A single arm clinical study to evaluate the efficacy of Ela Anjana and Paadaabhyanga in Prathama Patalagata Timira with special reference to Asthenopia

Abstract

Asthenopia is a broad term used to describe various symptoms under the umbrella of eye strain, which could be due to continuous reading, computer work or fine needle works. Asthenopia refers to mild eye ache, headache and tiredness of the eyes. It is a feature of extra ocular muscle imbalance and uncorrected mild refractive errors especially Astigmatism.^[1] It’s been a common problem worldwide and is progressively increasing on the rising Covid-19. Stress and nutritional factors also contribute to improper vision. This symptom is mentioned in Ayurveda classics as Animitta Avyaktha Darshana in Prathama Patalagata Timira, a stage of Timira described under Drushtigata Rogas.^[2] Anjana is one among the Kriyakalpa procedures administered in Netrarogas. According to Acharya Sushruta and Acharya Vagbhata, Anjana is of three types, namely Lekhana, Ropana and Prasadana. Paadaabhyanga is said to be Dristiprasadaka and stimulates the sensory peripheral nerves thus improving the sight. Ela Anjana^[3] which is indicated in Timira Roga is explained by Acharya Charaka in Trimarmiya Chikita Adhyaya. Use of Ela Anjana also provides a nourishing effect to the eyes and improves visual activity. The study was carried out for a period of 30 days where in the intervention was for 7 days with two follow ups of seven days consecutively. Study yielded promising results in Asthenopic features, suggesting simple intervention in the form of Anjana and Paadaabhyanga can effectively help in managing Asthenopia.