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.pdf
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https://doi.org/10.31032/IJBPAS/2026/15.4.10088