A Clinical Consensus study for developing the practice guidelines and Standardization of Bidalaka with a Feasibility study in Abhisyanda

Netra Kriyakalpa is a topical therapeutics performed in Ayurvedic ophthalmology. It involves a specific procedure using a prescribed formulation for proper application to the (retention of medicated ghee), Putapaka (retention of extracts of medicinal plants), Seka (medicated solution poured as stream), Aschyotana (eye drops), Anjana (ointments), Pi and adnexa). Ayurveda certainly recommends a number of methodological guidelines that are specifically designed in accordance with the stage, site and severity of the disease in optimum outcome. The Ocular therapeutics such as bidalaka mentioned in Ayurveda Samhita’s differs in factors such as dosage form, consistency of medicine the administration, safety instructions, quality indicators, and therapeutic benefit evaluation. Standardization is required to ensure uniformity in the quality and integrity of the proceed critical guidelines for kriyakalpa procedures like bidalaka in terms of dosage form, temperature, time, height, quality, and feasibility in order to promote consistent.

This study is done in 2 stages,

Stage 1 is Clinical consensus study to to develop standard operative procedure and practice guidelines for Bidalaka kriyakalpa procedure using the RAND/UCLA Appr recognized technique used to assess the appropriateness of medical and surgical interventions. It involves gathering expert opinions through a structured process to evaluate the treatments. The method involves a panel of experts who independently review and rate the appropriateness of specific medical procedures. Their opinions are then aggregated and of those interventions. This information can be used to develop standardized practice guidelines, improve healthcare quality, and inform decision-making in clinical settings. I “Modified Delphi” process. This method is a structured communication technique that involves a group of experts providing feedback in a series of rounds, with the goal of re usually involves iterative rounds of feedback and may include face-to-face interactions. The two-Round Rating Process includes, in the first round, panellists individually rate the interaction among panellists during this phase. and in the second round, panel members come together for 1-2 days under the guidance of a moderator experienced in using discussions and further clarification. Stage 2 is the Feasibility study where Feasibility of Bidalaka  procedure with standardized dose, duration and procedure at OPD level, RARIM & MMR is  done with the objective to assess the feasibility and acceptability of the standardized procedure of Bidalaka in Abhisyanda