Upanaha/lacrimal cyst or iris cyst, Shalakya Tantra, Netra Sandhigata Roga

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Upanaha / Lacrimal Cyst

 It is Kaphaja, Bhedana sadhya vyadhi. The affected sandhi is Drusti sandhi.(Vagabhata has not mentioned the name of affected Sandhi)

 Description of Sushrutha:-
Painless, non supportive, bigger cyst originates in the Dusti Sandhi and have only itching sensation at the lesion.

 Description of Vagabhata:-
A painless, non supportive, bigger, deep rooted, soft sticky, same colour cyst develops and contain itching sensation is explained as Upanaha

 Note:  Exact correlation is not possible, drusti identity itself not clear so on confirmation of drusti Sandhi is also difficult. But most of the authors explained it as lacrimal cyst or iris cyst.

 Chikitsa: It's bhedhana sadhya vyadhi, but according to modern excision is the treatment principle.

 A) Shushrutha

  1. Bhedhana and then prathisarana with pippali, Madhu and saindhava Lavana
  2. In bigger and painless upanaha "bhedhana- lekhana- prathisarana"
  3. In rakthanu bhandhi upanaha pracchana and prathisarana has to do.
B) Vagabhata:

  1. Sweda with hot water
  2. Bhedhana with vreehi Mikhail shastra
  3. Lekhana with mandalagra Shastra
  4. Prathisarana with pippali, Madhu, Saindhava Lavana
  5. Cleaning with hot water
  6. Application of ghee+ honey and bandaging.
  7. After 5 days, bandage should open and Aschyotana has to do with the decoction of Patra parts, and Aamlaki
C) Yogaratnakara:-

  1. Chedana with mandalagra Shastra (four sided excision)
  2. Prathisarana with pippali saindhava Lavana and Madhu

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