Conceptual Review on Savrana Shukra (~ Corneal Ulcer): A Comparative Study between Ayurvedic and Modern Ophthalmology

Authors

  • Pratibha Malav PG Scholar, Department of Shalakya Tantra, All India Institute of Ayurveda, New Delhi, India. Author
  • Ankur Tripathi Assistant Professor, Department of Shalakya Tantra, All India Institute of Ayurveda, New Delhi, India Author
  • Manjusha Rajagopala Professor, Department of Shalakya Tantra, All India Institute of Ayurveda, New Delhi, India. Author

Keywords:

Corneal Ulcer, Krishnagata Roga, Savrana Shukra

Abstract

Savrana Shukra is one among the Krishnamandalagata Rogas (~black portion of eye) described in Ayurvedic text, predominantly explained in Sushruta Samhita Uttara Tantra. The disease shows close resemblance with corneal ulcer described in modern ophthalmology because there are similarities in etiopathogenesis, symptomatology, prognosis, and management principles. It is a major cause of ocular morbidity and preventable blindness worldwide. Ayurveda considers Savrana Shukra as a Rakta-Pitta predominant disorder involving Krishna Mandala. The disease manifests with severe pain, redness, lacrimation, photophobia, and corneal opacity. Classical management includes Raktamokshana (~bloodletting), Virechana (~ therapeutic purgation), Seka (~hot fomentation), Anjana (~coryllium), and Vrana Ropana (~wound healing) therapies. This conceptual review critically analyzes Savrana Shukra in the light of contemporary understanding of corneal ulcer and highlights the importance of integrative approaches in preventing corneal ulcer.

References

1. Khurana AK. Comprehensive ophthalmology. 6th ed. New Delhi: New Age International Publishers; 2015. p. 23-4.

2. Munshi R, Raina D. Ayurvedic and modern management of corneal ulcer-a juxtapose review. Int J Creat Res Thoughts. 2021;9(10):c364-9.

3. Green M, Apel A, Stapleton F. Risk factors and causative organisms in microbial keratitis. Cornea. 2008;27(1):22-7.

4. Gopinathan U, Sharma S, Garg P, Rao GN. Review of epidemiological features, microbiological diagnosis and treatment outcome of microbial keratitis: Experience of over a decade. Indian J Ophthalmol. 2009;57(4):273-9.

5. O’Neill J. Tackling drug-resistant infections globally: Final report and recommendations. In: The review on antimicrobial resistance chaired by Jim O’Neill. New Delhi: APO; 2016. p. 1-81.

6. Sushruta. Sushruta samhita, uttara tantra, krishnagata roga vijnaniya adhyaya. Ver. 1., Ch. 5. National Institute of Indian Medical Heritage. Available from: https://www.com/esushruta [Last accessed on 2025 Sep 09].

7. Nair AS. Understanding Savrana Shukla in the light of corneal ulcer - a critical review. J Ayurveda Holist Med. 2017;5(3):77-81.

8. Sushruta. Sushruta samhita, uttara tantra, aupadravika adhyaya. Ver. 21-23., Ch. 1. National Institute of Indian Medical Heritage. Available from: https://www.com/esushruta [Last accessed on 2025 Dec 12].

9. Vagbhata. Vedotpatti - ashtanga hridaya. In: Ashtanga hridaya, uttara tantra. Ver. 22., Ch. 10. Available from: https://vedotpatti.in/samhita/ Vag/ehrudayam/?mod=read [Last accessed on 2025 Dec 12].

10. Sushruta. Sushruta samhita, uttara tantra, aupadravika adhyaya. In: eSushruta - National Institute of Indian Medical Heritage. Ver.

25-26., Ch. 1. Available from: https://www.com/esushruta [Last accessed on 2025 Jan 09].

11. Sushruta. Sushruta samhita, uttara tantra, aupadravika adhyaya. Ver. 21-23., Ch. 1. eSushruta - National Institute of Indian Medical Heritage. Available from: https://www.com/esushruta. [Last accessed on 2026 Jan 01].

12. Sushruta. Sushruta samhita, uttara tantra, krishnagata roga vijnaniya adhyaya. Ver. 1., Ch. 5. eSushruta - National Institute of Indian

Medical Heritage. Available from: https://www.com/esushruta [Last accessed on 2025 Sep 09].

13. Sushruta. Sushruta samhita, uttara tantra, raktabhishyanda pratishedhiya adhyaya. Ver. 28-29., Ch. 12. eSushruta - National Institute of Indian Medical Heritage. Available from: https://www. com/esushruta [Last accessed on 2025 Dec 05].

14. Sushruta. Sushruta samhita, uttara tantra, raktabhishyanda pratishedhiya adhyaya. Ver. 34-36., Ch. 12. eSushruta - National Institute of Indian Medical Heritage. Available from: https://www. com/esushruta [Last accessed on 2025 Dec 05].

15. Vagbhata. Ashtanga hridaya, uttara tantra. Ver. 29-30., Ch. 11. Vedotpatti - Ashtanga Hridaya. Available from: https://vedotpatti.in/ samhita/Vag/ehrudayam/?mod=read [Last accessed on 2025 Dec 05]

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Published

2026-06-09

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