Sadyovamana's impact on central serous chorioretinopathy: a case study
Journal name: Ayushdhara
Original article title: Effect of sadyovamana in the treatment of central serous chorioretinopathy: a case study
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Sreekumar Karunakaran
Associate Professor, Department of Shalakyatantra, Govt. Ayurveda College, Thiruvananthapuram, Kerala
Jayalakshmi.S
Second Year M.S (Ay) Scholar, Department of Shalakyatantra, Govt. Ayurveda College, Thiruvananthapuram, Kerala
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Effect of sadyovamana in the treatment of central serous chorioretinopathy: a case study
Year: 2020 | Doi: 10.47070/ayushdhara.v7i2.522
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
Central Serous Chorioretinopathy (CSCR) is a complex retinal disorder characterized by serous detachment of the neurosensory retina at the macula, primarily affecting healthy males between the ages of 25 and 55. The pathogenesis of CSCR is multifactorial and often idiopathic, with symptoms including decreased and distorted vision, metamorphosia, and central dimness. Ayurvedic literature categorizes conditions impairing vision as Timiraroga, with CSCR specifically classified as Sannipathikatimira. Current medical approaches generally involve laser therapies, photodynamic treatment, or anti-VEGF agents, but this case study explores the Ayurvedic treatment of CSCR through the Sadyovamana procedure, a type of purgation therapy.
Treatment Efficacy of Sadyovamana
The study highlights the efficacy of Sadyovamana in treating CSCR, aimed at improving visual acuity in a patient with a serous retinal detachment. The patient, a 47-year-old male, presented with visual decline over two weeks. Following a regimen of preparatory procedures including Agnideepana and Abhyanga, the patient underwent Sadyovamana. The results were remarkable, with significant improvement in visual acuity, and imaging studies showed near-total absorption of subretinal fluid post-treatment. This suggests the therapeutic potential of Sadyovamana, an Ayurvedic detoxification technique, in addressing specific retinal conditions characterized by fluid accumulation.
Role of Ayurvedic Principles in Treatment
In Ayurveda, conditions like CSCR can be analyzed using classical texts that describe the principles of Sopha (swelling) and Apatarpana (depleting treatment). CSCR presents a unique case where the excessive accumulation of serous fluid aligns with the Ayurvedic concept of Ekangajasopha. Traditionally, Vamana therapy is contraindicated in Drishti rogas (eye diseases), yet the unique fluid accumulation involved in CSCR allows for its application. The procedure capitalizes on the body's natural response to increase pressure and promote the absorption of fluid through a controlled release mechanism, thus aligning with modern practices aimed at enhancing the functioning of the retinal pigment epithelium.
Conclusion
The case study demonstrates that Sadyovamana can serve as an effective Ayurvedic intervention for CSCR, offering significant improvements in visual acuity and absorption of serous fluid. This highlights the potential integration of traditional Ayurvedic practices with modern ocular treatments. As CSCR poses a considerable challenge in both diagnosis and management, exploring alternative methodologies like Sadyovamana could enrich therapeutic strategies and improve patient outcomes in this complex visual disorder.
FAQ section (important questions/answers):
What is Central Serous Chorioretinopathy (CSCR) and its symptoms?
CSCR is an idiopathic disorder involving serous detachment of the retina, leading to symptoms like blurred vision, central dimness, and altered color perception. It primarily affects healthy males aged 25 to 55 years.
How does Sadyovamana treatment work for CSCR?
Sadyovamana aims to expel excess vitiated Kapha dosha from the body, reducing fluid accumulation. This helps in improving the function of retinal pigment epithelium (RPE) and enhances visual acuity, as shown in the case study.
What were the results of Sadyovamana treatment in the case study?
The case study showed significant improvement in visual acuity and near-total absorption of subretinal fluid following Sadyovamana treatment, indicating its efficacy in managing CSCR.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for 鈥淪adyovamana's impact on central serous chorioretinopathy: a case study鈥�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Vamana:
Vamana is a therapeutic procedure in Ayurveda which involves induced vomiting. It is particularly effective for disorders related to Kapha Dosha and is one of the Apatarpana procedures aimed at detoxifying the body by expelling excessive fluids and impurities, as exemplified in the treatment of CSR outlined in the case study.
2) Apatarpana:
Apatarpana refers to a therapeutic approach in Ayurveda involving treatments that decrease nourishment and density in the body, also known as depletive therapy. This concept is crucial in managing conditions like CSR where fluid accumulation needs to be reduced through methods like Vamana.
3) Detachment:
[see source text or glossary: Detachment]
4) Shopha (Sopha):
Sopha in Ayurveda denotes swelling or edema, characterized by an elevation from the normal site. In the context of CSR, it is analogous to the accumulation of fluid under the retina, making Apatarpana treatments like Vamana effective in managing the condition.
5) Disease:
[see source text or glossary: Disease]
6) Thiruvananthapuram (Thiruvanantha-puram, Tiru-anantapuram, Tiruvanantapuram, Tiruananta-puram):
Thiruvananthapuram is the location of the Government Ayurveda College in Kerala, India, where the case study on the treatment of CSR using Sadyovamana was conducted.
7) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian system of medicine that uses natural therapies and holistic approaches to treat various ailments. The case study describes treating CSR, aligning it under Timira, and employing therapies like Vamana according to Ayurvedic principles.
8) Shalakyatantra (Salakyatantra, Shalakya-tantra, Shalakyatamtra):
Shalakyatantra is a branch of Ayurveda that deals with diseases of the eyes, ears, nose, throat, and head. The case study on treating CSR at Govt. Ayurveda College, Thiruvananthapuram, falls under this branch.
9) Kashaya (Kasaya):
Kashaya refers to Ayurvedic decoctions or medicinal concoctions used for therapeutic purposes. In the case study, Yashtimadhu kashaya is utilized during Vamana treatment to manage CSR.
10) Timira:
Timira is an Ayurvedic term for conditions causing visual impairment. CSR is considered under Sannipathikatimira in Ayurveda, and the treatment discussed involves Vamana despite it generally being contraindicated for Timira due to unique fluid accumulation in the disease.
11) Jayalakshmi (Jayalaksmi, Jaya-lakshmi):
[see source text or glossary: Jayalakshmi]
12) Dravya:
[see source text or glossary: Dravya]
13) Kerala:
Kerala is a state in India where Thiruvananthapuram is located. The case study on CSR treatment using Ayurvedic methods was conducted at the Government Ayurveda College in this region.
14) Karma (Karman):
[see source text or glossary: Karma]
15) Glass:
[see source text or glossary: Glass]
16) Sushruta-samhita (Susruta-samhita):
Susrutasamhita is a foundational Sanskrit text on Ayurveda that details surgical techniques and various medical treatments. It is cited regarding the effectiveness of Vamana in alleviating body fluid accumulations and improving overall health.
17) Yashtimadhu (Yastimadhu, Yashti-madhu):
[see source text or glossary: Yashtimadhu]
18) Malavriddhi (Malavrddhi, Mala-vriddhi):
Malavriddhi refers to the accumulation of waste in the body channels. Vamana, as described in the study, effectively prevents Malavriddhi by expelling excess fluids from the body, critical in managing CSR.
19) Purvakarma (Purvakarman, Purva-karman):
Purva-karma involves preparatory procedures in Panchakarma therapies, such as Agnideepana and Abhyanga, to prepare the body for the main treatment. In the case study, Purva-karma procedures were employed before Vamana in treating CSR.
20) Kaphadosha (Kaphadosa, Kapha-dosha):
Kaphadosha is one of the three doshas in Ayurveda, often associated with fluid balance and mucus in the body. Vamana is particularly effective in expelling vitiated Kapha, crucial in managing diseases like CSR which involve fluid accumulation.
21) Discussion:
[see source text or glossary: Discussion]
22) Samprapti:
[see source text or glossary: Samprapti]
23) Carpenter:
Carpenter refers to the profession of the patient in the case study, whose visual impairment due to CSR affected his ability to work, motivating him to seek Ayurvedic treatment.
24) Abhyanga (Abhyamga):
Abhyanga is a therapeutic oil massage used in Ayurveda as part of Purva-karma. It helps prepare the body for main procedures like Vamana by promoting circulation and toxin mobilization.
25) Dashamula (Dasha-mula, Dasamula, Dashan-mula):
Dasamula is an Ayurvedic formulation consisting of ten roots, used for its anti-inflammatory and detoxifying properties. Post-Vamana treatment in the case study involved Dasamula Kashaya to support recovery and prevent recurrence.
26) Vomiting:
[see source text or glossary: Vomiting]
27) Indriya (Imdriya):
[see source text or glossary: Indriya]
28) Sukshma (Suksma, Shukshma):
[see source text or glossary: Sukshma]
29) Hridaya (Hrdaya):
Hridaya in Ayurveda refers to the heart or brain, essential organs that help distribute medicines throughout the body. Vamana drugs act on Hridaya to mobilize and expel doshas, aiding in detoxification.
30) Grahani:
[see source text or glossary: Grahani]
31) Kaphaja:
Kaphaja pertains to conditions dominated by the Kapha dosha. Vamana, which is effective for Kapha disorders, helps manage CSR by addressing fluid accumulation, a key symptom of the disease.
32) Vyavayi:
[see source text or glossary: Vyavayi]
33) Drishti (Drsti, Drishtin, Drstin):
[see source text or glossary: Drishti]
34) Family:
[see source text or glossary: Family]
35) Dosha (Dosa):
Doshas are the three fundamental principles in Ayurvedic medicine (Vata, Pitta, Kapha) that govern bodily functions and health. Imbalance in these doshas can lead to disease, and treatments like Vamana aim to restore balance, crucial in handling CSR.
36) Ushna (Usna):
[see source text or glossary: Ushna]
37) Shakha (Sakha):
[see source text or glossary: Sakha]
38) Dhatu:
[see source text or glossary: Dhatu]
39) Purva:
[see source text or glossary: Purva]
40) India:
India is the country where Ayurveda originated and where the case study on CSR treatment using Ayurvedic methods was conducted, specifically in Kerala at Government Ayurveda College.
41) Ayus (Ayush):
[see source text or glossary: Ayush]
42) Roga:
[see source text or glossary: Roga]
43) Agni:
[see source text or glossary: Agni]
44) Food:
[see source text or glossary: Food]
45) Ghi (Ghee):
[see source text or glossary: Ghee]
46) Milk:
[see source text or glossary: Milk]
47) Drug:
[see source text or glossary: Drug]
Other Science Concepts:
Discover the significance of concepts within the article: 鈥�Sadyovamana's impact on central serous chorioretinopathy: a case study鈥�. Further sources in the context of Science might help you critically compare this page with similair documents:
Dosha, Vamana, Shopha, Apatarpana, Timiraroga, Treatment modalities, Visual acuity, Sadyovamana, Central serous chorioretinopathy, Fundus examination, Rasavaha Srotodushti, Neurosensory Retina, Choroidal neovascularization, Hydrostatic pressure, Subretinal fluid.