AkshiTarpana is the procedure in which medicated ghee is pooled around the eyeballs for a specific duration.

• Ref General Requirements SOP 
• Prepared Black gram frame
• Medicated ghee
• Dhoomanetra
• Dhoomavarti
• Yavapishtipottali
• Malati flowers
• Gauze pad
• Cotton balls
• Water
• Water bath
• Spoon

Manpower

• Therapist-1
• Physician-1

Preparation of tray

• Take a clean tray.
• Put towel, ghee in bowl, Dhoomanetra, Dhoomavarti, yavapishtipottali, malathi flowers, gauze pad, cotton balls

Preparation of patient

• Check vitals.
• Jeernaharalakshana assessed.
• Vegotsarga

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.
• Medicated ghee should be made lukewarm in hot water bath.
• Temperature of the medicine is checked by pouring it over the dorsum of hand.
• The patient is asked to close the eyes
• The lukewarm medicated ghee is poured into both the eyes through the medial end one after the other using a gokarna.
• The ghee 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 ghee is 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 arebandaged with malathi flowers and kept overnight.

The duration of the procedure depends upon the involved dosha and disease 

• Dryness
• Conjunctivitis
• Glaucoma
• Blurred vision

• Anxiety
• Tiredness
• Giddiness
• Acute pain
• Inflammation
• Redness
• 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.

• 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.