Co esponding au ho : Anki a T ipa hi
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To S udy he E ec o Shiga u-Neem Bidalaka in he Managemen o Blepha i is: A
Case S udy
Anki a Omp akash T ipa hi 1, * and Manoj Ramchand a pande 2
1 Depa men o Shalakya Tan a., Sh ee Ayu ed Maha idyalaya, Nagpu , Maha ash a, India.
2 Depa men o swas h i a a, Sh ee Ayu ed Maha idyalaya, Nagpu , Maha ash a, India.
Wo ld Jou nal o Ad anced Resea ch and Re iews, 2025 27(02), 1074-1077
Publica ion his o y: Recei ed on 19 June 2025; e ised on 30 July 2025; accep ed on 02 Augus 2025
A icle DOI: h ps://doi.o g/10.30574/wja .2025.27.2.2792
Abs ac
Blepha i is is one o he mos common diseases seen by he Oph halmologis which is a ch onic in lamma ion o he eye
lid ma gins. I is o en he unde lying eason o eye discom o edness e c. The e m Blepha i is is made up o wo
wo ds – ‘Blepha ’ and ‘i is’ The wo d ‘blepha ’ is de i ed om ‘Blepha on’ which means eyelid.1 The wo d ‘i is’ is a su ix
om G eek means in lamma ion. Blepha i is is ulce a i e and non-ulce a i e in lamma ion o hai ollicles and glands
along he edges o he eyelids. I is a sub-acu e in lamma ion o he lid ma gins o he lid causing ed i i an i ch eyelids
and o ma ion o dand u like scales on he eyelashes. I is a common eye diso de causing ei he bac e ia o skin
condi ion such as dand u o scalp acne osaceous can caused by gene al sebo hoea and s aphylococcus bu o he
pa hogenic mic o-o ganisms o seconda y in in ec ion may inc ease he se e i y o disease.2 Bidalaka is one o he
k iyakalapa men ioned in Ayu eda in which d ugs a e made in o pas e o m and applied o he ou e su ace o he
eyelid lea ing he eyelash.3 In Bidalaka he issue con ac ime is mo e and helps in he la ge abso p ion o d ugs. The
d ugs ha ing an i-in ec i e and an i-in lamma o y p ope ies. Shig u and Neem is mo e use ul in Ne aga a yadhis.
Shig u and Neem is Chakshushya easily a ailable and mo e economical o pa ien s. So I am going o s udy he e ec o
Shig u Neem Bidalaka as men ioned in Bha ap akash.
Keywo ds: Blepha i is; Bidalaka; K iyakalpa; Ne a oga; Impo ance o Bidalaka
1. In oduc ion
Blepha i is is one o he mos common diseases, which is a ch onic in lamma ion o he eye lid ma gins. I is o en he
unde lying eason o eye discom o edness e c. The e m Blepha i is is made up o wo wo ds – ‘Blepha ’ and ‘i is’
The wo d ‘blepha ’is de i ed om ‘Blepha on’ which means eyelid. Blepha i is may be sub di ided in o an e io and
pos e io blepha i is. Clinically i can be di ided in o Bac e ial Sebo hea o squamous, mixed s aphylococcal wi h
sebo hoeic, pos e io blepha i is o meboimi is, pa asi ic blepha i is.4
The use o he apeu ic agen s ha educe in ec ion and in lamma ion is bene icial in he blepha i is. The unce ain
ae iology and mechanism o he disease p ocess make managemen di icul and ecu ence is mo e, so o be e
managemen o a oid he ecu ence o disease and mo e economical o he pa ien so he opic has been selec ed o
he s udy.
2. Case epo
•Name o pa ien s- xyz
•Age/sex-32 yea s /Male
Wo ld Jou nal o Ad anced Resea ch and Re iews, 2025 27(02), 1074-1077
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• place- Nagpu
• occupa ion-p i a e job
2.1. Chie complain s
• I ching o e bo h eyelid
• Swelling o e bo h eyelid
• Redness in bo h eye (on and o ) .since 15 days
2.2. P esen his o y
• No H/o any sys emic disease o any majo illness
• No H/o ay ocula su ge y.
2.3. Ocula examina ion
Visual acui y o bo h eye is 6/6
2.4. Sli lamp examina ion
• Eyelid- scaling and lid edema p esen
• conjunc i a- mild conges ion p esen
• co nea- clea and b igh
• an e io chambe - no mal dep h
• i is- colou pa e n no mal
• pupil-no mal size eac ing o ligh
• lens- no mal.
3. T ea men
• Bidalaka wi h Shiga u- Neem Chu na.
• Dose- 2- 4 g am once a day o making pas e.
• Time o applying Bidalaka – once a day in mo ning
• Du a iono he apy- 7 days
4. P ocedu e
• Poo a ka ma
P epa a ion o pa ien : pa ien o be ea ed wi h Bidalaka should be placed in supine posi ion and he pa should be
cleaned . The m udu swedan will be gi en.
• P adhan ka ma-
Shiga u and Neemb chu na a e made in o pas e o m using s e ile wa e and applied o ou e su ace o eyelids lea ing
he eyelashes.
1)-u am -1/2angul, 2)-madhyam -1/3 angul, 3)-kanish a -1/4angul
Kala- 20 minu es.
• Pascha ka ma-
Eyes should be clea ed by gen ly emo ing he applied pas e wi h he help o we co on. M udu swedana is done wi h
s e ile co on dipped in o lukewa m wa e .
5. D ug p ope ies
• Shiga u beej chu na- Chakshushya, K umighna.5
• Nimbachu na-kandughana, k imighana used o an i-in ec i e ac ion o d ug.6
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1076
• The con en o Bidalaka Shig u Neem is an i-bac e ial, an i-in lamma o y, an i-Mic obial, an i-oxidan , and an i-
alle gic, wound healing, analgesic and immunomodula o y ac ion men ioned in Bha ap akasha. The
Pha macological ac ions o Shig u Neem Bidalaka a e like an i-in lamma o y,an i-bac e ial ,blood pu i ie
ac ion, immune modula o ac ion e c.
6. Bidalaka Impo ance
The Ayu edic scien is s Acha ya Cha aka and Acha ya Vagbha a ha e men ioned abou his he apy. They we e awa e
o d ug deli e y h ough skin o eyelids. The skin o eyelid ex emely hin, subcu aneous a is e y spa es and s a um
co neum laye o skin which ac as ba ie is single laye in eye lid, so abso p ion o d ugs h ough skin o eyelid will be
e y as . In Bidalaka he pas e o d ug is le o 20 minu es so issue con ac ime is mo e help in la ge abso p ion o
d ugs educes he local empe a u e he e by elie es in lamma ion, i ching, impa ing soo hing e ec and eli ing pain,
he d ugs ha ing an i-in ec i e and an i-in lamma o y p ope ies, pa ien could ge quick elie om symp oms.
7. Resul
Table 1 Resul o he ea men
S no
Symp oms and sign
Be o e a men
A e ea men
1
Lid colla e es I ching
Se e
Absen
2
a) Eyelid swelling
b) F.B sensa ion
Mode a e
Mild
3
Plugging o MG o i ices
Plugging 23 o o o i aces
Clea o i ice in he middle pa o lowe lid
4
E y hema
Mode a e
Mild
5
Redness o eyelid and eye.
Mode a e
Mild
Be o e ea men
A e ea men
Figu e 1 Resul o he ea men ( Bidalaka)
8. Discussion
K iyakalapa Bidalaka has signi ican e ec in Blepha i is Bidalaka wi h abo e selec ed d ugs p o ide an i-in ec i e and
an i in lamma o y e ec . The issue con ac ime o he d ug is mo e so he la ge abso p ion o d ugs ake place he e o e
i p o iding quick elie in subsiding he symp oms. The Neemb Chu na ac as an i-bac e ial, an i-in lamma o y, an i-
Mic obial, an i-oxidan , an i-alle gic, wound healing, analgesic and immunomodula o y ac ion. Pha macological ac ions
o Shig u Neem Bidalaka a e like an i-in lamma o y, an i-bac e ial, blood pu i ie ac ion, immune modula o ac ion e c.
so i help in educing eyelid swelling, in lamma ion.
Wo ld Jou nal o Ad anced Resea ch and Re iews, 2025 27(02), 1074-1077
1077
9. Conclusion
The s udy showed signi ican elie in he pa ien s symp om he e o e Bidalaka in one o he line o managemen o
Blepha i is as pe Ayu edic science and helps o a oid ecu ence o disease.
Compliance wi h e hical s anda ds
Disclosu e o con lic o in e es
No con lic o in e es o be disclosed.
S a emen o e hical app o al
E hical app o al was ob ained.
S a emen o in o med consen
In o med consen was aken . This is single case s udy .
10.Re e ences
[1] Comp ehensi e oph halmology by AK.Khu ana Jaypee he Heal h Sciences Publishe , New Delhi 6 h edi ion,
chap e 15 page no. 362
[2] Pa sons Diseases o he Eye,Ramaji Siho a,Radhika Tondon,22nd Edi ion, 2011, Else i e ,A di ision o Reed
Else i e India,P i a e limi ed. Chap e no 28 page no.449
[3] Sush u a samhi a by Ka i aj D .Ambikadu a Shas i, Chaukhamba Sansk u Sans an, Va anasi, 14 h
edi ion,U a an a adhyay 2/3,page no. 17
[4] Comp ehensi e oph halmology by AK.Khu ana.Jaypee he Heal h Sciences Publishe , New Delhi 6 h
edi ion,chap e disease o eyelid page no- 364-366.
[5] Bha ap akash Nighan u,by Padmashsh ee P o.K ushnachand a Chunneka ,Chaukhambha Bha a i academy
,Va anasi sanshodhi pa i a dhi sanska an-2010,Guduchyadi a g 105,106,107,108/page no. 324-325
[6] Bha ap akash Nighan u,by Padmashsh ee P o.K ushnachand a Chunneka ,Chaukhambha Bha a i academy
,Va anasi sanshodhi pa i a dhi sanska an-2010,Guduchyadi a g 93-96,page no. 314-31
