INTRODUCTION
SHUSHKAAKSHIPAAK is one of the sarvagat vatapittajanya 
vyadhi. 

yata\ kuxiNataM dar]Nar]Xavatma- ivalaaokxnao caaivaladSa-naM yata\ |
saudar]NaM yata\ pa`itabaaoQanao ca SauYkxaiXapaakxaopahtaM tadiXa ||26|| (sau.{. 6ó26)
 
The disease in which the eye lids become dry and hard and 
remain always closed, the vision becomes cloudy and hazy 
eyelids is called the Sushkakshipaak.

Aschyotan :-   {YNaoca SaIta r]paa: syau: savao-~aO vaOYa inaScaya:|
                       vaatao ita@taM taqaa isnagQa M ipa<ao maQaurSaItalama\ || (yaao.r.nao~araoga 341)

In Aschyotan Procedure Acharya has described use of  
snigdha and madhur rasatmaka dravya in Vata pittajanya 
Vyadhi.

Yashtimadhu:- yaYTI ihmaa gaur] svaadI caXauYyaa balavaNa-kRta\ |
                               sauisnagQaa Sauk`xlaa koxSyaa svayaa- ipa<aainalaasa`ijata || 
                               va`NaSaaoqaivaYacCid-taRYNaaglaanaIXayaapaha | (Baa. pa`.)

Being madhur & Snigdha it is pittaghna and being guru 
snigdha and madhur it is vataghna however it is kaphakar. 

Local – Being daha shamak, vedana sthapak, shothahara. Its 
lepa should be applied to vranashotah and allergic rasha due 
to insect bite.

This eye diseases are commonly occurs due to Heena, Ati and 
Mithya Yog. Eg. Excess use of computer, polluted air, viewing 
of TV and Excess out door work, excessive driving. So, in 
Aschyotan Procedure Acharya has described use of  snigdha 
and madhur rasatmaka dravya in Vatapittajanya Vyadhi. So, 
Yashtimadhu is vata pittaghna, Caksusya and having 
properties of snigdha guna and it is easily available. So, I am 
going to choose Yashtimadhu Aschyotan as treatment for 
Shushkaakshipaak.

MATERIALS AND METHODS
Materials: -
Drug:  Yashtimadhu Aschyotan. 

The Content are Yashtimadhu

Method:-
a) Method of preparation of:
 Yashtimadhu 40mg   + Water  640ml   ─∆→ Kwath 160ml   

→Aschyotan   
b) Dose and time of administration of drug accordingly.
 Adult:  1 drop of each eye 3 time daily for 28 days. 
c) Duration: 28 days 

Inclusion criteria  
Total 30 patient were taken for this study
Ÿ The Patients having signs and symptoms of dry eye like,
Ÿ Dryness of eye, Burning sensation, Blurring of Vision, 

Itching, Redness
Ÿ Irrespective of age, sex.
Ÿ The patient above the age of 12 year and below 80 years 

will be selected.

Exclusion criteria 
Ÿ Below 12 years and above 80 years are not selected.
Ÿ Congenital anomalies of eye
Ÿ Abnormal Structure and function of eyelid.
Ÿ Aschyotan Ayogya 
Ÿ Severe cases of dry eye.

Yashthimadhu Drug Sample-
  

USE OF YASHTIMADHU ASCHYOTAN IN SHUSHKAKSHIPAAK.

Original Research Paper

Dr. Nikhil Dilip 
Chaudhari

M.S.(Shalakya-tantra Netrarog), Associate Professoe  In Dept. Of 
Shalakya-tantra, R. B. Ayurvedic Medical College & Hospital, Agra, uttar 
Pradesh.

Ayurveda

In this present era, the human life style has been drastically changed. He has to use his eyes extensively, 
for thorough study of various objects or close inspection of minute objects, reading, writing, heavy 

computer work, Internet surng continuous reading, watching T.V.,continuous driving on bike with working in industries, hot 
areas, tropical areas, eyes opened exposed to pollutants, late night duties like watchman etc. Especially, young have to work 
hard, in doing study and other activities and various poisonous gases are excreted by the vehicles, industries also air pollution 
is dominating. Directly or indirectly they are harmful to eyes.
Considering the situation and the subject I have selected a universal problem of the eye that has been affecting a large number 
of people around the world called as Dry Eye Syndrome having a resemblance with a disease called as Shushkakshipaak.
Sushrutacharya had described Sushkakshipaak as 
The disease in which the eye lids become dry and hard and remain always closed, the vision becomes cloudy and hazy eyelids 
is called the Sushkakshipaak.
According to Acharya Vagbhat 
Vata and Pitta dosha predominance is described by Vagbhat also the symptoms are more severe as compared to Sushruta like 
different types of pain and burning sensation, following dryness of eyes, foreign body sensation etc.
To explain the effect of yashtimadhu aachyotan on Sushkakshipaak we need to take consideration of  rasa, veerya, vipak, 
guna and doshaghnata of yashtimadhu that is madhur & Snigdha it is pittaghna and being guru snigdha and madhur it is 
vataghna however it is kaphakar. It is exactly opposite to shushakashipaak dosha.

ABSTRACT

KEYWORDS : Shushakashipaak, Yasshtimadhu, Aachyotan

VOLUME-8, ISSUE-11, NOVEMBER-2019 • PRINT ISSN No. 2277 - 8160 • DOI : 10.36106/gjra

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Yasshtimadhu aachyotan -

RESULT
Ÿ 21 males and 9 females patient were taken for the study.
Ÿ It was found that maximum patients were found in the age 

group of 21 to 30 yrs. (16 patients.)
Ÿ It was highlights that maximum patients who suffered 

belong to service class were as few patient belong to the 
student category as per the observation.

Ÿ So it can be said that the people in service class have 
grater chances of suffering from the diseases.

Ÿ Symptom of Rukshata, Netradaha, Avil Darshana, Darun 
 Pratibodhan, Aaraktata are recovers in 14day.

Ÿ The data shows in table, suggests that highly signicant 
efcacy for the TFBUT test.

DISCUSSION
Now on considering the various stastical data available 
through the patients that we have conducted the trial. we have 
found following things,

Data analysis-

Age 
It was found that the mean age of patients were 27 yrs.

This may also indicate that the people of such age have 
verities of exposures to the causative factors as mentioned in 
the text.

Sex
It was found that males have more afnity towards this 
diseases as compared to female in early age as they are more 
exposed to the stimulating factors like environmental 
pollution, excessive computer usage

Occupation
It was clearly found that the persons in the services class are 
more affected as compared to the house wife's, Followed by 
the student category have been also predominantly affected 
by the disease. Because of services class have continuously 
out door work or computer users. 

Coming to the statistical part based on the signs and 
symptoms.

Rukshata (Dryness)
On considering the symptom of Rukshata, it was found that,
In trial group, symptom of Rukshata is found in 29 patient 
(96.66%).After treatment the symptom of Rukshata reduced 
totally in 27 patient (90.00%) and 2 patient (6.66%) had mild 
form of Rukshata.

And statistically Yashtimadhu aaschotan were highly 
signicant

This is due to madhur rasa, madhur vipaak, snigdha guna 
and Chakshushya property of Yashtimadhu.

Netradaha (Burning Sensation)
On considering the symptom of Netradaha of the eye it was 
found that,

The symptom of Netradaha is found in 30 patient (100%). After 
treatment the symptom of Netradaha reduced totally in 25 
patient (83.33%) and 5 patient (16.66%) had mild form of 
Netradaha. 

This is due to madhur rasa, madhur vipaak, sheeta veerya & 
Dahashamak property of Yashtimadhu to reduced the 
Netradaha. 

Avil Darshana (Blurring of Vision)
It has been found that the symptom of Avil Darshana,

The symptom of Avil Darshana is found in 20 patient (66.66%). 
After treatment the symptom of Avil Darshana reduced totally 
in 19 patient (63.33%) and 1 patient (3.33%) had mild form of 
Avil Darshana.

This is due to Madhur rasa, Rasayan & Balya property of 
Yashtimadhu, the symptom Avil Darshana is reduced.

Darun Pratibodhan (Unable to open & close eye with ease)
On considering the symptom of Darun Pratibodhan it was 
found that,

The symptom of Darun Pratibodhan is found 13 patient 
(43.33%). After treatment the symptom of Darun Pratibodhan 
is reduced totally in 13 patient (43.33%) i.e. all patients are get 
relief of Darun Pratibodhan.

As Yashtimadhu which have shoshahara, vranapaha, 
kandugna property and Snigddha, sheetal  guna they must 
be controlling this symptom which are able to heal the surface 
and bring smoothness.

Aaraktata (Redness)
On considering the symptom of Aaraktata of the eye  it was 
found that,

The symptom of Aaraktata is found in 29 patient (96.66%). 
After treatment the symptom of Aaraktata reduced totally in 11 
patient (36.66%) and 18 patient (60.00%) had mild form of 
Aaraktata.

The shita veerya and pittashamak property of Yashtimadhu 
had reduced the symptom of Aaraktata.

Tear im break up time 
 In TFBUT test It was found that,

19 patients had TFBUT between 7 to 8 sec, 11 patients had 
9sec. while after treatment all patient shows TFBUT between 
normal range. 

So it is well understood that normal range of TFBUT test 
i.e.>10sec. the improvement is Satisfactory. 

Samprapti  and its Vighatana:-
Shushkakshipaak -Dosha – Here Vata is dominant and there 
is anubandha of  Pitta and rakta. For the vighatana of above 
Samprapti, Yashtimadhu aashchotan  is used which have the 

Following   Properties--
1) – Snigdha – A snigdha guna of the Yashtimadhu is Guna 

VOLUME-8, ISSUE-11, NOVEMBER-2019 • PRINT ISSN No. 2277 - 8160 • DOI : 10.36106/gjra

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opposite to ruksha and is vatashamak. 
Hence, it reduces symptom of Rukshata (Dryness).

2) Madhur– Madhur rasa of yashtimadhu, helps in Rasa- 
vatashamana as well as pittashaman. along with 
snigdha of madhur ras is also pitta and vatashamak.

Hence, it reduces symptom of Rukshata (Dryness), Netradaha 
(Burning Sensation) & Avil Darshana (Blurring of Vision).

3)  Sheeta- Yashtimadhu is sheet in virya, which Veerya-
again is pittaghna.So it works as Dahashamak , 
Raktaprasadan. i.e. it reduces Netradaha (Burning 
Sensation) & Aaraktata (Redness).

4) – Madhur- Yashtimadhu is madhur rasatmaka & Vipaka 
the vipaka is  also madhur which is also vatapittashamak. 

Hence, it reduces symptom of Rukshata (Dryness), Netradaha 
(Burning Sensation) & Avil Darshana (Blurring of Vision).

5)  From all  the above points the Doshaghnata -
Yashtimadhu dravyas are vatapittaghna in nature.

6)  : Chakshushya : The chakshushya prabhava of Prabhav
jeevaniya gana is well  known. So taking into 
consideration all the rasa, virya, vipaka, guna and 
prabhav of the ingredients of Yashtimadhu eye drops, the 
principle effect is mainly Vatapitta shamak and because 
of these properties vitiated Vata and Pitta are pacied. 
Besides this prabhava of Jeevaniya gana is chakshushya 
which is again useful for well being of eyes and benecial 
in many eye diseases for samprapti vighatana of 
Shushkakshipaak. 

7) From the all the above discussion it becomes clear that the 
treatment is very much effective in Samprapti Vighatana 
of Shushkakshipaak.

 
CONCLUSION
The aim of our study is to evaluate the effect of Yashtimadhu 
eye drop in Shushkakshipaak.

The results are based in the relief of various symptoms, 
increase in Tear lm break up time test readings and the data 
is collected in Standard Performa. Both the statistical analysis 
and percentage of relief is calculated and presented in the 
chapter of observation and following conclusion is presented 
on this basis. 
Ÿ The clinical features of Shushkakshipaak are closely 

related to Dry eye syndrome.
Ÿ Both the treatment groups i.e. Yashtimadhu eye drop and 

Moisol eye drop are equally effective during the period of 
treatment and statistically both are signicant. Except in 
Aaraktata (Redness) symptom the control group is more 
signicant than the trial group.

Ÿ Yashtimadhu eye drop is benecial as its marked relief 
over symptoms and the ingredients of this preparation are 
easily available.

Ÿ In treatment, Patients had given tips to avoid causes of 
Shushkakshipaak is very effective. E.g.- Regular blinking 
of eye, Avoid direct exposure to air conditioners, coolers, 
hot air, Avoid contact lenses, Avoid  kajal, Avoid rubbing of  
eye , etc.

Ÿ Yashtimadhu eye drop can be considered as a good 
alternative treatment in Dry Eye Syndrome.

Ÿ So, considering the results of the study, the use of 
Yashtimadhu eye drop can be recommended as 
lubricating Eye drops.

Ÿ Yashtimadhu eye drop has no adverse reaction observed 
during the treatment.

Ÿ In future, this work may be valuable clue and required in 
this direction with large sample size and larger duration of 
follow up days to establish the effect of Yashtimadhu eye 

drop in Shushkakshipaak.

REFERENCE
th

1. CharakSamhita  :Agnivesh Edited by  brahmanand Tripathi, 4  Edn., 
chauckambha Sanskrit Series, varanasi, 1996.

2. Dravya Guna vigyana : A c h a r y a  P r i y a v a t  s h a r m a ,  P u b l i s h e d  b y 
Chaukhambha Bharti Academy, Varanasi.

th3. Handbook of Ophthalmology :4  Ed”, B.M. chatterjee Edn by Prof. J.S. Roy, 
CBS, Publishers & Distributor Sahadara, Delhi 110032.

4. Sushruta Samhita :Sushrut, indited by K-avira  Dr. Ambikadatta shastri, IIth  
Edn.1997, Choukhamba

 Sanskrit sansthan,Varanasi-221001.

VOLUME-8, ISSUE-11, NOVEMBER-2019 • PRINT ISSN No. 2277 - 8160 • DOI : 10.36106/gjra

74 X GJRA - GLOBAL JOURNAL FOR RESEARCH ANALYSIS