Bhat Pravin M
Department of Shalakyatantra, MAM's Sumatibhai Shah Ayurved College, Hadapsar, Pune 411028, Maharashtra, India.
J Ayurveda Integr Med. 2022 Jan-Mar;13(1):100494. doi: 10.1016/j.jaim.2021.07.010. Epub 2021 Nov 27.
The vision loss in the Traumatic Optic Neuropathy is the impact of deformational forces. This occurs due to direct or indirect injuries during trauma to skull. The use of high dose corticosteroids is the primary line of treatment in such injuries still remains a matter of debate. Traumatic Optic Neuropathy is yet an unexplored topic of study in Ayurveda. The Traumatic Optic Neuropathy can be correlated with Abhighatajanya Vataprakopaj Drishtinash. The treatment principles of Vataprakopaj Vyadhi are Snehan (massage), Swedan (sudation), Basti (enema) and Nasya (oleation through nasal route). A 50 year old male patient came to outpatient department suffered from motorcycle accident and had a forehead trauma followed by loss of vision in both eyes after 5 days and diagnosed as Traumatic Optic Neuropathy. An electrophysiological assessment showed absence of waveform in Visual Evoked Potential (VEP). According to Ayurveda patient was diagnosed primarily as Abhighatajanya Vataprakopaj Drishtinash and started to follow the protocol of Vataprakopaj Vyadhi. Patient received Ayurvedic formulations in morning, after meal and at night for 12 months and a course of Yapan Basti (medicated decoction enema) followed by Netratarpan (eye satiation), Nasya and Abhyanga (body and foot massage). Patient showed an improvement in the visual quality from no perception of light to perception of light and rays in right eye in 9 month. Patient had improvement in P100 latencies of right eye in VEP report and subjective improvement in quality of vision to perceive the images and objects. Application of Ayurvedic principles and Panchakarma therapy resulted in improvement of the case. An early management of Traumatic Optic Neuropathy with Ayurvedic treatment can have a significant impact on the clinical/visual outcome in terms of recovery in damaged optic nerve fibers.
创伤性视神经病变中的视力丧失是由变形力的影响所致。这是由于头部外伤期间的直接或间接损伤引起的。对于此类损伤，使用高剂量皮质类固醇作为主要治疗方法仍存在争议。在阿育吠陀医学中，创伤性视神经病变仍是一个未被充分探索的研究课题。创伤性视神经病变可与“Abhighatajanya Vataprakopaj Drishtinash”相关联。Vataprakopaj病的治疗原则包括Snehan（按摩）、Swedan（发汗）、Basti（灌肠）和Nasya（经鼻滴注油剂）。一名50岁男性患者因摩托车事故前来门诊，前额受到创伤，5天后双眼视力丧失，被诊断为创伤性视神经病变。电生理评估显示视觉诱发电位（VEP）中无波形。根据阿育吠陀医学，该患者最初被诊断为“Abhighatajanya Vataprakopaj Drishtinash”，并开始遵循Vataprakopaj病的治疗方案。患者在早晨、饭后和晚上服用阿育吠陀制剂，持续12个月，并进行了一个疗程的Yapan Basti（药汤灌肠），随后进行Netratarpan（眼部滋养）、Nasya和Abhyanga（全身和足部按摩）。患者的视力质量从无光感改善为9个月后右眼有光感和光线感知。患者VEP报告中右眼的P100潜伏期有所改善，视力质量在主观上也有所改善，能够感知图像和物体。应用阿育吠陀医学原则和五疗法治疗使病情得到改善。采用阿育吠陀疗法对创伤性视神经病变进行早期治疗，在受损视神经纤维的恢复方面，对临床/视觉结果可能会产生重大影响。
