Purvakarma
This is the preparatory stage where the body and mind are made ready for the main treatment.
First, an experienced Ayurvedic doctor examines the patient’s eye condition along with their overall health. Based on this assessment, the doctor decides the most suitable medicated ghee or oil and the duration of therapy.
Next, all materials are prepared. The medicated ghee, commonly Triphala Ghrita, is gently warmed to a lukewarm temperature. A soft but firm dough, usually made from black gram flour, is prepared to create a leak-proof boundary around the eyes.
The patient is then made to lie down comfortably in a clean, calm, and well-lit room. A gentle massage of the face and neck is done to relax the muscles, followed by mild steam to improve circulation. The patient is also advised to empty their bowels and bladder before the procedure for complete comfort.
Pradhanakarma
This is the core stage of Akshitarpan where the actual eye nourishment takes place.
The prepared dough is carefully shaped into a circular ring and placed around each eye, ensuring it fits securely and does not allow leakage. Once the seal is firm, the lukewarm medicated ghee is slowly poured into the ring. The eyes are completely immersed, and the ghee level is kept above the eyelashes.
During this time, the patient is asked to slowly open and close their eyes at intervals. This helps the medicated ghee reach all parts of the eye surface. The retention time depends on the condition being treated and the body constitution, usually ranging from ten to thirty minutes.
Paschatkarma
This final stage focuses on cleansing and protecting the eyes after treatment.
Once the required time is completed, the ghee is gently removed by creating a small opening in the dough ring near the outer corner of the eye. The area around the eyes is then cleaned softly using lukewarm water or herbal solutions.
To balance the Kapha that may increase due to the oily nature of ghee, supportive therapies like nasal drops or herbal fumigation may be advised. The patient is asked to rest and avoid bright lights, dust, wind, air conditioning, and screen exposure for some time. A light and easy-to-digest diet is also recommended to support healing.