Puyalasa/Acute dacryocystitis, Shalakya Tantra, Sandhigata Roga

Puyalasa (Acute Dacryocystitis)

It is sannipataja vyadana sadya vyadhis, affected sandhi is kaneenika sandhi (inner canthus)

Clinical features:-
  1. A supportive cyst (pakwa shoha- sushrutha; vrana shopha- Vagabhata)
  2. The system discharges foul sticky and purulent secretion.
  3. Severe pricking pain, anger look, restlessness etc. are present

Note: By the above acute inflammatory features, it can be correlated to acute dacryocystitis.


Treatment:
  • Shareera Shoshana
  • It is vyadana sadya vyadhi (Raktamokshana)
  • Upanaha sweda at lesion
  • Vrana shopha Chikitsa
  • Chakshushya lepas
  • Anjana
  1. Kaseesa saindhava Lavana, Aardraka+honey
  2. Above drugs+fine powders of Loha bhasma and Tamra bhasma

According to modern
  • Incision and Drainage of lacrimal abscess
  • Excision of lacrimal sac (Dacryo cystectomy)
  • Dacryo customer rhinostomy

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