Nepal is divided into three ecological belts viz. Mountain, Hills and Terai. Mountain region consists about 24% of country’s total area, hilly region covers 56% and Terai consists 20% of country’s total area. The study has selected three districts from these three ecological parts with objective to identify the demographic distribution based on the selected household. Out of the 77-district based on the Small Area Estimation – calculating the poverty variability keeping the max poverty rate and min poverty rate, the study chosen the 3 district - Solukhumbu, Kathmandu and Chitwan. Total 880 households were drowned from the selected villages by using the simple random sampling. Structured questionnaire survey and interview checklist were used to collect the data from selected households. The study found that there was prevalence of child headed and female headed family also in the study area which are known as the vulnerable group. The community and local government should ensure the security of families. Besides that, unemployment status was also found in the study area which might encourage for the aboard migration of youth. So, the concerned authorities should address such problem for the development of rural society.
Retinitis pigmentosa (RP) is an inherited, degenerative eye disease that causes severe vision impairment due to the progressive degeneration of rod photoreceptor cells in retina. This form of retinal dystrophy manifests initial symptoms independentof age; thus, RP diagnosis occurs anywhere from early infancy to late adulthood. This primary pigmentary retinal dystrophy is a hereditary disorder predominantly affecting the rods more than the cones. The main classical triads of retinitis pigmentosa are arteriolar attenuation, Retinal bone spicule pigmentation and Waxy disc pallor. The main treatment of retinitis pigmentosa is by using Low vision aids (LVA) and Genetic counseling. As such a complete cure for retinitis pigmentosa is not present. So a treatment protocol has to be adopted that helps in at least the symptomatic relief. In Ayurveda, the signs and symptoms of this can be compared with the Lakshanas of Doshandha which is one among the Dristigata Roga. It is considered as a diseased condition in which sunset will obliterate the Dristi Mandala and makes the person blind at night time. During morning hours the rising sunrays will disperse the accumulated Dosas from Dristi to clear vision. This disease resembles Kaphajatimira in its pathogenesis, but the night blindness is the special feature. Since the disease is purely Kaphaja, a treatment attempt is planned in Kaphara and Brimhana line. The present paper discusses a case of retinitis pigmentosa and it’s Ayurvedic Treatment.
Uveitis is a broad term used to describe the inflammatory pathology of vascular layer of eyeball. It is composed of a diverse group of disease entities, which in total has been estimated to cause approximately 10% of blindness. Based on the anatomical involvement of eye, uveitis is broadly classified into anterior, intermediate, posterior and Panuveitis. Anterior uveitis denotes intraocular inflammation that involves the iris (iritis), anterior part of the Ciliary body (anterior cyclitis), or both (iridocyclitis). The signs and symptoms presented in anterior uveitis can be compared with Pittaja Adhimantha (Anterior uveitis) in Ayurveda. SUN (Standard Uveitis Nomenclature) working group has described the disease acute, chronic and recurrent on the basis of its course. Anterior uveitis is the commonest form with comparably less sight threatening uveitis. It can lead to serious complications such as cataract, glaucoma, and cystoids macular edema if not diagnosed and treated promptly. A 21-year-old male patient residing in Hassan came to Sri Dharmasthala Manjunatheswara college of Ayurveda and Hospital, Hassan complaining of redness, pain, watering and photophobia in Right eye for one day. The case was assessed and diagnosed with SUN working group criteria. The case was managed effectively with amapachana (Morbid factor digestion), Virechana (purgation), Pancha lauha shalaka agnikarma (Ayurvedic cautery) over eyebrows, Seka (Medicated washing of eye), avagundana (Mild medicated hot fomentation), oral intake of triphala guggulu and Bhoonimbadi kwath. Patient got significant relieve from sign and symptom on the day 3 rd of treatment and cured by 7 th day of treatment. The management of anterior uveitis opt the use of steroids, antibiotics, cycloplegic and NSAIDs for long term in modern medicine. The above-mentioned disease can be managed with Amapachana (digestion of morbid factors of the body), virechana (Medicated purgation), Shothahara (anti-inflammatory), Vedanashamaka (Analgesic), Sravahara, sthanika chikitsa (Local measures) and Pittahara chikitsa (Pitta morbid factor pacifying treatment) of Ayurveda. 50 % of acute anterior uveitis is idiopathic in nature, so the condition can be managed effectively adopting Ayurveda Netra Roga chikitsa. An acute anterior uveitis is very painful and photophobia condition which is managed effectively by Ayurveda. Ayurveda can be ray of hope in the management of uveitis which is very pathetic to conventional system of medicine.
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