7. Abhishyanad and Adhimanth: all types of Abhishyanda and Adhimantha Viddhakarma at the Upanasika Lalatya and Apang Sandhi.We see more patients of both in our practice specially ophthalmic. With correct Viddhakarma we can see reduction in IOP 2-3 mm of HG. In this diseases there is importance of accuracy. “Abhyasat Prapyate Drushti Karm Siddhi Prakashini” told in Vagbhat Sanhita. As we do Viddha according to Mandala and Patal. When there is changes in Drushti then we must consider involvement of Shrungatak Marama and Shankha Marm. Shrungatak Marm is the place where four Strotasa are united i.e., Netra Vaha, Nasavaha, Shabdavaha, Jivhaa.
पुराणसर्पिषा स्निग्धौ स्यन्दाधिमन्थ पीडितौ ।
स्वेदयित्वा यथान्यायं सिरामोक्षेण योजयेत् ।।
सिरामोक्षेणेत्यत्र सिरा उपनासिका ललाट्यां अपाड्यां वा । टीका
8. Vedhya: Sirotpaat, Siraharsh, Akshipaak, Anytowaat, Puyalas, Vaatviparyay, Adhimanth, Abhishyand. These are diseases mentioned as Vedhya Vyadhi. In all Vedhya Vyaadhi Raktamokshan e., Viddhakarma Chikitsa is main Chikitsa. As we know Basti is half treatement in Kayachikitsa, such as Viddhkarma is half treatment in Shalya Shalakya Vyadhi.
As mentioned earlier Raktmokshan i.e., Viddhakarma is point- Sthan specific Chikitsa, we must do Viddhakarma at the specific points mentioned, and Agnikarma is done at maximum point of pain and tenderness.
But in some Vydhi like Anantawaat - Trigeminal neuralgia, Kaach, Timir etc. there is only reference of Raktamokshan but not specific place for it. So with the help of modern science anatomy and Ayurved Netra Sharir, we started Viddhakarma according to Mandal – Pratham Dwitiya, Trutiya etc. and we are getting excellent results in Shalakyatantra diseases.
Case History
Age: 56 yr
Previous medical history
Known case of Diabetes - controlled by Tablets, no h/o BP and any previous medical history.
A person came to clinic with Disturbance in vision, unable to see the vision field, some foggy changes in vision. PL - Normal, Finger count - normal.