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Agnikarma – Ayurvedic management of Pain and skin overgrowth

Agnikarma is a thermal para-surgical procedure, in which “AGNI” is used for intentional burning as therapeutic purpose. It is indicated for various Vata- Kapha disorders.

IMPORTANCE OF AGNIKARMA

  1. It is a highly potential procedure than the bheshaja, Shastra & ksharakarma.
  2. It is very effective to terminate the chance of recurrence of the disease.
  3. No infection.
  4. No secondary complication if done properly.

INDICATIONS

  1. Painful conditions of musculoskeletal disorders.
  2. Hard, elevated and desensitized vranas/ulcer.
  3. Granthi, Arsas, Bhagandara, Arbuda, Sleepada, Charmakeela and Antravridhi.
  4. Severe bleeding condition.

CONTRAINDICATIONS

  1. Pitta Prakruti
  2. Antah shonita (Internal bleeding)
  3. Bhinna koshtha (Ruptured viscera)
  4. Nuddhrita shalya (in presence of foreign body)
  5. Durbala (emaciated), Bala (children), Vriddha (old aged), Bheeru (coward), Aneka vrana peedita (with multiple wounds)

INFRASTRUCTURE FACILITIES

Manpower: A trained doctor and technician

Space and requirements: 1 small sized room (10x 10) with proper light. It can be done in OP level also. Chair or stool- 1, Examination table/ Droni- 1.

MATERIALS REQUIRED

  1. Shalaka
  2. Permanent Marker
  3. Gas stove, lighter
  4. Surgical spirit or Murivenna, Gloves
  5. Cotton gauze
  6. Haridra Churna (turmeric), Aloe vera pulp

PREOPERATIVE

  1. Educate the patient
  2. Obtain informed consent
  3. Ask the patient to satisfy natural urges
  4. Check vitals

PROCEDURE

  1. The patient should be allowed to be in a comfortable position, exposing the site of the problem.
  2. Keep Shalaka in the gas stove for heating.
  3. Wear surgical gloves.
  4. Clean the site with the surgical spirit or Murivenna.
  5. Mark the tenderest points with a marker.
  6. Ensure Shalaka to be red hot.
  7. Hold red hot Shalaka strongly in one hand and touch in the marked points for 2-3 seconds only (depends on the site and tenderness).

POST OPERATIVE

  1. Keep Shalaka in specified the place.
  2. Apply Aloe vera pulp over the Agnikarma site. Wait for a while and then apply Haridra churna with cotton over there.

MODE OF ACTION

Agnikarma (ushnaguna) >> Utkleshnam to dhathu >> Activates dhatwagni >> Digest Aama and achieve niramavastha >> Pacifies Vata & Kapha

  • Agnikarma produces a coagulative necrosis on the surface layers of skin which causes self-healing. There is no need of post-procedural medication locally or orally.

EFFECTS OF AGNIKARMA

  • Increases metabolism
  • Increases blood circulation
  • Decreases pain
  • Exciting/stimulating nerves
  • Relaxation to muscles
  • Decreases infection
  • Decreases joint stiffness and inflammation.

APPLICATION & DURATION

  • It depends up on site & disease
  • Usually 2 to 5 seconds & more than 5 seconds in corn, callosity etc.

Effect of Agnikarma on mamsa dhatu will reaches into sira, snayu, asthi & sandhi.

TIME / SEASON

All seasons except Greeshma & Sharat Ritu. In the case of emergency, it can be done in any season with special precaution.

PRECAUTIONS

  1. Agnikarma should not be done empty stomach. It is better to take Pichchila anna before Agnikarma.
  2. Should be aware of vital parts of the body, season, vyadhi dhosha avastha.
  3. Care should be taken while heating Shalaka and placing it in specified place after Agnikarma.

COMPLICATIONS AND MANAGEMENT

No specific complication if done properly.

CONCLUSION

  • In the field of pain management and cosmetic therapy, Agnikarma procedure can be done very effectively and safely.
  • Its procedures are simple and almost have no medicines for internal and external use.
  • To the patients, it is very convenient and economic.
  • Agnikarma procedure needed to have more scientific studies and evaluation.
  • Agnikarma will become one of the most promising branches of Ayurveda in future.

TYPES OF TRADITIONAL SHALAKA IN PRACTICE Nowadays

IMAGES OF AGNIKARMA IN VARIOUS DISEASES

Treatment of Tennis Elbow by Agnikarma
Treatment of Carpel Tunnel Syndrome by Agnikarma
Treatment of Sciatica by Agnikarma
Treatment of low back pain by Agnikarma
Treatment of Calcaneal spur (Heal pain) by Agnikarma
Treatment of osteo arthritis (knee joint pain) by Agnikarma
Treatment of numbness of toes by Agnikarma

Read more about Ayurvedic Treatments & Therapies

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