STANDARD OPERATING PROCEDURES

ANJANAM

INTRODUCTION

Anjana is the procedure of applying medicated collyriumin lower eyelid using fingertip or by Anjana Shalaka

MATERIALS REQUIRED
  • Ref General Requirements SOP
  • Medicaments like Elaneer Kuzhambu or Anjana varti
  • Anjana shalaka – 1
  • Galanthika– 1
  • Cotton ear plugs- 2
  • Gauze pad – 4
  • Triphala Kashaya – 200 ml
  • Bowls –2
  • Kidney tray – 1
  • Vessel – 1
  • Towel – 1
PREPARATION

Preparation of tray

  • Take a clean tray.
  • Put medicine for anjana, anjanashalaka, triphala Kashaya in a bowl, towel, gauze pad, cotton ear plugs, galanthika.

Preparation of patient

  • Check vitals.
  • Jeernaharalakshana assessed.
  • Vegotsarga
PRADHANA KARMA
  • The patient is asked to sit comfortably in a chair.
  • The medicine is taken in a Shalakaor using the little finger by just dipping its tip in the medicine.
  • The physician with his left thumb retracts the lower eyelid of the patient.
  • The Anjana is applied using the right hand of the physician
  • Anjana is applied inside the lower eyelid of the patient starting from the inner angle of the eye and slowly moving to its  outer angle.
  • Thereafter the patient is asked to close the eyes and rotate the eyeball slowly.
  • The doshas dissolves and come out in the state of lacrimation.
  • Gently open the eyes once lacrimation stops.
  • Clear vision is ensured by looking into a vessel filled with water.
PASCHAT KARMA
  • Eye wash or kshalana is the paschath karma of Anjana
  • The patient is asked to lie in supine position with eyes open.
  • The filtered triphala Kashaya is poured into the eyes in a circular pattern using a Galanthika.
  • The Kashaya draining through the outer angle of eye is collected in to a kidney tray.
DURATION

20 – 30 minutes

INDICATIONS

Various types of Ophthalmic disorders

CONTRAINDICATIONS
  • Fever
  • Disorders of Head
  • Fatigue
  • Excessive lacrimation
  • Redness, swelling of eyes
  • Discharge from eyes
  • After alcohol consumption
  • Presence of anger, fear
  • After sodhana karma
PRECAUTIONS
  • Do not apply Anjana with painful manipulation.
  • Application of anjana should be unidirectional (inner angle to outer angle of eye).
COMPLICATIONS AND MANAGEMENT
  • Burning sensation of eyes even after kshalana: aschotana with seetadravya