Abstract

Sejal Gamit, Dr. Shital Baraiya, Dr. Divyesh Gamit, Bhakti chhaya

ABSTRACT

Chalazion is caused by inflammation of the mebomian gland, usually on the upper eye lid. And commonly present in multiplicity. Chalazion also called as tarsal or Meibomian cyst. It can be co-related with Utsangini. Utsangini is one of the Vartmagata and Tridhosha pradhan Vyadhi. Where the symptoms include the Abyantaramukhi (Opening in the inner side), Bahya utsanga (Nodular swelling in the external surface of the eye lid), Tadrup pidika (Similar blisters around the main Utsanga), Tamra (A copper coloured Pidika), Sarvaja (Produced due to vitiation of all Doshas) associated with Kandu (Itching) called as Utsang pidika or Utsangini. Acharya Vagabhatta mentioned that Utsangini is a Rakta (Red colored), Rakten (Produced by only Rakta) and called as Utsanga. In treatment Acharya Vagbhatta suggest Bhedana, Nishpdan, Lekhana, Pratisaran, Parisheka. In Utsangini chikitsa, Acharya Shushrut mentioned 3 types of the treatment Chedana, Bhedana and Sodhana which is depending upon the size and the chronicity of the Pidika. Shodhan karma is necessary for a permanent cure to the diseases. Raktamokshana is the best procedure of Shodhana karma which is indicated for Dushita rakta. The present case has been treated with leech therapy, where leech was applied upon the palpebral part by everting the eye lid. Remarkable results were observed in the form of improvement in all the signs and symptoms of the disease. It proposes a good and cost-effective approach to treat Utsangini with Raktamokashan.