MANAGING RECURRENT ANTERIOR NODULAR SCLERITIS (SIRAJPIDIKA): AYURVEDIC APPROACH TO MENSTRUAL CYCLE- LINKED ONSET SINCE MENARCHE - A CASE STUDY Authors: Agarwal R , BHAVIKA, SHARMA MK AND AGARWAL M
ABSTRACT
Scleritis is an uncommon scleral inflammation that can cause vision loss and connected with
life-threatening systemic disorders. Its prevalence is around 5.5%. In this case autoimmune
cause of scleritis, associated with menstrual disturbance. In order to properly treat a case of
scleritis, comprehensive history, in-depth ocular examination and multidisciplinary approach
to target variety of investigations to identify any underlying systemic disease is needed. The
cornerstone of short-term scleritis treatment is still corticosteroids. Sirajpidika is linked to
Nodular Scleritis in Ayurveda. The patient in this case study, a 40-year-old woman, had
recurrent anterior nodular scleritis, which manifested as pain, redness, and watering in both
eyes along with a burning and itching sensation aggravated during her menstruation. After
receiving an Ayurvedic diagnosis of Sirajpidika, the patient received treatment for three
months. Mridu Virechana was performed to eradicate systemic Doshas. Following a 15-daycourse of treatment, the discomfort and redness disappeared. After a month of treatment, the
symptoms subsided. This is one of the documented cases where Ayurvedic treatment alone
resulted in full recovery from the illness in three months. A case series has the potential to
enhance the quality of the case report and provide a fresh approach to treating difficult cases.
Keywords: Anterior Nodular Scleritis, Menstrual cycle, Ayurveda, Shalakya, Sirajpidika. Publication date: 01/04/2026 https://www.ijbpas.com/pdf/2026/April/MS_IJBPAS_2026_10088.pdfDownload PDFhttps://doi.org/10.31032/IJBPAS/2026/15.4.10088