AYURVEDIC CONSERVATIVE MANAGEMENT OF POOYALASA (DACRYOCYSTITIS): A CASE REPORT

Ayurveda describes Pooyalasa as one of the Sandhigata Netra Rogas, characterized by pus discharge, swelling, and pain in the kaninaka sandhi (medial canthus). This condition can be correlated with Acute Dacryocystitis, an acute suppurative inflammation of the lacrimal sac, characterized by pain and swelling in the lacrimal sac region. Conventional treatments for Acute Dacryocystitis include antibiotics, analgesics, anti-inflammatory drugs, drainage of lacrimal abscesses, and Surgical interventions like DCT and DCR operations. In this case study, a 60-year-old female patient presented with a history of watering and pus discharge from her left eye for one year, followed by swelling and pain for three days, and abscess formation with pus collection for one day. She was treated with a combination of external and internal Ayurvedic interventions. External treatments include Kshalana with Triphala kashaya, Lepana with Karuthavattu gulika and Triphala kashaya, Bidalakam with Mukkadichoornam and Triphala kashaya for 5 days, and Prathimarsha Nasya with Eladi keram and Saindavam for 5 days. Internal treatments include Kaisoraguggulu,Guggulu panchapala tablet, Chandraprabha vati, Guduchyadi kashaya, and Manjishtadi kashaya. The patient showed significant improvement, demonstrating the effectiveness of Ayurvedic interventions in managing Pooyalasa (Acute Dacryocystitis).