KRIYAKALPA WITH SPECIAL REFERENCE KRIYAKALPA WITH SPECIAL REFERENCE TO TARPANATO TARPANA

ByByDr.B.A.Venkatesh Dr.B.A.Venkatesh B.S.A.M , B.A.M.S , M.D.Ay)B.S.A.M , B.A.M.S , M.D.Ay)

Professor & H.O.DProfessor & H.O.DDEPT of P.G.studies in shalakyaDEPT of P.G.studies in shalakyaGovt/ Ayurvedic medical collegeGovt/ Ayurvedic medical college

Bangalore:9Bangalore:9

•• Ayurveda has highlighted unique therapeutic Ayurveda has highlighted unique therapeutic procedures taking into consideration the procedures taking into consideration the strength of Nidana, Dosha, Vyadhi Adhishtana & strength of Nidana, Dosha, Vyadhi Adhishtana & such other Samprapti ghatakas.such other Samprapti ghatakas.Though broad classification of treatment include Though broad classification of treatment include Samshamana & Shodhana, in certain conditions Samshamana & Shodhana, in certain conditions Shastra & Anushastra chikitsa becomes Shastra & Anushastra chikitsa becomes imminent. Therefore chikitsa is further simplified imminent. Therefore chikitsa is further simplified into Bheshajainto Bheshaja––ShastrajaShastraja--Ksharaja Ksharaja –– AgniKarmaja.AgniKarmaja.

•• Bheshaja chikitsa happens to be the Bheshaja chikitsa happens to be the strong hold of Ayurvedic practitioners as strong hold of Ayurvedic practitioners as Management through panchavidha Management through panchavidha Kashaya Kalpana & Rasoushadhis are Kashaya Kalpana & Rasoushadhis are most desired in the existing most desired in the existing circumstances.circumstances.

•• Each wing of Ayurveda has come out with Each wing of Ayurveda has come out with visishtachikitsa apart from visishtachikitsa apart from samanyachikitsasamanyachikitsa. For instance, . For instance, vasthichikitsa happens to be the vasthichikitsa happens to be the chikitsardha in Kayachikitsa, chikitsardha in Kayachikitsa, RakthamokshanaRakthamokshana--ChikitsardhaChikitsardha in in Shalyachikitsa similarly kriyakalpas form Shalyachikitsa similarly kriyakalpas form chikitsardha in Shalakyachikitsa.chikitsardha in Shalakyachikitsa.

•• Kriyakalpas are unique procedures practiced in Kriyakalpas are unique procedures practiced in ShalakyaTantra having wide range of ShalakyaTantra having wide range of implications in the Management of Netra implications in the Management of Netra Vikaras.Vikaras.

•• Kriyakalpas are meant to alleviate the Sthanika Kriyakalpas are meant to alleviate the Sthanika Khavaigunya resulted out of vitiated doshas & Khavaigunya resulted out of vitiated doshas & their impact on Netratheir impact on Netra--Avayavas. Avayavas.

•• KriyaKalpas have Major role in overcoming KriyaKalpas have Major role in overcoming the complications & arrest the progress of the complications & arrest the progress of few identified Asadhyavydhis.few identified Asadhyavydhis.

•• KriyaKalpas can also be used as Swasthya KriyaKalpas can also be used as Swasthya Smarakshaka prayoga to maintain Smarakshaka prayoga to maintain functional integrity of the Sense organs & functional integrity of the Sense organs & overcome age related disorders. overcome age related disorders.

•• KriyaKalpas also have important role in KriyaKalpas also have important role in prevention of prevention of JathrurdhvagathaJathrurdhvagatha vikaras & vikaras & Degenerative disorders.Degenerative disorders.

•• KriyaKalpas to some extent are effective in KriyaKalpas to some extent are effective in Vishanirharana & Sarvadaihikavikaras. Vishanirharana & Sarvadaihikavikaras.

•• KriyaKalpas KriyaKalpas •• SekaSeka•• AschyothanaAschyothana•• TarpanaTarpana•• PutapakaPutapaka•• Anjana Anjana •• BidalakaBidalaka•• PindiPindi

•• Seka: Procedure in which liquids Seka: Procedure in which liquids [medicated] are poured on the [medicated] are poured on the closed eyes from a height of four closed eyes from a height of four Angulis in a thin Stream.Angulis in a thin Stream.

•• Prayogakala : Morning Prayogakala : Morning –– noon noon –– eveningevening

•• Prakara : Snehana Prakara : Snehana –– Ropana Ropana –– LekhanaLekhana

•• Dharanakala : 400 Dharanakala : 400 –– 600 600 -- 200 200 Matrocharanakala Matrocharanakala

•• Dosha: Vataja Dosha: Vataja –– pitha & Raktha pitha & Raktha –– Kaphaja vyadhi Kaphaja vyadhi –– Adopted till Adopted till Vyadhinivruthi.Vyadhinivruthi.

useful in Balavathara or chronic useful in Balavathara or chronic Netravikaras like vedana Netravikaras like vedana –– Kandu Kandu –– Harshana Harshana –– Ashrusrava Ashrusrava –– daha daha & & RagathaRagatha..

•• Procedure: Patient should be laid down in Procedure: Patient should be laid down in Supine position with eyes closed & from a height Supine position with eyes closed & from a height of 4 Angulis thin stream of Medicated fluids are of 4 Angulis thin stream of Medicated fluids are poured all along the eye from Kaninika to poured all along the eye from Kaninika to ApangaSandhi.ApangaSandhi.

Aschyothana: Aschyothana: Application of liquid medicaments into open Eye Application of liquid medicaments into open Eye in the form of drops or Bindu from a height of in the form of drops or Bindu from a height of two Angulis. two Angulis.

•• It is useful in accute conditions where prabhala It is useful in accute conditions where prabhala doshas are not seen.doshas are not seen.

•• Prayogakala: Poorvanha madhyahna Prayogakala: Poorvanha madhyahna Sayahna.Sayahna.

•• Prakara: Snehana Ropana Lekhana.Prakara: Snehana Ropana Lekhana.•• Dharana kala: 10Bindu 12Bindu 6Dharana kala: 10Bindu 12Bindu 6--8Bindu8BinduDosha: Dosha: VatajaVataja--pithaRakthapithaRaktha--KaphajaKaphaja•• Procedure can be followed till Vyadhi Nivruthi. Procedure can be followed till Vyadhi Nivruthi.

•• Anjana:Anjana:A procedure in which medicaments like collyrium A procedure in which medicaments like collyrium are applied into the eye through a Shalaka. It is are applied into the eye through a Shalaka. It is normally advised after Aschyothana vidhi where normally advised after Aschyothana vidhi where Amavastha of condition is relieved & prominent Amavastha of condition is relieved & prominent dosha in the eye becomes evident. In other dosha in the eye becomes evident. In other words Anjana is usefull in Jeernavastha than in words Anjana is usefull in Jeernavastha than in Teevravastha.Teevravastha.

•• PrakaragunabhedhaPrakaragunabhedha: Lekhana: Lekhana--RopanaRopana-- Prasadana.Prasadana.

•• Swaroopa or Kalpanabhedha: Swaroopa or Kalpanabhedha: GutikanjanaGutikanjana-- RasakriyaRasakriya--ChurnajaChurnaja..

•• KarmabhedhaKarmabhedha: : MruduMrudu--TeekshnaTeekshna. . •• PrayogaKala: PrayogaKala:

LekhanaLekhana--PratahkalaPratahkala--Kaphaja.Kaphaja.RopanaRopana--SayankalaSayankala--Vataja. Vataja. PrasadanaPrasadana--RatrikalaRatrikala--Pithaja.Pithaja.

•• Pramana: Gutika PrasadanaPramana: Gutika Prasadana--2Harenu2HarenuRopanaRopana--21/2Harenu Lekhana21/2Harenu Lekhana--1Harenu1Harenu

•• Churnanjana:PrasadanaChurnanjana:Prasadana--4Shalaka Churna.4Shalaka Churna.RopanaRopana--3Shalaka Churna. 3Shalaka Churna. LekhanaLekhana--2Shalaka Churna. 2Shalaka Churna.

•• Commonly Practiced Anjanas: Chandrodaya Commonly Practiced Anjanas: Chandrodaya –– Vimalavarati Vimalavarati –– Tamradivarati Tamradivarati –– Drishtipradavarti Drishtipradavarti –– Haridradyanjna Haridradyanjna -- GuduchyadyanjanaGuduchyadyanjana -- Pushpavarti.Pushpavarti.

•• Pindi:Pindi:Oushadhiliptha Kavalika is kept on the closed Oushadhiliptha Kavalika is kept on the closed eyes & Bhandhana (cheena) is done. Medicines eyes & Bhandhana (cheena) is done. Medicines selected depending upon dosha. Usefull in selected depending upon dosha. Usefull in Atiruksha Atiruksha –– Katina Katina -- VranaVikarasVranaVikaras..

•• Bidalaka: Bidalaka: Application of medicated paste externally Application of medicated paste externally over the eye lids leaving eye lashes.over the eye lids leaving eye lashes.

•• Prakara: 1 Anguli thick is Uthama Prakara: 1 Anguli thick is Uthama 1/3 Anguli thick is 1/3 Anguli thick is MadhyamaMadhyama¼¼ Anguli thick is Heena. Anguli thick is Heena.

TARPANATARPANA

It is the most revered KriyaKalpa It is the most revered KriyaKalpa extensively used in Netra extensively used in Netra practice. It nourishes the eyes, practice. It nourishes the eyes, improves & strengthens the improves & strengthens the DrushtiShakti. It is a very DrushtiShakti. It is a very effective, preventive & curative effective, preventive & curative procedure in vataja & pithaja procedure in vataja & pithaja vikaras.vikaras.

It is a procedure in which It is a procedure in which Sneha or gritha is poured into Sneha or gritha is poured into a well designed round the eye a well designed round the eye for a stipulated period. for a stipulated period.

•• Procedure: Procedure: PoorvakarmaPoorvakarma-- Appropriate shodhanakarma is Appropriate shodhanakarma is carried out according to procedure. Later Sthanika carried out according to procedure. Later Sthanika Abhyanga & Mrudu Sweda is done.Abhyanga & Mrudu Sweda is done.Pradhana Karma: Patient is made to attain Pradhana Karma: Patient is made to attain UthanaUthana position in a good lighted, ventilated room free from position in a good lighted, ventilated room free from dust & smoke. Clean the eyes with dry sterile vastra & dust & smoke. Clean the eyes with dry sterile vastra & construct a parimandala (pali or well) around the eye to construct a parimandala (pali or well) around the eye to a height of 2Angulis with Mashapishti in such a way that a height of 2Angulis with Mashapishti in such a way that any thing poured inside should not leak out. any thing poured inside should not leak out.

•• Later gritha that is selected for therapy Later gritha that is selected for therapy should be warmed by placing the should be warmed by placing the container in hot water. This Luke warm container in hot water. This Luke warm gritha in liquid state is poured through gritha in liquid state is poured through sterile cotton dipped in gritha into the sterile cotton dipped in gritha into the parimandala till the eye lashes level with parimandala till the eye lashes level with eye closed. Patient is asked to open & eye closed. Patient is asked to open & close the eye intermittently & steadily for close the eye intermittently & steadily for a stipulated period. a stipulated period.

•• Paschyath Karma: A small opening is made in Paschyath Karma: A small opening is made in the pali near the pali near apangaapanga sandhi & gritha is slowly sandhi & gritha is slowly drained out, eyes should be cleared with shudha drained out, eyes should be cleared with shudha Karpasa by removing the Mashapishti. Mrudu Karpasa by removing the Mashapishti. Mrudu Sweda is done with clean cloth dipped in hot Sweda is done with clean cloth dipped in hot water. Dhoomapana and gandusha with water. Dhoomapana and gandusha with UshnodakaUshnodaka indicated to prevent kaphajaulbana. indicated to prevent kaphajaulbana. Patient is instructed not to expose to Rajodhuma Patient is instructed not to expose to Rajodhuma & Atapa.& Atapa.

•• SnehadharanakalaSnehadharanakala: It is implimented considering : It is implimented considering AdhishtanaAdhishtana--Dosha & Severity of Dosha Dosha & Severity of Dosha prakopaprakopa..

Adhishtana of Diseases Duration of Tarpana Adhishtana of Diseases Duration of Tarpana Sandhigatha Vikaras : 300 Mantra Kala.Sandhigatha Vikaras : 300 Mantra Kala.

VartmaVartma Vikaras : 100 Mantra Kala.Vikaras : 100 Mantra Kala.Shukla Vikaras : 500 Mantra Kala. Shukla Vikaras : 500 Mantra Kala.

Krishna Vikaras : 700 Mantra Kala.Krishna Vikaras : 700 Mantra Kala.Drishti Vikaras : 800Drishti Vikaras : 800--1000 Mantra Kala. 1000 Mantra Kala.

Sarvagatha Vikaras : 1000 Mantra Kala.Sarvagatha Vikaras : 1000 Mantra Kala.

•• Doshabhedha: Doshabhedha: Kapha Vikaras : 600 Mantra Kala.Kapha Vikaras : 600 Mantra Kala.Pithaja Vikaras : 800 Mantra Kala.Pithaja Vikaras : 800 Mantra Kala.Vataja Vikaras : 1000 Mantra Kala.Vataja Vikaras : 1000 Mantra Kala.

•• TarpanaAvadhi:TarpanaAvadhi:Vataja Vataja -- One Day One Day -- AlpadoshaAlpadosha. . Pithaja Pithaja -- Three Days Three Days -- Madhyamadosh.Madhyamadosh.Kaphaja Kaphaja -- Five Days Five Days -- Mahandosha.Mahandosha.

•• According to Videha Tarpana can be According to Videha Tarpana can be carried out Daily or carried out Daily or NirantharaNiranthara or Alternate or Alternate day or with 2days break or 3days break day or with 2days break or 3days break depending on dosha & Teevratha of depending on dosha & Teevratha of Vyadhi as well in Swasthya.Vyadhi as well in Swasthya.

•• Sam yak Sam yak TarpitalaxanasTarpitalaxanas::1.1. Prakasha KshamathaPrakasha Kshamatha2.2. Samyak nidraSamyak nidra3.3. NetralaghavaNetralaghava4.4. Good visual acuity Good visual acuity –– Clarity Clarity –– SharpnessSharpness5.5. Vyadhiharana Vyadhiharana –– Swift movements of eye Swift movements of eye

lids.lids.

AtiAti--TarpithaTarpitha Laxanas:Laxanas:Netragourava Netragourava –– Avilatha Avilatha –– Atisnigdhata Atisnigdhata –– Atiupadeha Atiupadeha –– AdhikaAshruSrava AdhikaAshruSrava –– Visesha Visesha doshavyapthdoshavyapth Laxana.Laxana.

Heena Heena TarpithaTarpitha Laxana:Laxana:Netrarukshatha Netrarukshatha –– Avilatha Avilatha –– Atisnigdhata Atisnigdhata –– Blurred vision Blurred vision –– Rogavridhi.Rogavridhi.These laxanas can be managed by snigda These laxanas can be managed by snigda & Ruksha Dhooma & Ruksha Dhooma –– Nasya Nasya –– Anjana & Anjana & Sekaprayoga.Sekaprayoga.

Prayoga Dravya in Tarpana:Prayoga Dravya in Tarpana:Triphalagritha Triphalagritha –– patoladigrithapatoladigritha –– Jeevanthyadigritha Jeevanthyadigritha –– yeshtyadigritha & yeshtyadigritha & MayuradhyagrithaMayuradhyagritha..

Prime indications of Tarpana:Prime indications of Tarpana:•• C.V.SC.V.S•• Dry eye SyndromeDry eye Syndrome•• Non specific corneal DisordersNon specific corneal Disorders•• Allergic conjunctivitisAllergic conjunctivitis•• All types of glaucomaAll types of glaucoma•• Early cataractEarly cataract•• Degenerative disordersDegenerative disorders•• Refractive errors.Refractive errors.

When Tarpana is followed with When Tarpana is followed with putupakaputupaka it it is effective & promising in conditions like: is effective & promising in conditions like:

R.P R.P –– EaleEale’’ss diseasedisease

•• Hypertensive Hypertensive RetinopathyRetinopathy

•• Diabetic RetinopathyDiabetic Retinopathy•• IntraoccularIntraoccular

Hemorrhages Hemorrhages •• Optic neuritis Optic neuritis

A.R.M.DA.R.M.D

ChoroiditisChoroiditis –– iridocyclitisiridocyclitis

Prevention & Rehabilitation of Blindness is the Prevention & Rehabilitation of Blindness is the principle objective of principle objective of NetratagnaNetratagna--Government Government (local(local--central)central)--NationNation--continent & W.H.O.continent & W.H.O.

Kriyakalpas especially Tarpana Kriyakalpas especially Tarpana putapakaputapaka & Anjana & Anjana have a definite role in prevention of Blindness, have a definite role in prevention of Blindness, upon which Ayurvedic practitioners should be upon which Ayurvedic practitioners should be humble and humble and proudeproude..

•• CONCLUSIONSCONCLUSIONSTarpana procedure is unique & easy to Tarpana procedure is unique & easy to practice. It is promising & can be used practice. It is promising & can be used with confidence in many of the common with confidence in many of the common eye problems. It can be implemented in eye problems. It can be implemented in general practice, hospital practice & general practice, hospital practice & Institutional practice.Institutional practice.