MANAGEMENT OF KUKUNAKA W.S.R. TO CONGENITAL NASO LACRIMAL DUCT OBSTRUCTION – A CASE STUDY
Abstract
Kukunaka is a type of Netra Vartmagata Vyadhi which is seen during baalyavastha i.e in Ksheerapa Avastha explained by Acharya Kashyapa. Acharya Vagbhata described that it is a Dantotpatti KaleenaVyadhi. According to Acharya Kashyapa it is characterized by Abhikshnamastram Sravate (Continuous watery discharge from eyes), Saprakasha Na Sahate (Photophobia), Netram Kanduyate Abhikshnam (Itching in the eyes frequently), Lalata Akshikoota Nasa Parimardana (Rubbing the forehead, eye, nose), Nasikam Parimridgaati (Frequent rubbing of the nasal area), Karnam Vanchhati (Frequent touching of the auditory area with pain), Paanina Chavyativa (Rubbing eyes with hands). Clinical features of Kukunaka can be correlated to the disease Congenital Naso Lacrimal Duct Obstruction. It is usually seen in new born babies. It is characterized by continuous watery discharge from the eye associated with frequent rubbing of nasal area, itching of eye frequently and photophobia. Ayurvedic treatment has good scope in managing Kukunaka. Here in this case study patient was suffering with watery discharge in left eye since birth and itching sensation in and around the eye. The baby was treated with Sthanika Abhyanga, Shamana Chikitsa and Satvavajaya Chikitsa. After treatment patient showed remarkable improvement in symptoms.
KEY WORDS: Kukunaka, Congenital Naso Lacrimal Duct Obstruction, Photophobia, Sthanika Abhyanga, Shamana Chikitsa, Satvavajaya ChikitsaReferences
Sushruta, Sushruta Samhita, Nayana Abhighata Pratishedha Adhyaya Uttaratantra 19/9, Nibandhasangraha commentary by Shri Dalhanacharya, Edited by Vaidya Jadvji Trikamji Acharya, Chaukhamba Sanskrit Sansthan,Varanasi, Reprint Edition,2013; p.641
Vagbhata,Ashtanga Hridaya,Vartmarogapratishedha Adhyaya Uttarasthanam 8/19, Sarvangasundara commentary by Arunadatta, Edited by Pt. Hari Sadasiva Sastri Paradakara, Chaukhamba Sanskrita Sansthana, Varanasi, Reprint Edition,2011; p806
Sushruta, Sushruta Samhita, Nayana Abhighata Pratishedha Adhyaya Uttaratantra 19/8, Nibandhasangraha commentary by Shri Dalhanacharya, Edited by Vaidya Jadvji Trikamji Acharya, Chaukhamba Sanskrit Sansthan,Varanasi, Reprint Edition,2013; p.641
Premavati Tiwari, Kashyapa Samhita, Kukunaka Chikitsa Adhyaya Chikitsasthana 8/9-11, Chaukhambha Vishwabharati Publication, Varanasi, 2013,.p602
Congenital Nasolacrimal Duct Obstruction: The proper Technique of massage https://www.indianpediatrics.net/mar1994/337.pdf
Allen JH. External disease of the eye. In: The pediatrician’s Ophthalmology. Ed’s Leibman SD, Gillis SS. Saint Luos, CV Mosby CO, 1966,pp89-90
Guerry D, Kendig EL. Congenital impotency of the nasolacrimal duct. Architecture Ophthalmol 1948,39: 193-204
Vagbhata, Ashtanga Hridaya, Vatashonitachikitsa Chikitsasthanam 22/45,46, Sarvangasundara commentary by Arunadatta, Edited by Pt. Hari Sadasiva Sastri Paradakara, Chaukhamba Sanskrita Sansthana, Varanasi, Reprint Edition,2011; p732
Shri Govinda Dasji, Bhaishajya Ratnavali, Kasaroga Adhikara 15/13, Commentary by Vaidya Shri Ambika Datta Shastri, Edited by Bhisagratna Shri Brahmashankar Mishra,Chaukhamba Sanskrita Sansthana, Varanasi, Reprint Edition, 2014;Vol.1; p833
Simson JW. Aaby Aa, Dract AV et al. The Lacrimal Drainage System. Pediatric Ophthalmology and Strabismus: American Academy of Ophthalmology, 2010;241-245
