Abstract

JALOUKAVACHARANA IN THE MANAGEMENT OF HERPES ZOSTER OPHTHALMICUS – A SINGLE CASE STUDY

Dr. Manik S. Nagolkar*, Dr. Devendra Chaudhari and Dr. Jyoti Dakhore

ABSTRACT

Herpes zoster ophthalmicus (HZO) is an acute infection of Gasserian ganglion of the fifth cranial nerve. This disease is occurs when the ophthalmic division of the trigeminal nerve is impaired as a result of reactivation of the varicella-zoster virus. HZO develops in 10-20% of patients who experience reactivation of zoster in the fifth cranial nerve dermatome. Ophthalmic involvement has been considered the most important and potentially serious of all sites of Herpes Zoster. Signs and symptoms of herpes zoster are very similar to pittaj vyadi. Acharya Sushruta mentioned Raktmokshana with help of leech in pittaj dominant disorders. Leech when applied over affected part of herpes sucks the blood and there by interferes with extracellular communication through these exosomes and their by sucking pain reduction reduction in burning and arrest progression of disease. this prospective study was conducted to a patient who was clinically diagnosed to have HZO who attended outpatient department of shalakya tanatra. This case illustrates many of the classic signs and symptoms of HZO and discusses appropriate treatment, management and patient education.

Keywords: Herpes zoster ophthalmicus, Raktmokshana , leech Ayurveda.