Abhishek Banavane

BAHALA VARTHMA (MULTIPLE CHALAZIA)  It is Varthmaja Rakthaja Lekhana Sadhya vyadhi Description:- Hard (kathina), same coloured and same sized papules Originates in the eye lid completely and causes the eye lid thicker, is known as Bahala varthma. Chikitsa : Lekhana Sadhya Vyadhi. 1)Murudu Sweda 2) Pracchana 3) Lekhana and 4) Pratisarana After 5 to 10 minutes 5) Ushnodaka prakshalana 6) Ghritha sekam and Bandhana, has to do (Pratisarana dravyas are Manashila, Kaseesa, Shunti, Marcha, Pippali, rasanjana, Saindhava lavana + madhu) Note : Specific site of the disease is not mentioned so it can be correlated to muliple chalazia or follicular conjunctivitis or A form of trachoma CHALAZIAN CYST OR MEIBOMIAN CYST OR TARSAL CYST  It is a chronic inflammatory granuloma of meibomian gland. (Tarsal glands) PATHOLOGY: The staphylococcus is the commonest organism that enters into meibomian gland through its duct, as a result of Iow grade infection, the glandula...

Lagana/Bahana/Alabama, Chalazian Cyst- Meibomian Cyst- Tarsal cyst It is varthma Kaphaja bhedhana sadhya vyadhi. Description : A small cystic swelling, resembling kola phaia (Badari phala), originates in the eye lids, which is hard (kathima), stout (Sthula), painless (Avedanam ), Sticky (Pischiia), with itching sensation and doesn’t suppurate (Apkwam). Vagbhata mentioned it is white in colour and occurs due to the vitiation of kapha dosa. “ Bhavamishra called it as nagana” “ It is also a cystic swelling or hardtumour of meibomian glands of eye lids    Chikitsa: Bhedhana Sadhya vyadhi and prathisarana should do with gorochana, Yavakshara, neela tuttha pippali + Madhu and has to treat like Vrana (Ulcer) Note :  1) if the gland is bigger Bhedhana, kshara Karma and Agni Karma has to do. 2) Being the non suppurative cyst the treatment should be chedan lekhan and pratisaran instead of Bhedana (Others)

UTHSANGINI (SUSHRUTHA)/ UTHSANGA (VAGBHATA) (Chalazian cyst or meibomian cyst or Tarsal cyst) “ It is varthmaja Tridoshaja Iekhana sadhya vyadhi “ Signs symptoms : One or multiple cysts originates commonly in the lower eye lid, if multipule cysts present the bigger cyst is encircled with others. (multiple chalazia.) Description : a) Abhyanthara Mukhi : The Cyst opens toward the internal surface of eye iid (towards palpebral Conjunctiva) B) Bahya uthsanga :Cystic swelling is seen through the skin of eye lid c) Adho Varthma : Commonly originates in the lower eye lid d) Kathina : Hard Cyst e) Manda vedana with slight pain f) Sraveth sraavam Kukkutanda rasopama :Discharges fluid resembling egg yolk After suppuration or after incision, Vagbhath ;Red pitica arises due to raktha vitiation, among them a big pitica is encircled with the small piticas. He called it as uthsang. (Summary :One or multiple cystic swellings originates commonly in lower eye lid, swelling appe...