ABSTRACT

Arjuna (Subconjunctival haemorrhage) is a spot/dot on Shuklamandala [1]. Traumatic macular hole injury (TMH) occurs in 1.4% of closed globe injuries and 0.15% of open globe injuries. TMH incidence is limited, given its relatively rare occurrence, common in young age group because associated with sport, recreation, work and transportation [3]. TMH can be correlated with Vataja Timira according to Asthanga-Hridaya. Aims and objectives: To see the role of jaulaukavcharana in arjuna (subcojuctival hemorrhage), healing and improving the visioninvataja timira (TMH) and healing of post suture scar. Material and methods: Suture site and surrounding area was cleaned with normal saline. Under aseptic precaution, activated Jalauka was placed 2 cm away from the outer canthus over the swelling site and another Jalauka was placed over the right supra orbital area (oedematous area) and waited for 40 minutes or till Jalauka leaves on its own. Post Jalaukavacharana, bite site was sprinkled with Haridra Choorna and bandaging was done. This procedure was followed for 11 days. RESULTS: There was complete resolution of sub-conjunctival hemorrhage within 12 days and complete cured traumatic macular hole within 5 months. Patient vision of right eye was drastically improved from 6/36 to 6/6P (Partial) within 25 days due to complete healing of traumatic macular hole. CONCLUSION: Jalaukavacharana is a method of removing (vitiated) blood or inflammatory exudates and creates negative pressure which can reduce intra-ocular pressure. Hence, Jalaukavacharana (leeches) used in the present case. Keywords: Arjuna, Timira, Subconjunctival haemorrhage, Traumatic Macular Hole, Jalaukavahcharana, Rakta Mokshana
Publication date: 01/11/2024

https://ijbpas.com/pdf/2024/November/MS_IJBPAS_2024_8471.pdf

Download PDF
https://doi.org/10.31032/IJBPAS/2024/13.11.8471