Neembadi bidalaka in management of blepharitis (Krimigranthi): A case study

Eyelid diseases have been elaborately described under Vartma Roga in Ayurvedic literature, where Acharya Sushruta has mentioned 21 varieties. Blepharitis is a chronic inflammatory condition that shows inflammation of the eyelid margins
Clinically, it is categorized into anterior and posterior forms among which seborrheic blepharitis is a common subtype of anterior blepharitis. Patients often present with symptoms such as itching, redness, discharge, irritation, and crusting at lid margins.
Current treatment approaches modern mainly rely on topical antibiotics and corticosteroid preparations. Although these therapy measures provide symptomatic relief only, but it's prolonged use may be associated with recurrence and unwanted effects. Ayurveda offers several local therapeutic procedures for eye diseases, among which Bidalaka holds an important place in the management of eyelid disorders. The application of a medicated paste over the closed eyelids allows sustained local action and facilitates better therapeutic contact with the affected tissues.
Neem (Azadirachta indica) and Honey known for its anti-inflammatory, antimicrobial, anti-bacterial and healing properties, can be effectively utilized in Bidalaka therapy. Its pharmacological actions may help alleviate the cardinal features of blepharitis, including swelling, irritation, redness, itching, and scaling. Therefore, Neembadi Bidalaka may serve as a beneficial Ayurvedic intervention in the management of blepharitis and contribute to improving patient outcomes.