AYURVEDIC MANAGEMENT OF ARMA (~PTERYGIUM): A REVIEW ARTICLE

Abstract

Arma is one of the important diseases described under Shuklagata Netraroga. It is characterised by an abnormal fleshy growth arising from the conjunctival region and gradually extending towards the Krishna Mandala (~cornea). Based on clinical presentation and progression, Arma is closely correlated with pterygium, a common ocular surface disorder characterised by a triangular fibrovascular growth extending onto the cornea. Environmental factors such as excessive exposure to ultraviolet radiation, dust, smoke, wind, and chronic ocular irritation are considered important etiological factors. Although surgical excision remains the primary treatment modality in modern ophthalmology, recurrence after surgery remains a significant challenge. Arma management approach involving Nidana Parivarjana, local ocular therapies, internal medications, Lekhana Karma, and Chedana Karma. Kriyakalpas such as Aschyotana, Anjana, Tarpana, Putapaka, and Seka are recommended based on the disease's stage and severity. Integrating Ayurvedic principles with modern ophthalmic care may offer a way to manage and prevent recurrence effectively.