Ayurvedic Line of Treatment
Netra Vasti – Vasti means pooling. Medicated oil or ghee is filled in a flour compartment which is constructed around an eye and left for a short duration of time. This procedure nourishes and strengthens the eyes, cures a myriad of eye diseases.
Netra Tarpana – A cabinet or a ring is constructed around the eye.The rings of flour which were kept ready in the Purvakarma are inserted over the eye sockets, (one on each eye) such that the eyes are enclosed within their respective rings. The junction of the rings is sealed with wet flour so that the medicament doesn’t leak or escape during the treatment procedure.Then the Tarpana Ring is filled with medicine. The medicated ghee (ghrita) which was melted in beforehand and kept warm temperature. The Purvakarma is gently poured in the Netra Tarpana cabinets such that the eyes are dipped within the medicine. While dropping the medicine in the ring, the patient is advised to close the eyes. Later he or she may be instructed to open and close the eyes so that the interior of eyes come into the contact with the medicines.
Procedure Involved in Netra Tarpana –
Purva Karma (Pre-treatment procedure) –The patient is thoroughly examined. The Prakriti (basic constitution) and Vikriti (details of morbidity) are documented in detail. The treatment line-up, materials and medicines which need to be used are enlisted by some highly experienced Ayurvedic doctors.
Preparation for the treatment:
Materials required in the treatment are –
- Ghrita (medicated ghee) or Ghrita Manda (supernatant layer of ghee or medicated ghee)
- Flour of black gram for the construction of Netra Tarpana cabinet
- Sterile cloth / cotton
- Materials needed for Putapaka (eye pooling with juice extracted from processed meat etc)
- Materials for Dhumapana (herbal smoking)
- Materials for Anjana (colyrium) and Aschotana (eye drops)
Before conducting the Netra Tarpana treatment, the below mentioned treatments shall be done as a part of pre-operative procedure.
- Kaya Shuddhi - Body cleansing and detoxifying measures including – Vamana – therapeutic emesis (vomiting) and Virechana – therapeutic purgation
- Shiro-Shuddhi - Head cleansing treatments i.e. Nasya or Shiro-virechana (Nasal instillation of medications)
- Fomentation – A gentle fomentation therapy is administered to the eyes with a cloth dipped in warm water before the treatment begins. The water is wiped off with a sterile cloth before constructing the Tarpana ring.
Ideal Time -The treatment should be conducted either in the morning time or at evening hours. In some severe cases, it can be done even at both the times.
Position of the patient: The patient is made to sleep supine (on the back or facing the roof) supported by a comfortable neck support.
Post Treatment Procedures-
The applied medicine is removed by creating a small hole in the lower portion of the flour ring wall and draining the contents in a bowl.
Then, after wiping the eyes and the surrounding area – The medicines sticking to the eye and the sockets are swabbed out by wiping them off with the help of a sterile cotton pad .
- Dhumapana – Herbal Smoking is advised to eliminate the Kapha which has been exaggerated due to the administration of Ghrita and or Ghrita Manda.
- Virechana Nasya or Shiro-virechana – Purgatory and intense nasal medications are instilled medicated oils, ghee or herbal decoctions.) are instilled into the nasal passages.
- and it serves as the same purpose of Dhumapana. Nasya can be well altered with Dhumapana .
- Putapaka – After the Netra Tarpana, a procedure called Putapaka is done. The eyes get tired after Netra Tarpana. Putapaka is done to knock out the tiredness. The method of treatment is similar to that of Netra Tarpana. Mamsarasa (meat-soup), Dugdha (medicated milk), Ghrita (medicated ghee), Vasa (muscle fat) etc extracted by the process of Putapaka is used as fill up.
Cold Water Fomentation Therapy
The cold water fomentation of the eyes provides almost immediate relief from the irritable itching effect. The procedure is practised by folding a small hand towel, saturate it with cold water, squeeze out excess water and place the towel gently over both the eyes. It is covered with a piece of warm cloth to retain the temperature. The process is repeated as soon as the foment becomes warm. After completing the fomenting session, the eyes should be then covered with a dry towel, and the patient is asked to lie back and relax.