Putapaka is one among the netra kriya kalpas, in this Swarasa is pooled around the eyeballs for a specific duration with the help of a  black gram frame firmly fixed around the eyes . During this procedure thepatient is asked to blink eyes gently .

• Ref General Requirements SOP
• JeevaniyaGana
• Shatavari (raw)
• Jeevakam (raw)
• Ajamamsam
• Eranda Leaves
• Mud
• Gokarna
• Black gram powder
• Water
• YavapishtiSweda
• Dhoomavarti
• Dhoomanetra
• Malathi flowers
• Cotton Swab
• Gauze pad
• Bowls
• Kidney tray
• Towel
• Hot waterbath

Manpower

• Therapist-1
• Physician-1

Preparation of tray

• Take a clean tray.
• Put towel, svarasa in bowl, dhoomanetra, dhoomavarti, yavapishtipottali, malathi flowers, gauze pad, cotton balls

Preparation of patient

• Check vitals.
• Jeernaharalakshana assessed.
• Vegotsarga

• Ingredients are cleaned, cut into pieces and properly grinded to make a smooth paste.
• Paste is madeinto a ball like structure resembling a Bilwaphala.
• This should be wrapped in leaves of Eranda.
• It is tied properly with thread.
• Thenthis ball is smeared with mud or clay up to 2 inch thickness and dried.
• Once dried,it is put into fire of burning coal of dried cow dung.
• When it becomes red hot ,it is removed from fire.
• Remove the external coating and leaves around the ball
• The material inside is taken in a clean cloth and squeezed to obtain the swarasa.

Preparation of black gram frame

• Take 200 g of black gram powder in a bowl.
• To this about 100 ml of water is added.
• This mixture is kneaded well to form a uniform dough

• The patient is askedto lie in supine position.
• A circular wall is constructed with the prepared dough around the eyes.
• The height of the frame wall should be 2 inch.
• The framework should be devoid of any leakage.
• Temperature of the svarasa is checked by pouring it over the dorsum of hand.
• The patient is asked to close the eyes
• The lukewarm svarasais poured into both the eyes through the medial end one after the other using a gokarna.
• The svarasa should be filled up to the eye-lashes keeping the eyes closed ()
• The patient is instructed to slowly open and close both eyes while the svarasais pooled around the eyes.

• After the specific duration the ghee is removed by making a small hole at the lateral end of the frame wall.
• Once the ghee is drained out, the frame wall is removed completely.
• Hot fomentation is given around the eyes using yavapishtipinda dipped in warm water.
• Do not apply pressure during fomentation.
• Thereafter, prayogika dhumapana is administered accordingly.(Ref  Video and SOP of dhumapana)
• Later both eyes are bandaged with malathi flowers and kept overnight. 

• Glaucoma
• Cataract
• Dry eyes
• Conjunctivitis
• Blurred vision
• Watery eyes

• Inflammation
• Redness
• Fever
• Headache

• The framework for akshitarpana should be devoid of any leakage.
• Should be performed in the afternoon in optimal pressure conditions.
• Extreme hot or cold conditions should be avoided.
• Procedure should be done in a room devoid of dirt, smoke, breeze etc.
• The windows should be covered with blue or yellow coloured curtains.

Complications

• Cloudiness of vision
• Sense of heaviness in the affected organ
• Excessive glossiness of eyes
• Lacrimation
• Itching
• Slimness

Management

Application of nasya, anjana, seka and dhumapana by adapting dry or unctuous measures.