Alaji, Advanced condition of Phlyctelunar Conjunctivitis, Shalakya Tantra,BAMS

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Alaji
Advanced condition of Phlyctenular Conjunctivitis

 It is the advanced stage of Pravani in which all the symptoms appear more severely than Pravani, affected sandhi is Krishna Shukla Sandhi.
According to sushruta Kaneenika Sandhi according to Vagabhata, it is deep rooted infection with more pain and burning said to be incurable disease.
                               
                                 Comparison

 Pravani                                                  Alaji

Smaller nodule.                                      Bigger nodule
Superficial lesion                                   Deep rooted lesion
Rakta dosha                                           Sannipataja
Vedhana +(mild)                                    Vedhana+++(severe)
Daga +(mild)                                          Daga+++(severe)
Sadhya vyadhi (curable)                      Asadhyam vyadhi (incurable)
Simple lesion                                         Completed lesion


Phlycenular Conjunctivitis (Pravani Alaji)

It is a type of allergic conjunctivitis in which one or more small nodules develops on limbal conjunctiva.

Predisposing facters- Pathology:-

  1. Under nourished children with enlarged lymph glands of neck.
  2. Unhygienic surroundings
  3. Endogenous toxins like tuberculosis infected tonsils adenoids may cause the disease.
  4. Section of phlycten show triangular area of infiltration, the apex of the triangle being towards the deeper layers.
Symptoms:-
discomfort irritation lacrimation of the eye,
conjunctival discharge and photophobia.

Signs:-
Small greyish nodule appear near the limbus with peripheral hyperemia

Treatment:-
  1. Cause should be treated (TB tonsils adenoids excetra)
  2. Precautions of corneal ulceration
  3. Treatment principles of conjunctivitis should follow.



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