tarpana netra kriyakalpa

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  • 1. KRIYAKALPA WITH SPECIAL REFERENCE TO TARPANA By Dr.B.A.Venkatesh B.S.A.M , B.A.M.S , M.D.Ay) Professor & H.O.D DEPT of P.G.studies in shalakya Govt/ Ayurvedic medical college Bangalore:9
  • 2. Ayurveda has highlighted unique therapeutic procedures taking into consideration the strength of Nidana, Dosha, Vyadhi Adhishtana & such other Samprapti ghatakas. Though broad classification of treatment include Samshamana & Shodhana, in certain conditions Shastra & Anushastra chikitsa becomes imminent. Therefore chikitsa is further simplified into BheshajaShastraja-Ksharaja AgniKarmaja.
  • 3. Bheshaja chikitsa happens to be the strong hold of Ayurvedic practitioners as Management through panchavidha Kashaya Kalpana & Rasoushadhis are most desired in the existing circumstances.
  • 4. Each wing of Ayurveda has come out with visishtachikitsa apart from samanyachikitsa. For instance, vasthichikitsa happens to be the chikitsardha in Kayachikitsa, Rakthamokshana-Chikitsardha in Shalyachikitsa similarly kriyakalpas form chikitsardha in Shalakyachikitsa.
  • 5. Kriyakalpas are unique procedures practiced in ShalakyaTantra having wide range of implications in the Management of Netra Vikaras. Kriyakalpas are meant to alleviate the Sthanika Khavaigunya resulted out of vitiated doshas & their impact on Netra-Avayavas.
  • 6. KriyaKalpas have Major role in overcoming the complications & arrest the progress of few identified Asadhyavydhis. KriyaKalpas can also be used as Swasthya Smarakshaka prayoga to maintain functional integrity of the Sense organs & overcome age related disorders.
  • 7. KriyaKalpas also have important role in prevention of Jathrurdhvagatha vikaras & Degenerative disorders. KriyaKalpas to some extent are effective in Vishanirharana & Sarvadaihikavikaras.
  • 8. KriyaKalpas Seka Aschyothana Tarpana Putapaka Anjana Bidalaka Pindi
  • 9. Seka: Procedure in which liquids [medicated] are poured on the closed eyes from a height of four Angulis in a thin Stream. Prayogakala : Morning noon evening Prakara : Snehana Ropana Lekhana Dharanakala : 400 600 - 200 Matrocharanakala Dosha: Vataja pitha & Raktha Kaphaja vyadhi Adopted till Vyadhinivruthi. useful in Balavathara or chronic Netravikaras like vedana Kandu Harshana Ashrusrava daha & Ragatha.
  • 10. Procedure: Patient should be laid down in Supine position with eyes closed & from a height of 4 Angulis thin stream of Medicated fluids are poured all along the eye from Kaninika to ApangaSandhi.Aschyothana: Application of liquid medicaments into open Eye in the form of drops or Bindu from a height of two Angulis.
  • 11. It is useful in accute conditions where prabhala doshas are not seen. Prayogakala: Poorvanha madhyahna Sayahna. Prakara: Snehana Ropana Lekhana. Dharana kala: 10Bindu 12Bindu 6-8BinduDosha: Vataja-pithaRaktha-Kaphaja Procedure can be followed till Vyadhi Nivruthi.
  • 12. Anjana: A procedure in which medicaments like collyrium are applied into the eye through a Shalaka. It is normally advised after Aschyothana vidhi where Amavastha of condition is relieved & prominent dosha in the eye becomes evident. In other words Anjana is usefull in Jeernavastha than in Teevravastha.
  • 13. Prakaragunabhedha: Lekhana-Ropana- Prasadana. Swaroopa or Kalpanabhedha: Gutikanjana- Rasakriya-Churnaja. Karmabhedha: Mrudu-Teekshna. PrayogaKala: Lekhana-Pratahkala-Kaphaja. Ropana-Sayankala-Vataja. Prasadana-Ratrikala-Pithaja.
  • 14. Pramana: Gutika Prasadana-2Harenu Ropana-21/2Harenu Lekhana-1Harenu Churnanjana:Prasadana-4Shalaka Churna. Ropana-3Shalaka Churna. Lekhana-2Shalaka Churna.
  • 15. Commonly Practiced Anjanas: Chandrodaya Vimalavarati Tamradivarati Drishtipradavarti Haridradyanjna - Guduchyadyanjana - Pushpavarti. Pindi: Oushadhiliptha Kavalika is kept on the closed eyes & Bhandhana (cheena) is done. Medicines selected depending upon dosha. Usefull in Atiruksha Katina - VranaVikaras.
  • 16. Bidalaka: Application of medicated paste externally over the eye lids leaving eye lashes. Prakara: 1 Anguli thick is Uthama 1/3 Anguli thick is Madhyama Anguli thick is Heena.
  • 17. TARPANAIt is the most revered KriyaKalpa extensively used in Netra practice. It nourishes the eyes, improves & strengthens the DrushtiShakti. It is a very effective, preventive & curative procedure in vataja & pithaja vikaras. It is a procedure in which Sneha or gritha is poured into a well designed round the eye for a stipulated period.
  • 18. Procedure: Poorvakarma- Appropriate shodhanakarma is carried out according to procedure. Later Sthanika Abhyanga & Mrudu Sweda is done. Pradhana Karma: Patient is made to attain Uthana position in a good lighted, ventilated room free from dust & smoke. Clean the eyes with dry sterile vastra & construct a parimandala (pali or well) around the eye to a height of 2Angulis with Mashapishti in such a way that any thing poured inside should not leak out.
  • 19. Later gritha that is selected for therapy should be warmed by placing the container in hot water. This Luke warm gritha in liquid state is poured through sterile cotton dipped in gritha into the parimandala till the eye lashes level with eye closed. Patient is asked to open & close the eye intermittently & steadily for a stipulated period.
  • 20. Paschyath Karma: A small opening is made in the pali near apanga sandhi & gritha is slowly drained out, eyes should be cleared with shudha Karpasa by removing the Mashapishti. Mrudu Sweda is done with clean cloth dipped in hot water. Dhoomapana and gandusha with Ushnodaka indicated to prevent kaphajaulbana. Patient is instructed not to expose to Rajodhuma & Atapa.
  • 21. Snehadharanakala: It is implimented considering Adhishtana-Dosha & Severity of Dosha prakopa.Adhishtana of Diseases Duration of Tarpana Sandhigatha Vikaras : 300 Mantra Kala. Vartma Vikaras : 100 Mantra Kala. Shukla Vikaras : 500 Mantra Kala. Krishna Vikaras : 700 Mantra Kala. Drishti Vikaras : 800-1000 Mantra Kala. Sarvagatha Vikaras : 1000 Mantra Kala.
  • 22. Doshabhedha: Kapha Vikaras : 600 Mantra Kala. Pithaja Vikaras : 800 Mantra Kala. Vataja Vikaras : 1000 Mantra Kala. TarpanaAvadhi: Vataja - One Day - Alpadosha. Pithaja - Three Days - Madhyamadosh. Kaphaja - Five Days - Mahandosha.
  • 23. According to Videha Tarpana can be carried out Daily or Niranthara or Alternate day or with 2days break or 3days break depending on dosha & Teevratha of Vyadhi as well in Swasthya.
  • 24. Sam yak Tarpitalaxanas:1. Prakasha Kshamatha2. Samyak nidra3. Netralaghava4. Good visual acuity Clarity Sharpness5. Vyadhiharana Swift movements of eye lids.
  • 25. Ati-Tarpitha Laxanas: Netragourava Avilatha Atisnigdhata Atiupadeha AdhikaAshruSrava Visesha doshavyapth Laxana.
  • 26. Heena Tarpitha Laxana: Netrarukshatha Avilatha Atisnigdhata Blurred vision Rogavridhi. These laxanas can be managed by snigda & Ruksha Dhooma Nasya Anjana & Sekaprayoga.
  • 27. Prayoga Dravya in Tarpana: Triphalagritha patoladigritha Jeevanthyadigritha yeshtyadigritha & Mayuradhyagritha.
  • 28. Prime indications of Tarp