Ayurvedic Management of Anjananamika (External Hordeolum-stye) - A Single Case Report

Introduction External Hordeolum (stye) is an infection of the glands of zeis located near the margin of eyelid at the base of the eyelashes. The bacterial infection of Staphylococcus aureus is the most common cause. While hordeolum is very common, the exact incidence is unknown. Every age and demographic is affected, although the frequency is slightly higher in patients between the ages of 30 and 50. Symptoms of external hordeolum include acute pain with swelling of the eyelid, mild watering, and photophobia. on the basis of symptoms, it can be correlated with Anjananamika in ancient Ayurveda text. Acharya Sushruta states that the symptoms of Anjananamika (external hordeolum) are- a Daha (burning sensation), Toda (pricking sensation), Tamra pidika (coppery-coloured bump), associated with Mrudvi (soft), Manda Ruja (mild pain) and Sukshma (small), at Vartmapradesha (eyelid margin). The line of treatment for Anjanamika (external Hordeolum) includes: Swedana (hot compression), Nishpidana (pressure applied to drain out pus), Pratisarana (rubbing of medicaments over the lids),if pus point not apper than Bhedana (incision), Pratisarana(rubbing of medicaments over the lids), Anjana (collyrium), and Raktamokshana (bloodletting). Aim: In the present case report we tried to evaluate the efficacy of Ayurveda local as well as systemic treatment in Anjananamika (external Hordeolum). Materials and Methods: The subject approached Shalakya Tantra OPD with complaints of visible pus points with swelling, mild pain, burning sensation, itching, redness, and watering in the eye (right eye) since 3 days. Local application Mukkadi Yoga Bidalaka with oral medications as Kaishora Guggulu and Gandhaka Rasayana were prescribed for the treatment of the mentioned complaints for 8days. Results: This case study indicates the significance of Ayurvedic management in Anjananamika (External Hordeolum), which was confirmed by improvements in subjective parameters and slit light examination findings. Conclusion: In this case study Mukkadi Yoga Bidalaka, Kaishore guggulu and Gandhakarasayana were found to be effective in reducing signs and symptoms, and significant results were seen in 15days in Anjananamika (External Hordeolum).