Integrated treatment approach in the management of Kumbhika (Chalazia) in Pediatric: A Case Report

Background: Kumbhika is vartmagata roga characterized by cystic swelling at the tarsal plate of the lid which bursts out by its own and refills again. It can be correlated to chalazion cyst in allied health system. This case is unique because in pediatric age group performing lekhana and jaloukavacharan is challenging and incorporating these modalities with integration of modern medicine fasten the recovery along with no recurrence in such chronic and recurrent cases .Clinical findings: A 6years old female child was complaining of swelling of bilateral lower lid more than upper lid for last 2years . Swelling was insidious on onset with progressive nature initially associated with mild pain and itching. Child was consulted ophthalmologist and undergone topical treatment but did not observe any improvement. The swelling was said to be progressive along with new cystic swelling formation at the lid. Intervention: Lekhana karma with topical anesthesia and under sedation to open the cyst. Jalaokavacharana help to evacuate the deep seated local doshas including internal medication (Tab Kanchanar guggulu, Syp Shodhak). Outcome-The swelling was reduced completely without cystic swelling formation at tarsal palte of lid with ayurvedic surgical and parasurgical intervention and inertnal medication for 1 month. Conclusion: A pediatric case of Kumbhika was successfully managed with integration of modern medicine for Lekhana procedure and jaloukavacharana.