Study on Go-Ghrita vs. Triphala-Ghrita in Axial-Myopia Effects
Journal name: Ayushdhara
Original article title: An Open Labelled Comparative Clinical Study to Evaluate the Effect of Go-Ghrita Tarpana and Triphala-Ghrita Tarpana on Antero-Posterior Diameter in Axial-Myopia
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Tarun Kumar Dwibedi
Consultant cum Assistant Professor, Dept. of Shalakya Tantra, R.K.Institute of Ayurvedic Medical Science, Bareilly, Uttar Pradesh, India.
Veerayya R Hiremath
Professor and HOD, Dept. of Shalakya Tantra, SJGAMC, Koppal, Karnataka, India.
Shashikala K
Associate Professor, Dept. of Shalakya Tantra, SJGAMC, Koppal, Karnataka, India.
Gururaj N
Assistant Professor, Dept. of Shalakya Tantra, SJGAMC, Koppal, Karnataka, India.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: An Open Labelled Comparative Clinical Study to Evaluate the Effect of Go-Ghrita Tarpana and Triphala-Ghrita Tarpana on Antero-Posterior Diameter in Axial-Myopia
Year: 2021 | Doi: 10.47070/ayushdhara.v8i4.793
Copyright (license): CC BY-NC-SA 4.0
Download the PDF file of the original publication
Summary of article contents:
Introduction
Axial-myopia, a prevalent refractive error characterized by blurred distance vision due to an increased antero-posterior (A-P) diameter of the eyeball, poses significant challenges in treatment. Conventional management typically relies on optical correction methods like glasses, contact lenses, or surgical interventions, such as LASIK, all of which can be accompanied by complications. This clinical study aimed to evaluate the efficacy of two Ayurvedic approaches—Go-Ghrita Tarpana and Triphala-Ghrita Tarpana—in addressing axial-myopia by potentially reducing the A-P diameter and improving visual acuity, as well as gauging the difference between these two treatment modalities.
Efficacy of Tarpana Techniques
A noteworthy finding of the study was the effectiveness of Tarpana, a traditional Ayurvedic therapy that involves applying specific medicated ghee around the eyes, in alleviating symptoms of axial-myopia. The study involved 40 patients divided into two groups: one receiving Go-Ghrita Tarpana and the other Triphala-Ghrita Tarpana. Results indicated significant improvements in visual acuity and A-P diameter measurements within both groups (p<0.001). However, the study revealed that the patients treated with Go-Ghrita experienced notably less irritation during the procedure compared to those in the Triphala-Ghrita group, suggesting an additional benefit of using plain ghee over the more complex formulation.
Optical Correction and A-P Diameter Changes
Another compelling aspect of the research was its focus on optical correction readings and changes in the A-P diameter of the eye. Both treatment groups showed significant reductions in required optical correction, indicating improvements in distance vision. Furthermore, the A-P diameter was found to decrease significantly in both groups, with a reduction of 1.71% and 1.80% from baseline measurements by the conclusion of the study period in the Triphala-Ghrita and Go-Ghrita groups, respectively. The data emphasizes that both Tarpana techniques are effective in managing axial-myopia, with similar results across various parameters of ocular health.
Conclusion
In conclusion, the study presents strong evidence supporting the use of Tarpana therapies in treating axial-myopia through enhanced visual acuity and changes in eye structure, specifically the A-P diameter. Both Go-Ghrita and Triphala-Ghrita demonstrated comparable efficacy, but the simpler Go-Ghrita formulation resulted in lower instances of irritation among patients, suggesting a potential for improved patient compliance and cost-effectiveness. As the prevalence of myopia continues to rise globally, these traditional Ayurvedic approaches merit further exploration and integration into contemporary eye care.
FAQ section (important questions/answers):
What is the effect of Tarpana in axial myopia treatment?
Tarpana, using Go-Ghrita or Triphala-Ghrita, significantly improves visual acuity and reduces the antero-posterior diameter of the eyeball in patients with axial myopia. The study found both treatments equally effective.
What were the main findings of the study?
The study revealed that both Go-Ghrita and Triphala-Ghrita Tarpana improved visual acuity and optical correction. However, patients experienced less irritation with Go-Ghrita compared to Triphala-Ghrita during the procedure.
How was the effectiveness of Tarpana assessed in patients?
Effectiveness was assessed using objective parameters such as visual acuity, optical correction readings, and antero-posterior diameter measurements before and after treatment, analyzed statistically for significance.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Study on Go-Ghrita vs. Triphala-Ghrita in Axial-Myopia Effects”. 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) Tarpana:
Tarpana is a key Ayurvedic treatment involving the application of medicated ghee to the eyes. It is used to manage conditions like myopia and timira by providing lubrication and nourishment to the ocular structures. It is considered an effective procedure in Shalakya-tantra for eye care.
2) Ghrita (Ghrta):
Ghrita refers to clarified butter or ghee used in Ayurveda, especially in Tarpana. It has therapeutic properties such as being Tridoshahara (balancing the three doshas) and Rasayana (rejuvenative), making it suitable for treating eye conditions and improving overall eye health.
3) Triphala (Tri-phala):
Triphala is an Ayurvedic formulation of three fruits: Amalaki, Bibhitaki, and Haritaki. It possesses Rasayana (rejuvenative) properties and is known for its benefits in treating ocular conditions such as Timira by providing Chakshushya (beneficial for eyes) action.
4) Goghrita (Goghrta, Go-ghrita):
Go-ghrita is ghee derived from cow's milk. It is used in Tarpana procedures due to its Rasayana (rejuvenative) and Tridoshahara (balancing all three doshas) properties. Go-ghrita helps in nourishing and rejuvenating ocular tissues, making it beneficial in treating myopia.
5) Drug:
In this context, drug refers to medicinal substances used in Tarpana, such as Go-ghrita and Triphala-ghrita. These drugs are chosen for their specific properties like Chakshushya (eye health supportive) and Rasayana (rejuvenation), aiding in the treatment of axial-myopia and Timira.
6) Ghi (Ghee):
Ghee, also known as clarified butter, is a core component in Tarpana treatments. It provides vital nutrients like Vitamin A and Beta Carotene to the ocular tissues, aiding in their nourishment, lubrication, and proper functioning, while also possessing Rasayana properties.
7) Irritation:
Irritation refers to the discomfort or burning sensation experienced by patients during Tarpana. The study found varying degrees of irritation among subjects, with those receiving Triphala-ghrita experiencing more severe irritation compared to those treated with Go-ghrita.
8) Disease:
In the context of this study, disease refers to axial myopia, a condition marked by increased antero-posterior diameter of the eyeball. Ayurvedic treatments like Tarpana using Go-ghrita and Triphala-ghrita aim to correct this structural abnormality by reducing the A-P diameter.
9) Timira:
Timira is an Ayurvedic term for a stage of progressive blurring of vision that can eventually lead to blindness. Timira is compared to myopia in modern medicine, and treatments like Tarpana with Ghrita are employed to manage and prevent its progression.
10) Karma (Karman):
Karma in this context refers to the procedural aspect of Ayurvedic treatment. Tarpana Karma involves the application of medicated ghee to the eyes, following preparatory procedures like Abhyanga (massage) and Swedana (sudation) to enhance drug absorption and therapeutic effects.
11) Kumar:
Tarun Kumar Dwibedi is one of the authors of the study that compares the effects of Go-Ghrita and Triphala-Ghrita Tarpana on axial-myopia. He is involved in the research and clinical evaluation of these Ayurvedic treatments for managing myopia and related conditions.
12) Netra:
Netra means eye in Sanskrit. Various Netra Kriya Kalpas (eye treatments) like Tarpana are employed in Ayurveda to address ocular conditions. These treatments are aimed at improving vision, managing myopia, and treating diseases like Timira through holistic approaches.
13) Rasayana (Rasa-ayana):
Rasayana refers to rejuvenative or anti-aging therapies in Ayurveda. Ghrita and Triphala possess Rasayana properties, which enhance their effectiveness in Tarpana by nourishing and rejuvenating ocular tissues, thereby helping to treat conditions like axial myopia and Timira.
14) Dravya:
Dravya refers to substances or materials used in Ayurvedic treatments. In the context of the study, Dravya includes Go-ghrita and Triphala-ghrita, which are used in Tarpana to treat axial myopia by nourishing and rejuvenating ocular tissues and reducing the A-P diameter.
15) Dosha (Dosa):
Dosha refers to the three fundamental bodily bio-elements in Ayurveda: Vata, Pitta, and Kapha. Tarpana treatments aim to balance these Doshas. Axial-myopia is primarily seen as a Vata disorder, and the treatment uses Ghrita to manage Vata's influence on eye structures.
16) Shringataka (Srngataka, Shrimgataka):
Shringataka is a marma point in Ayurveda linked to the sensory organs. It plays a crucial role in Netra Kriya Kalpas like Tarpana, where treating this marma can enhance the therapeutic effect of the procedure by ensuring better distribution of the medicinal substances.
17) Discussion:
[see source text or glossary: Discussion]
18) Abhyanga (Abhyamga):
Abhyanga is an Ayurvedic therapy involving the application of oil or ghee to the body. It is used as a preparatory procedure (Poorva Karma) before Tarpana to enhance drug absorption by cleansing and preparing the ocular tissues for the main therapeutic action.
19) Medicine:
[see source text or glossary: Medicine]
20) Nature:
[see source text or glossary: Nature]
21) Marma:
Marma points are vital areas in the body according to Ayurveda, and Shringataka Marma is particularly relevant to eye treatments. Stimulating these points during procedures like Tarpana can enhance the efficacy and facilitate better nutrient distribution to the ocular tissues.
22) Sira (Shira):
Sira refers to channels or veins in the Ayurvedic context. In Tarpana, medicine is absorbed through these channels, particularly around the eyes, aiding in the nourishment and rejuvenation of ocular tissues. These channels play a role in the therapeutic effects of the treatment.
23) Nasa (Nasha):
[see source text or glossary: Nasa]
24) Tridoshahara (Tridosahara, Tridosha-hara):
Tridoshahara describes a substance that balances all three doshas (Vata, Pitta, Kapha). Both Go-ghrita and Triphala-ghrita possess this quality, making them suitable for use in Tarpana to treat eye conditions by restoring overall balance and health to the ocular tissues.
25) Perception:
[see source text or glossary: Perception]
26) Indriya (Imdriya):
[see source text or glossary: Indriya]
27) Srotas (Shrotas):
[see source text or glossary: Srotas]
28) Human body:
[see source text or glossary: Human body]
29) Shalakyatantra (Salakyatantra, Shalakya-tantra, Shalakyatamtra):
Shalakya-tantra is one of the eight branches of Ayurveda, dealing with the treatment of diseases affecting organs above the neck, including the eyes. Tarpana is a procedure within Shalakya-tantra used to manage ocular conditions like axial-myopia and Timira.
30) Samprapti:
[see source text or glossary: Samprapti]
31) Prasadaka:
[see source text or glossary: Prasadaka]
32) Vatadosha (Vatadosa, Vata-dosha):
Vata Dosha is one of the three doshas in Ayurveda, responsible for movement and coordination. Axial-myopia is considered to be related to an imbalance in Vata Dosha, and treatments like Tarpana with Ghrita are used to restore balance and manage the condition.
33) Blindness:
Blindness can be a severe outcome of untreated or progressive conditions like Timira or high myopia. Ayurvedic treatments such as Tarpana with Ghrita aim to manage these conditions and prevent progression to more serious complications like blindness.
34) Prathama:
[see source text or glossary: Prathama]
35) Tantra (Tamtra, Tantrism):
[see source text or glossary: Tantra]
36) Pitta:
[see source text or glossary: Pitta]
37) Mukha:
[see source text or glossary: Mukha]
38) Matra:
[see source text or glossary: Matra]
39) Karna:
[see source text or glossary: Karna]
40) India:
[see source text or glossary: India]
41) Blood:
[see source text or glossary: Blood]
42) Shri (Sri, Sr):
[see source text or glossary: Shree]
43) Vata:
[see source text or glossary: Vata]
44) Kala:
[see source text or glossary: Kala]
45) Burning sensation:
[see source text or glossary: Burning sensation]
46) Pradhana-karma:
[see source text or glossary: Pradhana-karma]
47) Ghritapaka (Ghrtapaka, Ghrita-paka):
[see source text or glossary: Ghrita-paka]
48) Pittadosha (Pittadosa, Pitta-dosha):
[see source text or glossary: Pitta-dosha]
49) Bhaishajya (Bhaisajya):
[see source text or glossary: Bhaishajya]
50) Netrakosha (Netrakosa, Netra-kosha):
[see source text or glossary: Netrakosha]
51) Sarvaroga (Sarva-roga):
[see source text or glossary: Sarva-roga]
52) Samtarpana (Santarpana):
[see source text or glossary: Santarpana]
53) Prakshepa (Praksepa):
[see source text or glossary: Prakshepa]
54) Karnataka:
[see source text or glossary: Karnataka]
55) Haritaki:
[see source text or glossary: Haritaki]
56) Pradhana:
[see source text or glossary: Pradhana]
57) Prakriti (Prakrti):
[see source text or glossary: Prakriti]
58) Amalaki:
[see source text or glossary: Amalaki]
59) Trikatu (Tri-katu):
[see source text or glossary: Trikatu]
60) Kalpana:
[see source text or glossary: Kalpana]
61) Pittaja (Pitta-ja):
[see source text or glossary: Pittaja]
62) Patala:
[see source text or glossary: Patala]
63) Kavala:
[see source text or glossary: Kavala]
64) Family:
[see source text or glossary: Family]
65) Kriya:
[see source text or glossary: Kriya]
66) Kapha:
[see source text or glossary: Kapha]
67) Kalpa:
[see source text or glossary: Kalpa]
68) Ayus (Ayush):
[see source text or glossary: Ayush]
69) Glass:
[see source text or glossary: Glass]
70) Shiras (Siras, Siro, Shirash):
[see source text or glossary: Sirah]
71) Carva:
[see source text or glossary: Sarva]
72) Hara:
[see source text or glossary: Hara]
73) Roga:
[see source text or glossary: Roga]
74) Rasa (Rasha):
[see source text or glossary: Rasa]
75) Paka:
[see source text or glossary: Paka]
[Note: The above list is limited to 75. Total glossary definitions available: 80]