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).

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.