Effect of Nimba - Lodhra Aschotana (Eye drops) in Pittaja Abhishyanda w.s.r. Bacterial Conjunctivitis- A single case study

Background: Abhishyanda (Conjunctivitis) is a prominent ocular disease described in Ayurveda, characterized by inflammation of the conjunctiva with symptoms such as redness (Raga), burning sensation (Daha), and mucoid discharge (Srava) etc. Bacterial conjunctivitis aligns with Pittaja Abhishyanda, primarily involving Pitta dosha vitiation due to etiological factors (Nidana) like exposure to Rajas (dust), Dhuma (smoke). Objective: This article presents a detailed clinical case of Pittaja Abhishyanda (Bacterial Conjunctivitis) with its effective management through classical Ayurveda principles including Nidana Parivarjana (avoidance of causative factors) and application of Nimba Lodhra Aschotana. Nimba (Azadirachta indica) and Lodhra (Symplocos racemosa) classical herbal Eye Drops. Case-Summary: A 22-year-old female presented with acute-onset of Raga (redness), Daha (burning sensation), Srava (mucoid discharge), and Prakasha asahishnuta (photophobia) in the right eye, Aggravated by exposure to bright sunlight and dust. Slit lamp examination reveals conjunctival congestion and mucopurulent discharge. Conjunctival swab confirmed Bacterial infection. Treatment comprised Nimba Lodhra eye drops (Aschotana). Results: At the end of 14 days of Ayurveda treatment, her symptoms are alleviated and Post-treatment Conjunctival swab evaluation showed No organism in right eye. Conclusion: This case report highlights the effective management of bacterial Conjunctivitis by Nimba-lodhra eye drop which showed significant result. This formulation shows promising result to treat Bacterial conjunctivitis, which is cost effective without any adverse effect in the era of antibiotic resistance. There is a need to establish the standardized result in large scale population.