

47) Shakti (Sakti):
Shakti refers to strength or power, often alluding to the therapeutic potency of herbs and treatments in Ayurveda. The Shakti of the medicines used for managing dry eye is crucial to their efficacy, highlighting the importance of selecting appropriate formulations for healing.

48) Satmya:
Satmya pertains to the concept of compatibility in Ayurveda, signifying how well a person can tolerate or benefit from specific foods and treatments. Understanding an individual's Satmya informs the selection of appropriate therapies for managing conditions such as dry eye syndrome.

49) Dugdha:
Dugdha means milk in Ayurvedic terms and plays a role in various treatments. It is utilized in procedures like Parisheka, wherein milk may be combined with herbs to enhance therapeutic benefits, offering nourishment and comfort to conditions like dry eye.

50) Abadha:
Abadha refers to the absence of pain or discomfort, suggesting a state of well-being. In the context of dry eye syndrome and Ayurvedic treatment, achieving Abadha is a primary goal, indicating the successful alleviation of symptoms and improvement in patient comfort.

51) Vyadhin (Vyadhi):
Vyadhi translates to disease or illness in Ayurveda. In this context, it specifically references dry eye syndrome, a condition characterized by inadequate lubrication and moisture, requiring targeted Ayurvedic interventions to restore health and mitigate symptoms.

52) Murdha (Murdhan):
Murdha refers to the head area in Ayurvedic anatomy. Since Ayurvedic treatments like Nasya target this region, understanding Murdha's association with ocular and nervous systems enhances the effectiveness of therapies aimed at relieving symptoms such as dryness and irritation in the eyes.

53) Dosha (Dosa):
Dosha signifies the bioenergetic principles governing physiological functions in Ayurveda, namely Vata, Pitta, and Kapha. Identifying doshic imbalances is essential for effective treatment of conditions like dry eye syndrome, allowing practitioners to tailor interventions that restore balance and enhance patient well-being.

54) Marma:
Marma refers to vital points in the body that represent the intersection of physical and energetic components. In Ayurvedic practice, treating Marma points can facilitate healing and restore balance, making them relevant in managing ocular conditions by addressing underlying energy disturbances.

55) Rakta:
Rakta refers to the blood or circulatory component in Ayurvedic medicine. Understanding Rakta's role in nutrient transport and its balance is vital for treatments, as imbalances can affect ocular health, underscoring the need for comprehensive assessments in managing conditions like dry eye.

56) Sira (Shira):
Shira denotes the head in Ayurvedic texts. It bears significance in treatments involving Nasya and other techniques aimed at alleviating eye conditions. Accessing Shira through targeted therapies emphasizes the interconnectedness of bodily regions in managing symptoms associated with dryness and irritation.

57) Mutra:
Mutra means urine in Ayurvedic terminology and relates to the elimination and detoxification processes within the body. The analysis of Mutra contributes to understanding an individual’s overall health and aids in diagnosing various disorders, including those that can impact eye health.

58) Majja:
Majja refers to the marrow or the essence of bodily tissues in Ayurveda. The health of Majja is indicative of overall vitality, influencing ocular health. Treatments may aim at nourishing Majja to improve eye function and alleviate symptoms associated with dry eye syndrome.

59) Netra:
Netra means 'eye' in Sanskrit and is a central focus of Ayurvedic ophthalmology. Understanding the functions and health of Netra is crucial for diagnosing and treating eye diseases, thus facilitating targeted interventions in the management of conditions like dry eye syndrome.

60) Virya:
Virya denotes the potency or strength of a substance in Ayurvedic medicine, influencing its therapeutic effects. Recognizing the Virya of the herbs and treatments used for dry eye syndrome is essential for tailoring effective interventions that align with the individual’s needs.

61) Pulse:
Pulse refers to the rhythmic beating of the heart, often used during Ayurvedic assessments to determine health status and doshic balance. Monitoring Pulse helps practitioners gauge the overall well-being of patients, including those presenting with dry eye symptoms.

62) Blood:
Blood is essential in Ayurveda for transporting nutrients and maintaining vitality. In conditions like dry eye, assessing blood quality can help practitioners understand underlying issues and tailor treatments that restore balance to the eyes and overall health.

63) Roga:
Roga means illness or disorder in Ayurvedic terminology. This concept is fundamental to understanding the treatment of conditions like dry eye syndrome, where the aim is to identify the Roga's specific nature and implement appropriate interventions for healing.

64) Rasa (Rasha):
Rasa translates to taste or essence in Ayurveda, playing a role in determining the effects of substances on bodily systems. Understanding Rasa assists in selecting appropriate dietary and herbal interventions that can help manage conditions like dry eye syndrome effectively.

65) Nadi (Nadin):
Nadi refers to the channels through which life energy flows in Ayurvedic anatomy. Recognizing and assessing Nadi helps practitioners understand energy patterns and imbalances in patients, which is fundamental in devising effective treatments for ailments including dry eye syndrome.

66) Mala:
Mala means waste products or excreta in Ayurveda. The assessment of Mala provides insight into a person's health status and digestive efficiency. Understanding Mala is essential for identifying imbalances that could contribute to conditions such as dry eye syndrome and guiding treatment strategies.

67) Nasa (Nasha):
Nasa refers to the nose in Ayurveda, which is significant in the administration of treatments like Nasya. This connection underscores the holistic approach of Ayurveda, where nasal therapies can provide therapeutic benefits for ocular conditions, enhancing overall healing.

68) Vata:
Vata is one of the three doshas in Ayurveda, associated with movement and bodily functions. An imbalance of Vata can lead to symptoms such as dryness and irritation, making it essential to address Vata in treatments for conditions like dry eye syndrome.

69) Sara (Shara):
Sara signifies the essence or quality of bodily tissues in Ayurveda. Evaluating Sara contributes to diagnosing health conditions and tailoring treatments, particularly where deficiencies affect ocular health, emphasizing the need for comprehensive assessments in managing dry eye syndrome.

70) Guna:
Guna means quality or property in Ayurveda, describing the characteristics of substances used in treatments. Recognizing the Guna of herbal medicines enhances the selection process for dry eye therapies, ensuring tailored interventions align with the patient's specific needs and condition.

71) Vaha:
Vaha refers to channels in Ayurvedic medicine that transport substances within the body, such as blood and lymph. Understanding Vaha encourages a holistic view of how nutrients and medications circulate, impacting health conditions like dry eye syndrome, calling for comprehensive treatment strategies.

72) Lamp:
Lamp enhances visibility, drawing attention to examination and diagnosis in both Ayurvedic and modern medical practices. A lamp's illumination aids practitioners in conducting thorough ocular assessments to identify issues related to dryness and discomfort in eye health.

73) Line:
Line represents the methodology or sequence of treatment prescribed in the study. Understanding the line of management for dry eye conditions in Ayurveda assists practitioners in delivering structured and effective care, ensuring all dimensions of the patient's health are considered.

74) Pain:
Pain is a subjective sensation often accompanying conditions like dry eye syndrome. Identifying and understanding patients' pain experiences are critical to providing effective treatments in Ayurveda that focus on alleviating discomfort and restoring ocular health.

75) Milk:
Milk plays a nourishing role in Ayurveda and is often used in various therapies. It’s mentioned in the context of Tarpana or Parisheka, where combining milk with herbs can enhance treatment benefits for dry eye syndrome, emphasizing nourishment and comfort.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Ayurvedic management of dry eye- a case study’. Further sources in the context of Science might help you critically compare this page with similair documents:

Nasya, Tarpana, Parisheka, Anutaila, Shushkakshipaka, Burning sensation, Result, Chitrakadi Vati, Foreign body sensation, Ayurvedic Management, Therapeutic intervention, Avipattikar churna, Deepana Pachana, Diagnostic assessment, Blurring of vision, Tear film break-up time, Schirmer's test, Dry eye, Koshthashodhana, Fluorescein staining, Jivantyadighrita, Ocular surface disease, Clinical finding, Tear film instability, Eye fatigue, Study concludes.

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