Effect of Snehadahana in the Management of Kadara - A Case Report

Kadara is a Kshudra Roga, first mentioned by Acharya Sushruta. It is a condition which causes extreme pain and discomfort to the affected person. Kadara may be correlated to Corn based on the causative factors, site of the swelling, clinical and other features. The incidence of corn in India is more than 10 million cases per year. The treatment modalities available at present in the modern science are the usage of corn caps, salicylic acid paints, cryotherapy and surgical excision. All theses modalities are associated with a high rate of recurrence. Snehadahana is mentioned as the line of management in Kadara after Utkarthana by all the Acharyas. Acharya Bhoja specifically mentions Tila Thaila as the Sneha dravya to be used for Agnikarma. In the present study, a 53 year old female patient, who visited the OPD of Sri Jayendra Saraswathi Ayurveda College and Hospital with a case of Kadara, was selected for Snehadahana. Chedana was done prior to Snehadahana. The procedure was carried out as 4 sittings, once a week, for a period of 4 weeks. Two follow ups were done at an interval of 14 days, after the fourth sitting of Snehadahana. There was complete healing of the wound and no recurrence seen until the follow up period.

Effect of Agnikarma in Perianal Subcutaneous Fistula- A Case Report

Fistula-in-ano is a debilitating disease affecting anorectal region. It is an abnormal tract lined with fibrous tissue and unhealthy granulation tissue. It usually begins from a perianal abscess caused by cryptoglandular infection. The abscess burst spontaneously and forms fistula-in-ano. It may also seen in association with other diseases like Crohn’s disease, lymphogranuloma venereum, actinomycosis, malignancy and TB. It is distressing to the patient and the surgeon due to its recurrent nature and the complications like postoperative incontinence. The disease can be classified as low anal and high anal fistulae on the basis of its internal opening. Perianal subcutaneous fistula is included under low anal fistula. Generally, the modern treatment measures for fistula-in-ano include fistulectomy, fistulotomy, advancement flaps, fistula clip closure, LIFT technique, VAAFT procedure, anal fistula plug repair, fibrin glue and seton technique. The prime aim of the treatment is to eradicate the tract and drain the site of infection while preserving anal continence. In Ayurveda, Fistula-in-ano can be correlated with Bhagandara on the basis of signs and symptoms. Since it is difficult to treat, Acharya Susruta considered it as one among Ashtamahagada. He described the treatment as Shastra Karma, Kshara Karma, Agni Karma. In the present case study, a 35-year old male patient visited the OPD with perianal subcutaneous fistula was selected for Agnikarma after fistulotomy to reduce the treatment period and to improve the quality of living. Daily dressing was done with Jathyadi ghrta and the patient was cured within 21 days of intervention. The follow up was done for next 3 months and no complications were noted.

Effect of Agnikarma with Tapta Guda in Carpal Tunnel Syndrome- A Case Study

Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy of upper extremity. It affects approximately 3% of the general adult population in the world. Women are three times more likely to have CTS than men. In conventional system, medications such as corticosteroids, Non-Steroidal anti-inflammatory drugs, etc., are used in management of carpal tunnel syndrome. Surgical decompression of carpal tunnel is the main stay of treatment for CTS. The structures involved in carpal tunnel is mainly the tendons, ligaments and nerves which can closely related with Snayu, thus Carpal tunnel syndrome can be correlated with Snayugata vata affecting Manibandhasandhi. Dahanopkarana used for Vatavyadi affecting Snayu, Sandhi, Asthi are Kshaudra, Guda, Sneha. Agnikarma with Snigdha dravyas have more penetrating capacity than Rooksha dravyas like Shalaka. So, Taptaguda is taken in the present study to assess the effect of Agnikarma in carpal tunnel syndrome. Here the patient was treated with Agnikarma using Taptaguda over the most painful and tender points. Assessments were done before treatment, after treatment, 7th day, 15th day and 30th day. The result showed Agnikarma with Taptha guda was effective in treating Carpal tunnel syndrome

A Review on Kadara and its Multi Modal Treatment Approach with specific reference to Agnikarma

Mankind suffers from a lot of conditions which, on the outlook seem very trivial in comparison to the actual suffering arising out of the condition. Kadara is one such condition, which comes under the umbrella of Kshudra rogas. It is a condition with a simple pathology but causing intense suffering to the patient. Kadara can be correlated to Helomas or foot corns. Foot corns have a simple etiopatholgy but most often, difficult to attain a complete cure. Various treatment modalities available presently for the management of corn include the use of salicylic acid paints, cryosurgery, surgical removal of corn, etc. Recurrence is a common issue in almost all the said modalities. Agnikarma is the classical line of treatment mentioned for Kadara. The present article is a review of the available research works in Ayurveda, taken up in the management of Kadara. Majority of the works available have taken Agnikarma (thermal cauterisation) using various Upakaranas (materials) for treatment, with few other works having other modalities like Lepana (paste application), Chedana (excision) & Kshara karma (application of alkali).

A Review on Agnikarma- A Boon for Pain Management and its Probable Mode of Action

Pain has always been a distressing feeling or the unpleasant sensory and emotional experience. A pain free life is longing of everyone and this is the biggest challenge for the medical science practitioners nowadays as how to provide efficient pain management. In modern medicine we have variety of pain-relieving medications that works brilliantly for short period of time and when used for longer duration they come up with various side effects. So there is a need to find a way to relieve pain without much suffering to the patient and Agnikarma is one of the sound ways to do so. It is therapeutic burning with special tools on specific sites according to the disease. It is a parasurgical procedure that is utilized as curative procedure, or as postoperative procedure or in hemostatic manner. Agnikarma is derived from Ayurveda, a renowned Indian system of medicine, which is procedure used generally for the management of pain and also for curing various disorders. In Ayurveda Vata Dosha is responsible mainly for various types of Ruja or pain in the body and Agnikarma is one of the best method to pacifying Vata and Kapha Dosha and hence relieves pain. Acharya Sushruta, a renowned Vedic Indian surgeon has very well explained the eminence of Agnikarma by saying that the recurrence of disease will not be there if once they are treated with Agnikarma. He in his text mentioned various Dravyas according to the diseases through which Agnikarma can be performed. Also several Dahanaupkarana are mentioned in the classics that provide practitioner abundant methods to perform Agnikarma without much limitations

Conceptual And Applied Aspect Of Agnikarma In The Purview Of Cauterization

In Ayurveda, Shalyatantra is one of the eminent branches based on six major methods of management among which Agnikarma is boon for local Vata and Kaphaja Vyadhi. Its effect can be assessed as Sthanik Karma (local action), Saarvadaihik Karma (Action throughout the body) and Vishista Karma (Special actions). Based on amount of Agni needed, the condition and site of disease, Dahanupakarana are used to produce therapeutic burns during Agnikarma Chikitsa. It can be classified according to Dravya used, site, disease, Akritiand Dhatu to be cauterized. Based on the Dagdha (Burn), it is again of four type viz. scorched burn, blistered burn, superficial burn and deep burn. Its indication is in all seasons except in summer and autumn. Indications and contraindications are well expounded in classics with detail information on Purva Karma, Pradhana Karma and Paschat Karma during Agnikarma as it is superior to every other procedure used in Ayurveda Surgery. In modern medicine, there is no use of therapeutical burn i.e., Samyak Dagdha Chikitsa but its use is in other form eg., Cauterization is used for coagulation and tissue destruction. Agnikarma is considered as the best therapy to pacify Kaphanubandha Vata Dosha because Agni possesses Ushna, Tikshna, Sukshma, Aashukari Gunas, which have anti Vataja and anti Kaphaja properties. It is done by red hot Shalaka. It gives quick relief to the patient and hence is termed as best therapy.

A Comparative Study On Agnikarma And Indigenous Drugs In The Management Of Janu Sandhigata Vata W.s.r. To Osteoarthritis Of Knee Joint

Sandhigatavata is the most common joint disorder worldwide. Sandhigatavata is a Vatavyadhi affecting people in the Vardhakyaavastha. The disease is characterized by Dhatukshaya and Lakshanas reflective of vitiated Vata. Therefore, the agents / therapies which are Vatahara, Shoolahara and Stambhahara properties should be advised in this disease. The study is focused on rectification of vitiated Vayu by Agnikarma and internal medication which helps to subside the Rooksha and Sheetaguna of Vata. Objectives: The study is aimed to evaluate the efficacy of Indigenous drugs (Indravaruni, Pippaali with Jaggery) in the management of Janusandhigatavata and to compare the effects of Agnikarma and Indigenous drugs in management of Janusandhigatavata. Method: The present study is ‘Comparative clinical trial’. Study was done in two groups. In this study, Agnikarma received group of patients were compared with orally treated group of patients. Result: Comparatively both the groups have almost same significance in the parameters. In terms of two parameters especially in pain and range of movements, Agnikarma treated patients showed very good result. Interpretation: On the basis of the results of both the groups it was observed that, both the groups have almost same significance in the parameters. But Group-B shows more net mean effect and long lasting effect even in follow-up period. With respect to the parameters in pain and in range of movements, Agnikarma treated patients showed very good response. Conclusion: Agnikarma was found very effective in the management of Janusandhigatavata.

Carmakila: An effective management by kshara karma.

Epidermal nevi are hamartomas that are characterized by hyperplasia of epidermis and adnexal structures. These nevi may be classifi ed into a number of distinct variants, which are based on clinical morphology, extent of involvement, and the predominant epidermal structure in the lesion. Variants include verrucous epidermal nevus, nevus sebaceous, nevus comedonicus, eccrine nevus, apocrine nevus, Becker’s nevus, and white sponge nevus. A 22-year-old girl approached us with complaints of blackish-colored hard growth, increasing in size over the right post-auricular region since 5 years. Ksharakarma is a procedure that involves the most important surgical, para-surgical, and critical-care procedures like incision, excision, scraping, and hemostatic locally (pratisaraneeya) and generally (panneya). Pratisaraneeya kshara is prepared with herbo-mineral medicines having an average pH of 13, possessing penetrating, corrosive, scraping, and healing properties, and are evidently indicated for external application in charmakīla. For the present case, kshara karma was preferred for application as the lesion was bigger in size and the results were appreciable clinically.

Management of tennis elbow by Agnikarma.

Tennis elbow is a painful condition and causes restricted movement of forearm which requires treatment for long period. Till date only symptomatic treatments are available like use of anti-infl ammatory analgesic drugs, steroids injection, physiotherapy, exercise etc. But none of these provide satisfactory result. Long term use of anti-infl ammatory, analgesic drugs and steroids injection is also not free from the adverse effects. Usually, 'wait-and-see policy' of treatment guideline is recommended in most of medical texts. According to Ayurveda, snayugata vata can be correlated with the condition of tennis elbow. Sushruta has advised Agnikarma for disorders of snayu (ligaments and tendons), asthi (bone), siddhi (joints) etc. Hence, in this study a case of tennis elbow (snayugata vata) was treated by Agnikarma, along with administration of powder of Ashwagandha and Navajivana Rasa orally, for a period of 03 weeks. This combination therapy provided considerable relief in pain and movement of the elbow joint.