MANAGEMENT OF POOYALASA (ACUTE DACRYOCYSTITIS) - A CASE REPORT

Abstract

Dacryocystitis is an inflammatory condition of the lacrimal sac, often presenting with pain, swelling, and purulent discharge, primarily due to nasolacrimal duct obstruction. In Ayurveda, the condition is analogous to Pooyalasa, a chronic and recurrent pathology affecting the lacrimal apparatus. If untreated, it can lead to complications such as abscess formation, fistula, and systemic infections, emphasizing the need for timely and systematic management.

This case report discusses a 48-year-old male presenting with a 3-month history of epiphora and purulent discharge from the right eye, progressing to acute painful swelling and associated systemic symptoms. The case was diagnosed as Pooyalasa in the stage of lacrimal abscess formation, based on clinical signs and symptoms. Treatment involved a combination of internal Ayurvedic formulations such as Patoladi Kashaya, Kaisora Guggulu, and Panchatikta Kashaya for their anti-inflammatory, immune-modulatory, and wound-healing properties. External therapies included Triphala Kashaya Kshalana for cleansing and Karuthavattu Lepana for localized anti-inflammatory and decongestant effects.

The integrated Ayurvedic intervention led to complete resolution of symptoms, healing of the lacrimal abscess, and prevention of recurrence during follow-up. This case underscores the efficacy of Ayurvedic principles in managing Pooyalasa by addressing the pathogenesis holistically, focusing on both local and systemic healing. Further clinical studies are recommended to evaluate the broader applicability of Ayurvedic protocols in the management of lacrimal sac disorders.