Agnikarma is parasurgical procedure of ayurveda The AGNIKARMA, DAHAKARMA, DAHANKARMA, DAGDHAKARMA are intentional therapeutic heat burn therapy used for the treatment of diseases caused by vata and kapha doshas.. Here definitions, indications, contraindications, materials required, methods, dahanopkarana, importance, and superiority of agnikarma are mentioned in detail.

1. APPLICATION OF AGNIKARMA
IN SURGICAL PRACTICE
(Agnikarma = “INTENTIONAL THERAPEUTIC HEAT BURN THERAPY”)
Dr. Mahesh Kumar
Assistant Professor
DEPARTMENT OF SHALYA TANTRA
CH BRAHM PRAKASH AYURVED CHARAK SANSTHAN,
KHERA DABAR, NAJAFGARH,
NEW DELHI-73
(Under Govt of NCT of Delhi)
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Lecture- 1

2. Practically known as
“INTENTIONAL THERAPEUTIC HEAT BURN THERAPY”
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3. AIM
 To project the importance of Agnikarma in our
daily clinical practice and try to show that it may
have potency to treat various diseases.
 Try to expose the Agnikarma in Ayurvedic text to
provide platform for scientific research.
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4. Introduction
Ayurveda is a science of life which has active role in
treating various diseases.
Shalya tantra is the surgical discipline in Ayurveda & its
uniqueness is that it have dual treatment procedures -
i. Shastrakarma(surgical procedure) &
ii. Anushstrakarma(parasurgical procedure).
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5.  Among parasurgical procedures
Agnikarma is one.
 Therapeutically heat applied locally
with the help of shalaka(red hot rods
having specific points made of dhatus
like tamra, lauha etc), sneha, madhu
etc. and it produce positive effect.
 It is OPD(outdoor) level procedure.
 Primarily indicated in diseases
produced by vata and kapha
doshas.
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6. Agnikarma
The term Agnikarma is made up of 2 words- Agni & karma
Agni – derived from the root “agigatau agyati agnayam
na prapyanti” i.e. it gives the rebirth, is utilized to cure
and prevent the diseases.
Karma – Action
Agni + Karma i.e. Agninakritwa yatkarma,agne sambaandh va
yatkarma tad agnikarma (Dalhan on S.Sutra 12/02)
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7. AGNI
# The word agni is for "fire" (noun), cognate with ignis (the root
of English ignite)
# Agni (: अग्नि) is a , one of the most important Devta. He is the god of
fire.
#Agni has three forms: FIRE, LIGHTNING, SUN.
According to Ayurvedic Ethics before 2350BC Agni Karma was well establish
and well developed in Ayurveda.
It also described in Ayurvedic text and in Vedas also.
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KARMA

8. Definition
“Agnikarma is intentional therapeutic heat
burn(I.T.H.B.) in proper way for a particular purpose
with the help of certain things”.
 Reference:
 -broadly mentioned in Sushruta S, Charak s, Vagbhatta text
& in many others also.
 - In Sushruta samhita under Anushastra karma(Sushruta
Sutra.12).
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9. Superiority of Agnikarma
(Agnikarma Sresthata)
“Agnitapten shastren chinddyat, Anyatha
ataptashastrachedane Paakbhayam shyat”,
(Dalhan), it prevent sepsis,(concept of sterilization) on S.Chikitsa 2/46
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10. It need expertise otherwise complication may happen
Agni remove the root cause of diseases.
Contract the vessels after daha karma prevent bleeding
that manage better than any other procedures.
It is superior due to its simple technique & optimum result.
So Agnikarma is considered as superior procedure than
others
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11. Classification of Agnikarma
1.According to dravya –
 Snigdha Agni karma - Mahdhu ,Ghrita, Tail in Sira , Snayu, Sandhi, Asthi
 Ruksha Agni Karma – Pippali, Salaka, Godanta in Twaka, Mamsa.
2.According to Akriti (as per dahan visesa)–
Valaya,, Bindu,, Vilekha. Pratisarana,
Ardhachandrakar, swastika, Ashtapadi,
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3.According to site
(a)Sthanik(Local) – Kadar, arsha, vicharchika
(b)Sthanantriya(systemic)- Gridhrishi.
4. According to disease
(a) In arsha, kadar- after chedan(surgical excision)
(b) In sinus, fistula- done during procedure
(c) In krimidanta – done after filling by the guda.

12. Dahanopkaran
(Material for agnikarma)
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14. Agnikarma Kaal
When do Agnikarma ?
 Agnikarma can be done in any seasons but one
should must take additional safety measure in sharad &
greeshma season (Sushruta sutra 12) .
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15. Material Required
 Triphala kwath/ Panchvalkal kwath.
 Heat source,
 Shalaka/ghrita/taila etc. material use for
agnikarma
 Ghritkumari pulp
 Yastimadhu churna
 Bandage
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16. 1- Heat source and agnikarma shalaka
2- Triphala kwath for cleaning local part
3 & 4- equipments needed in therapy
1
2
3
4
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17. Agnikarma - Dr Mahesh Kumar 179/24/2020
Method of Agnikarma
(अग्निकर्म करने की ग्निग्नि )

18. (A) Pre procedures (पूिमकर्म)-
 Done according to site, vyadhi , strength of patient, ritu
 Explain about procedure to patient, take consent
 Give picchila anna before therapy.
 Clean the surface by triphala kwatha/panchvalkal kwath
and prepare the part for treatment
 Drapped unnecessary exposed part of patient.
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19. (B) Main procedures(प्रिानकर्म)-
 With the help of certain things (e.g. cuppor,
panchdhatu etc rod which are designed in specific
form-agnikarma shalaka, oil, pippli, madhu etc),
after red hot applied locally in form of circle, dot,
line, rubbing etc shape properly.
 Burn by red hot shalaka etc as per need.
 The Shalaka of various dhatu used in patient.
 By panchdhatu Shalaka Samyaka Dagdha could
be made satisfactory.
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20. (C) Post operative procedures(पश्चात कर्म )-
(pathya-apathya & follow up)
• After doing therapeutic burn, applied locally ghritakumari
swarasa, yastimadhu churn , shaalimooladi sheetal lepa
etc on burn site act as a cooling/healing agent. Loose
bandaging with yashti madhu churna, for next 24 hour.
 Prevent the site from water or contamination to prevent
sepsis(approximate 24 hour). Then remove the bandage use
coconut oil, jatyadi oil etc till completely heal.
 The same event repeated for one to three to five to eight
times at weekly interval depending on disease and problem.
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22. Indication of Agnikarma
(अग्निकर्म के योग्य )
 Pain(vividh vatavedana, severe pain d/t vayu entrapped at
twak mamsha sira snayu asthi, sandhi etc.),
 Stambha(Stiffness) ,
 Arsh / adhimamsha.
 Granthi,
 Vrana -Chronic ulcer, nonhealing ulcer and the wound who
are elevated, senseless and hard
 Sirachheda/ raktatishrava = Post amputation hemorrhage/
siracheda etc in form of cautry. Which are more beneficial.
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23. • Arbuda
• Naadivrana(sinus tract)
• Bhagandara ,
• Charmakeel ,
• Goiter(galganda),
• Sleepad(filariasis),
• Antravriddhi(inguinal
hernia)
• Siro roga
• Adhimantha(netra roga)
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(C.Chikitsa 25/101-102)
(S.Sutra
12/10)
Indication of Agnikarma therapy ……………………contd

24.  Hypertrophic scar
 Sciatica
 Sphurana
 Suptata
 Idiopathic pain
 Tennis elbow
 Golfers elbow
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Indication of Agnikarma therapy ……………………contd

25. Khalli (Cramps)
Paadharsha – constant tingling sensation of feet.
Viswachi – Brachial neuritis, radioulnar neuritis.
Siragata vata - Engorged vein
Siragraha – Trigeminal neuralgia
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Indication of Agnikarma therapy ……………………contd

26. Kampwata (Tremors and palsy)
Twakgata vata – peripheral neuritis
Mamshagata vata - Myopathy
Manyastambha – Torticolis or neck rigidity
Hanugraha – Lock jaw
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Indication of Agnikarma therapy ……………………contd

27. Charmkeel (Warts)
Mashak (elevated moles)
Tilkalak(non elevated mole)
Jatumani (congenital mole)
Valmik (Madura foot, Actinomycosis)
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Indication of Agnikarma therapy ……………………contd

28. Contraindication
(अग्निकर्म के अयोग्य )
It should be contraindicated or done with caution in condition of
 Excess weak person, children’s, old age,
 Immunocompromised
 Madhumeha/uncontrolled diabetes,
 In which swedana/sudation are contraindicated.
 Pittaja diseases, pittaprakriti
 Raktapitti rogi--- urticaria
 Atisara - diarrhoea
 Retaining shalya(foreign bodies) inside
 Having multiple wound
S.Sutra 12/14
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िन्यिाद
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