Utsangini, Vartma Sharkara Eye Disorders – Symptoms, Treatment

By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Utsangini is one of the diseases of the eyelids (netra vartma gata roga).  

Utsangini pathology, classification

Utsangini, definition, meaning, pathogenesis
Utsanga means core. Since this disease happens in core of the eyelid, the lower eyelid to be precise, it is called Utsangini, that which occurs in or occurs from the core of eyelid.
Read – Eye Diseases Causes, Pathogenesis, Symptoms, Treatment, Herbs

According to master Sushruta, ‘Utsangini is a boil or elevated swelling which occurs in the core of lower eyelid. Swelling appears to be outside of the eyelid, but the boil opens inwards’. These swellings may be single or multiple, but they essentially occur over the lower eyelid.
Read – Classification of Eye Diseases As Per Ayurveda

Classification
Based on the location
Utsangini is a Vartmagata Roga i.e. disease occurring in the eyelids.
Based on Predominant Dosha
Utsangini is a Tridoshaja Netra Roga i.e. it is caused by simultaneous vitiation of all three doshas.
Based on Sadhya Asadhyata (prognosis)
Utsangini is a Sadhya roga (curable disease)
Based on predominant treatment / surgical process used in combating the disease
Utsangini is a Lekhana Sadhya / Lekhya Netra Roga i.e. curable by scraping method of intervention.
Read – Triphala Home Remedy For Eye Care

Videha explanation, Sanskrit verse

Master Videha’s explanation of Utsangini
Utsangini is a disorder of eye in which a swelling occurs in the core of the lower eyelid, due to the simultaneous vitiation of all three doshas. Swelling is big in size and is seen from outside but it opens inwards. It is also called as Utsanga Pidika.

It is hard in texture and on touch and is associated with mild pain. It may be single or multiple. When this boil breaks open or is opened by any method, discharges’ resembling the liquid portion of the egg flows out of it.
Read – Tarpana Putapaka – Ayurveda Eye Care – Ashtanga Hrudaya Sutrasthana 24

Utsangini symptoms, treatment

Signs and Symptoms of Utsangini eye disorder
Adho vartmanah pidika –
Boil / elevated swelling on the lower eyelid, one or many in number
Read – Anatomy of Eye: Netra Rachana: Ayurveda Perspective

Features of the boil / swelling –

• Bahyatah cha api drushyate – seen from outside
• Sthula – big, swollen outwards
• Abhyantara Mukhi – opens inwards
• Kathina – hard on touch
• Manda Vedana – associated with mild pain
• Prabhinnaa sravet kukkuta andopamam rasam – on breaking open, we can see discharges resembling the liquid portion of the egg flowing out from them
  Read – Netra Sandhigata Rogas – Disorders Affecting The Junctions Of The Eye

Modern correlation
Utsangini can be correlated to Chalazion (read more)
Read – Ayurveda Eye Treatment Types, Methods – Ashtanga Hrudaya Sutrasthana 23

Treatment of Utsangini Eye Disorder
Utsangini is a lekhana sadhya vyadhi. It is one of the eye diseases which can be cured by scraping therapy.

Vartma Sharkara classification, Sanskrit

Vartmasharkara Eye Disorder – Definition Meaning, Symptoms, Treatment

Vartmasharkara is one of the diseases of eyelids (netra vartma gata roga)  
Vartmasharkara = vartma + sharkara = lids + sugar (like granules) = is a condition (disorder of eyelids) in which sugar like granules are formed inside of the eyelids
Read – Eye Diseases Causes, Pathogenesis, Symptoms, Treatment, Herbs

Classification
Based on the location – Vartmasharkara is a Vartmagata Roga (disease occurring in the eyelids).
Based on Predominant Dosha – Vartmasharkara is a Tridoshaja Netra Roga i.e. it is caused by simultaneous vitiation of all three doshas.
Based on Sadhya Asadhyata (prognosis) – Vartmasharkara is a Sadhya roga (curable disease)
Based on predominant treatment / surgical process – Vartmasharkara eye disorder is a Lekhana Sadhya / Lekhya Netra Roga (curable by administration of scraping treatment).
Read – Classification of Eye Diseases As Per Ayurveda

Vartmasharkara, definition, meaning, pathogenesis

Vartmasharkara is an eye disorder and occurs in the eyelids. In this condition, a rough and large lump / boil occurs in the eyelid around which many small and hard lumps are formed and spread out. Sharkara means sugar granules. Here, it appears as if the vartma i.e. eyelid is totally covered by sugar granules and hence the name vartmasharkara.

This condition is caused due to simultaneous vitiation of all three doshas. Vartmasharkara is said to be a curable disease.
Read – Computer Vision Syndrome: Causes, Ayurvedic Remedies, Tips

Vartmasarkara – Videha

Explanation of Vartmasharkara by master Videha –
Master Videha too follows the same explanation as was given by Master Sushruta and defines vartmasharkara as described below –

A big lump / boil surrounded by small multiple lumps, formed due to simultaneous vitiation of all three doshas is called vartmasharkara.
Read – Blepharitis: Inflamed Eyelids Ayurvedic Treatment, Remedies

Signs and Symptoms of Vartmasharkara eye disorder
Khara sthula pidaka – a big rough boil / lump is formed in the eyelid (inner side of the eyelid)
Sukshmabhih ghanabhih pidakaabhih samvrutaa – the big and rough boil / lump formed on the inside of the eyelid is surrounded by many small and hard lumps extensively giving the appearance of sugar granules spread out on the interior of the eyelids
Read – Watery Eyes: Causes, Ayurvedic Treatment, Remedies

Nature of lesions –

• One large lump surrounded by many small and hard lumps on the interior of the eyelids
  Read – Tested Remedies For Eye, Ear, Nose, Throat Problems: Ramdas Pai

Modern correlation
Vartmasharkara can be closely correlated with Granular Form of Trachoma formed in the eyelids. (read more)

Treatment of Vartmasharkara
As already said, Vartmasharkara is a lekhana sadhya vyadhi. It is one of the eye diseases which can be cured by scraping method.
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