Mode of Ayurvedic intervention in Diabetic Retinopathy (Sannipathika Kacha) associated with Chronic Renal Failure - A Case Study

Abstract

Diabetic retinopathy and nephropathy are microvascular complications of diabetes mellitus affecting eye and kidney respectively. The patient has reported gradual loss of vision (counting finger at a distance of 70cm) in both eyes for one month associated with history of Chronic Renal Failure. In Ayurvedic classics defective urination and diminution of vision are mentioned in the context of Prameha (Diabetes mellitus). Ophthalmoscopic examination revealed haemorrhages and fluid collection at the level of retina especially at macula due to microvascular damage. The derangement of Pittadosha (humor)by improper dietary habits and irregular lifestyle result in the vitiation of Raktha, which is more evident in eyes. The condition showing clinical similarity with Sannipathika Kacha, a disease affecting Dhrishtipatala of the eye. The logical interpretation on the basis of both subjective and objective clinical findings concluded the diagnosis as Pittadhika Sannipathika Kacha. The treatment principle adopted was Rakthasthambhana, Pittakaphasophahara, Abhisyandhahara and Srothovisodhana with good metabolic control. The treatment was planned without giving any internal herbal medicines except medicated porridge. After treatment his vision has improved as 6/24 (Rt. Eye) and 6/12 (Lt. eye). The study discusses about the Ayurvedic management of diabetic retinopathy associated with chronic renal failure.