Chalazion is caused by inflammation of the meibomian gland, usually on the upper eyelid, also known as Meibomian cyst. In Ayurveda it can corelated to Utsangini. Utsangini is one of the Vartmagata roga and Tridhoshaja sadhya Vyadhi. Where the symptoms include Abhyantharamukhi, Bahyautsanga, Mandhavedana in Netra, Kathina (presence of hard cyst), Sravethsravam like kukkudaandarasam (discharges fluid resembling egg yolk) after suppuration and pitaka is red in colour. It called as Utsang pidika. Acharya Vagabhatta mentioned that Utsangini is a Raktaja, Tulya pitikachita. In Utsangini chikitsa, Acharya Vagbhatta explained Bhedana, Nishpdan, Lekhana, Pratisaran, Parisheka. Acharya Sushruta mentioned three types of the treatment for Utsangini are Chedana, Bhedana and Sodhana which is depends upon size and chronicity of the Pidika. Shodhan karma is necessary for permanent cure to the diseases. Raktamokshana is the best procedure of Shodhana karma, which is indicated for Dushitarakta by the method of Jaloukaavacharana (removing vitiated blood by using Jalauka/leech) and Pitta Raktha Shamaka. which is the most easier and convenient method. The present case has been treated with leech therapy, where leech was applied upon the upper eyelid. Remarkable results were observed in improvement in all signs and symptoms of the disease. It proposes a good and cost-effective approach to treat Utsangini with Raktamokashan.
*1Dr. Shirisha J. 2Dr. Rathi S. (Wed,) studied this question.