Abhishek Banavane

Dacryocystitis (Puyalasa or puya srava)  it is the inflammatory condition of the Lacrimal sac Dacryo Cystitis : 1) Congenital (in the new born) 2) Primary- {Chronic, Acute 3) Secondary { in Adults, in Infants. I) Congenital dacryocystitis :This condition is due to failure in canalization of Naso Lacrimal duct, the iumen being blocked by epithelial debris Signs :( 1) Epiphora (Watering of eye) 2) Muco purulent discharge through punctum by pressing over the-sac area. 3) Slight distention of Lacrimal sac 4) The discharge is sterile at first later becomes infected Symptoms :- Discomfort, watering , foul sticky discharge at inner canthus Treatment. : 1) Sharp pressure over the sac area, 5 to 6 times a day to evacuate the pus and has to put antibiotic drops, 2) By gentle pressure over sac area may force the sac contents down, thus the patency of Naso Lacriamal duct is achieved. 3) Probing of Naso Lacrimal duct has to do, if delayed causes cic...

Puyalasa (Acute Dacryocystitis) It is sannipataja vyadana sadya vyadhis, affected sandhi is kaneenika sandhi (inner canthus) Clinical features:- A supportive cyst (pakwa shoha- sushrutha; vrana shopha- Vagabhata) The system discharges foul sticky and purulent secretion. 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 Kaseesa saindhava Lavana, Aardraka+honey 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