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Year : 2021  |  Volume : 4  |  Issue : 2  |  Page : 54-57

Ayurvedic management of recurrent anterior uveitis (Raktaja adhimantha) with bloodletting therapy: A case report

1 Department of Shalakya Tantra, Yenepoya Ayurveda Medical College and Hospital, Yenepoya (Deemed to be) University, Mangaluru, Karnataka, India
2 Clinical Research, National Ayurveda Research Institute for Panchakarma, Cheruthuruthy, Thrissur, Kerala, India

Correspondence Address:
Dr. Akshatha K Bhat
Associate Professor, Department of Shalakya Tantra, Yenepoya Ayurveda Medical College and Hospital, Naringana, Mangalore, Karnataka - 575018
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jacr.jacr_7_21

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A 34-year-old female patient reported to the outpatient department with recurrent anterior uveitis who presented with blurred vision, severe pain, redness, watering, and unable to bear bright light since one day in the left eye. On examination, inflammatory changes were seen in the anterior chamber. These symptoms appeared alternatively in both the eyes; three to four times a year for consecutively two years. She was under pred forte 1% eye drops, homide eye drops, and prednisolone tablets during relapses as advised by an ophthalmologist. Further, she developed hyperglycemia and started medications for that. During this period, steroids were withdrawn. Considering the limited benefits, she opted for Ayurveda treatment. The condition was diagnosed with Raktaja adhimantha and treated with Jalaukavacharna (~leech therapy), Shirovirechana nasya (~intranasal drug delivery with cleansing action) with Shadbindu taila. Kaishora guggulu and Rasnaerandadi Kashaya were administered orally. The symptoms subsided within a week, while after a month, the signs of the anterior chamber were normalized. The oral medicines were continued for a month. She was asymptomatic for three years. A similar mild symptom appeared in the right eye that was managed in similar lines. Thereafter, no exacerbation was noticed till January 2021. Ayurveda bloodletting therapy along with Shirovirechana nasya and oral medicines is effective and safe as a stand-alone therapy in recurrent anterior uveitis and prolong the interval between recurrent attacks in uveitis.

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