INTRODUCTION Eye disease are much more important than any other physical disability, because once the vision is lost then that person is disabled for doing all regular activities and day & night are same for the person. Alochaka pitta is considered responsible factor of visual perception i.e. of all the Mahabhootas, Tejas dominates, so the eyes are especially susceptible and prone to kapha. That’s why the factors, which are vitiating Pitta or Kapha will lead to eye disorders. Timira is one among the Drishtigata Roga explained by all the Acharyas, that starts with simple visual disturbance (Avyakta Darshana) but if unattended may lead to complete loss of vision (Linganasha). Therefore, it is a “Paramdarun vyadhiâ€. Due to this reason all the Acharyas have paid special attention to this disease. The clinical features of Timira (first Patalashrita- Avyakta Darshana- indistinct distance vision and second Patalashrita- Vihwala Darshana, -blurred vision) can be correlated symptomatically with refractive errors.4 The symptom of Timira is “Avykta nisaroopani sarvane vyaprapashyati†i.e. blurring of vision, which is cardinal symptom of refractive errors and the clinical features closely resembles Myopia Myopia or short-sightedness is a type of refractive error in which parallel rays of light coming from infinity are focused in front of the retina when accommodation is at rest. Myopia is a highly significant problem not only because of its high prevalence, but also because it can contribute to visual morbidity and increase the risk for vision threatening conditions e.g. Retinal breaks and Detachment, Glaucoma etc. The basic treatment of Timira includes Snehan, Raktamokshana, Virechana, Nasya, Anjana, Shirobasti, Basti, Tarpan, Lepa, and Seka that are to be followed repetedly. Among theses snehana and Anjana will be followed in this study. On the basis of symptoms, Myopia can be correlated with Vata predominant Timira. Hence line of management of Vataj Timira has been adopted. The Chakshushya, Rasayana and Tridosha mitigating action might be helpful in such type of disorders. Majority of Rasayana drugs work on multiple areas and helps in achievement of Vata shamana through its Dipana, Pachana and Medhya properties. Thus, a drug having both Chakshushya and Rasayana properties can be helpful regeneration of eye sight. Ghrita is one among the best Rasayana drug and Chakshushya property might be helpful for treating the disease Timira ( Simple Myopia). According to Charaka, Ghrita improves Dhatus and is overall booster for Ojas. It has the quality of trespassing into minute channels of the body, it enters deeper layer of dhatus and cleanses every minute part of them.Bhaskaradi ghrita having ingredient pippali, sharkara, draksha and madhuyashthi, mentioned in Chikitsa Saar Sangrah is one such Ayurveda formulation having Balya, Chakshushya and Rasayan properties. Therefore, we have planned to study the effect of Bhaskaradi Ghrita in the management of Timira( Simple Myopia). Among the several types of treatment modalities local treatment are very specific, effective and unique to the eye disease and called as Netra Kriyakalpa viz. Akshi Tarpan, Putapaka, Seka, Aschyotan, Anjana, Bidalaka, and Pindi. The first five procedures are mentioned in Sushrut Samhita and last two are added by Sharangdhar Samhita along with five procedure. In all Kriyakalpas, Anjana has unique therapeutic efficacy for various types of ophthalmic disease and highly recommended as preventive measures of various eye disorders. Anjana is procedure of applying medicine in the form of Gutika, Raskriya or Churna (powder) to the innesr side of lower lid either by fingertip or by Anjana shalaka. Various ancient Acharyas described Anjana therapy as a daily regimen especially Sauvira Anjana (Antimony sulphide) and Rasanjana (decoction of Berberista aristata- Daruharidra) mixed with honey as it eliminates excessive Kapha Dosha from the eye because eyes have predominance of Pitta Dosha or Teja Mahabhuta for its proper functioning or clarity of vision. Therefore a clinical study is planned to study the efficacy of Bhaskaradi Ghrit orally with and without Haritikyadi Varti Anjana in reducation in diopteric power and visual improvement. |