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Introduction- Blepharospasm, a focal dystonia characterized by involuntary, repetitive contraction of the eyelid muscles, significantly impacts quality of life and may be correlated with the Ayurvedic condition Nimesh, classified under Vata Vyadhi. Though Nimesh is considered Asadhya (incurable) in classical Ayurvedic texts, symptomatic management and quality-of-life improvement are possible through a holistic Ayurvedic approach targeting dosha imbalance, particularly Vata. Materials & Methods- A diagnosed case of blepharospasm was evaluated and treated following classical Ayurvedic protocols. Results- The patient demonstrated significant symptomatic improvement. There was a notable reduction in the frequency and intensity of eyelid spasms. No adverse effects were observed. Discussion- The therapeutic interventions helped pacify vitiated Vata and strengthened ocular structures, and promoted tear film regeneration.

KEYWORDS: Blepharospasm, Nimesh, Vata Vyadhi, Ayurvedic treatment, Dosha imbalance.