Agnikarma is a medical procedure done using controlled heat and fire. It is done in various Disease like Corn, Warts, Piles, Fistula in Ano, To Arrest bleeds etc.
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.
LN Ayurved College & Hospital, Kolar Road, Bhopal professor of Panchakarma and Head of the department Dr K Shiva Rama Prasad has delivered a Guest lecture on the Importance and Standard procedures of Raktamokshana at Institute of Post Graduate Ayurvedic Education & Research under Dept. of Health & Family Welfare, Government of West Bengal on 18th November 2019.
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.
LN Ayurved College & Hospital, Kolar Road, Bhopal professor of Panchakarma and Head of the department Dr K Shiva Rama Prasad has delivered a Guest lecture on the Importance and Standard procedures of Raktamokshana at Institute of Post Graduate Ayurvedic Education & Research under Dept. of Health & Family Welfare, Government of West Bengal on 18th November 2019.
Jalaukavacharana - Leech Therapy in AyurvedaDr Adithya J V
Leech Therapy in Ayurveda - A unique modality of treatment in Ayurveda - Insights into Scientific Aspects, Mode of Usage and its scope in treatment of Various Diseases.
Kayachikitsa IMP Schlok – Part 7 - PPT
By Prof. Dr. R. R. Deshpande
• This PPT has following features –
• Imp Contents – Vata Vyadhi Chikitsa,Gudagat-Aamashayagat –Pakwashayagat – Siragat, Asthi Majjagat –Vata ,Ardit or Facial Palsy ,Pakshaghat or Hemiplegia, Grudhrasi or Sciatica ,Pashangardabha or Mumps, Kadar or corn ,Indralupta or Alopecia areata ,Darunak or Dandruff, Niruddha Prakash or Phimosis ,Unmad or Hysteria ,Apasmar or Epilepsy ,
• Visit – www.ayurvedicfriend.com
Phone – 922 68 10 630
Rightly diagnosed is half cured so thorough examination of the patient is very much essential for the diagnosis and management of udara roga. Here an attempt made to understand udara roga in parlance with modern science which will be helpful for treating the patient at right time.
Gridhrasi is defined as Stambha (stiffness), Ruk (pain), Toda (pricking pain) in a radiating manner along with Spandana (tingling sensation) starting from Kati Pradesha (low back) to Prushtha (back), Janu (knee joints), Jangha (calf muscles) and Pada (dorso lateral aspect of feet) of either one side of the lower limb or may involve both lower limbs. This condition makes raising of the affected leg difficult.
Fracture & dislocation is well described in Ayurveda. Sushruta Samhita have a separate chapter for bhagna etiology, features, types, prognosis, Management by name of Bhagna-Kandabhagna-Sandhimukta. The basics principles and management of fracture are accurate as per modern orthopedics.
ANALYSIS OF PANCHAKARMA RESEARCHES DONE IN THE MANAGEMENT OF GRIDHRASI
Presented by Dr.Annie sebastien ,PG Scholar, Department of Panchakarma, SDMCAH Hassan
Jalaukavacharana - Leech Therapy in AyurvedaDr Adithya J V
Leech Therapy in Ayurveda - A unique modality of treatment in Ayurveda - Insights into Scientific Aspects, Mode of Usage and its scope in treatment of Various Diseases.
Kayachikitsa IMP Schlok – Part 7 - PPT
By Prof. Dr. R. R. Deshpande
• This PPT has following features –
• Imp Contents – Vata Vyadhi Chikitsa,Gudagat-Aamashayagat –Pakwashayagat – Siragat, Asthi Majjagat –Vata ,Ardit or Facial Palsy ,Pakshaghat or Hemiplegia, Grudhrasi or Sciatica ,Pashangardabha or Mumps, Kadar or corn ,Indralupta or Alopecia areata ,Darunak or Dandruff, Niruddha Prakash or Phimosis ,Unmad or Hysteria ,Apasmar or Epilepsy ,
• Visit – www.ayurvedicfriend.com
Phone – 922 68 10 630
Rightly diagnosed is half cured so thorough examination of the patient is very much essential for the diagnosis and management of udara roga. Here an attempt made to understand udara roga in parlance with modern science which will be helpful for treating the patient at right time.
Gridhrasi is defined as Stambha (stiffness), Ruk (pain), Toda (pricking pain) in a radiating manner along with Spandana (tingling sensation) starting from Kati Pradesha (low back) to Prushtha (back), Janu (knee joints), Jangha (calf muscles) and Pada (dorso lateral aspect of feet) of either one side of the lower limb or may involve both lower limbs. This condition makes raising of the affected leg difficult.
Fracture & dislocation is well described in Ayurveda. Sushruta Samhita have a separate chapter for bhagna etiology, features, types, prognosis, Management by name of Bhagna-Kandabhagna-Sandhimukta. The basics principles and management of fracture are accurate as per modern orthopedics.
ANALYSIS OF PANCHAKARMA RESEARCHES DONE IN THE MANAGEMENT OF GRIDHRASI
Presented by Dr.Annie sebastien ,PG Scholar, Department of Panchakarma, SDMCAH Hassan
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
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Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
The hemodynamic and autonomic determinants of elevated blood pressure in obes...
Agnikarma in shalya tantra vyadhi
1. Presenter : Dr. Ayesha Tasneem M.Z
1st year Shalya Pg
Under the Guidance of- Dr. Shailaja S V
HOD of shalya tantra
Sri Kalabyraveshwara swamy Ayurvedic Medical college and Hospital, vijaynagar Bangalore- 1
2. Introduction
Derivation & Definition
Importance of Agnikarma
Dahanopakarana
Classification of Agnikarma
Indication & Contraindication
Trividhakarma
Samyak Daghdha Laxana
Mode of Action
Agnikarma in various shalya tantra vyadhi
Modern corelation to Cauterization
Challenges of Agnikarma
Discussion
Conclusion 2
3. Shalyatantra is one of the Important branch of Ayurveda based on
six major methods of management such as Bhesajkarma,
Ksharakarma, Agnikarma, Sastrakarma, Yantrakarma,
Raktamoksana. Agnikarma is superior among them and boon for
local vata & kaphaja vyadhi.
Agni karma is one among the Para surgical procedure,
Anushastra and Upayantra.
In modern words, “Agni Karma” therapy can be closely associated
with “Intentional Heat Burn Therapy / Therapeutic burns /
Cauterization”
3
4. अगि ितौ । (अमरकोश)
The word ‘Agni’ is derived from dhatu ‘Ang’ which means ‘Gati’ that
explains about Movement/Transformation / spreading
Agni is foremost, among that which controls our body and
responsible for the janma (life) (Shabdakalpadruma)
Karma – Action
The word “Agni Karma” comprises of two terms ‘Agni’ and ‘Karma’,
which represents fire and procedure respectively.
अग्नििा कृ त्वा यत ् कर्म, अनिनेः सम्बग्धि वा यत ् कर्म, तदग्निकर्म|
(Dalhana on Su.Su.12/2)
The treatment protocol done using fire or which is related to fire is
called Agnikarma.
4
5. क्षारादग्नििमरीयाि् क्रियासु व्याख्यातेः तत् दनिािाां रोिाणाां अपुिर्ामवात्
र्नषज शस्त्र क्षारेःअसाध्यािाां तत् साध्यत्वात् च ॥ (सु.सू.12/3)
The Agnikarma is Considered to be better than Kshara
Karma.
The disease treated with proper Agnikarma has no chance of
recurrence.
It cures the disease which are not Managed with Bheshaja
karma, Shastra Karma and kshara karma.
Hippocrates says - “Those diseases which medicine do not cure,
the knife cures, those which iron can not cure, fire cures, and
those which fire can not cure, are to be reckoned wholly
incurable’’. 5
6. Dahanopakarana are the Instruments / Materials used to
produce therapeutic burns ( Samyak Dagdha) during
Agnikarma Chikitsa.
Various dahanopakarana of various origins like plant origin,
animal origin & metal origin are mentioned which are
selected according to the disease, site etc.
Acharyas mentioned different materials to perform
Agnikarma in different structures for the temperature
regulatory purpose.
6
21. 21
a)In Disease
like
• kadara
• Arshas etc
Agnikarma Done
After Chedana
Karma (Surgical
Excision)
a)In Disease
like
• Fistula
• Sinus
Agnikarma Done
after Bhedana
Karma (Surgical
Incision)
a)In
krimidanta –
done after
filling the
cavity with
Guda,
madhuchista
etc.
22. त्वक् र्ाांस ससरा स्त्िायु सग्धि अग्स्त्िग्स्त्ितन अतत उग्ररुग्ज वायावुग्रित
कठठिसुप्तर्ाांस व्रणन ग्रग्धि अशोऽबुमद र्िधदर अपची श्लीपद चर्मकील
ततलकालका आधरवृद्गिसग्धिससरारछनदिाठदषु िाडीशोणणत अततप्रवृपिषु
चाग्निकर्म क
ु यामत ्(su.su. 12/10)
The pain aggravated by vata in tvacha , mamsa, sira, snayu, sandhi
and asthi.
Chronic wound having some hard elevated tissue.
Cystic lesion, hemorrhoids, tumour, fistula, sinus lymphadenopathy,
filarial, skin tag, hernia, joints disorders,
To stop bleeding from cut vessels.
22
23. तराग्निकर्म सवम ॠतुषु क
ु यामत ् अधयर शरद् ग्रीष्र्ाभयाां…. ( Su.Su. 12/5)
Agnikarma can be done in all the seasons of the year except in Sharad
(Autumn) & Grishma (Summer)
अिनर्ािग्नििा पररहरनत ् - पपिप्रकृ ततर्धतेः शोणणतां सर्धिकोष्ठर्िुद्िृतशल्यां
दुबमलां बालां वृद्िां र्ीरुां अिनकव्रणपीडडतां अस्त्वनद्याांश्चनतत ( Su.Su.12/14)
All types of pittaja and raktaja disorders, patients with concealed
bleeding,
Intestinal Perforation, retain foreign body, weak person, children , old age
person,
and patients with multiple wounds and who are not fit for swedana karma .
Acc. To Ch.Chi.25/105 agnikarma should not be done In vrana of snayu,
marma, Netra, kushta and vrana with visha and shalya.
Acc to A.H.Su. 30/44 Agnikarma should not be employed in persons who are
contraindicated for Kshara karma. 23
25. रोिस्त्य सांस्त्िािां अवनक्ष्य सम्यक् िरस्त्य र्र्ामणण बलाबलां च ।
व्यागिां तिॠतुां च सर्ीक्ष्य सम्यक् ततो व्यवस्त्यनत ् सर्षक् अग्निकर्म॥
(Su.Su.12/12)
Pre Agnikarma Assessment: A physician, after having carefully analyzed the seat
of the disease and examining the individual for the strength, locations of the
Marma, disease and season should resort to Agnikarma.
सवमव्यागिषु ॠतुषु च पपग्रछलर्धिां र्ुक्तवतेः कर्म क
ु वीत; अश्र्री र्िधदर
अशो र्ुखरोिनष्वर्ुक्तवतेः (Su.Su.12/6)
Pre AgniKarma Diet: In all diseases and in all seasons, the patient should be fed
on a diet which is Picchila before Agnikarma;
While the patient should be on empty stomach before the therapy, in case
of Mudhagarbha (malpresentation of fetus), Aśmari (renal stones), Bhagandara
(fistula-in-ano), Udara (ascitis), Arsa (haemorrhoids) and Mukha Roga (diseases
of oral cavity).
25
26. AS.Su.40/5
Before doing the procedure of Agnikarma,
swasthikvachan should be done; the patient kept in
suitable position by keeping head in the East
direction and held by expert assistants to avoid
movement.
After this the surgeon should make the different
shapes of Agnikarma viz.:- Valaya, Ardhchandra,
Swastika, etc. as per need by heated Shalaka in a
smoke free fire of Khadira or Badara.
During this period if patients feel discomfort then
keep them satisfied by courageous, consolations
talks, give cold water for drink and sprinkle cold
water. But procedure of Agnikarma should be done
till production of complete cauterization/Samyak
Dagdha. 26
27. सम्यनदनिर्िविाढां पूवमलक्षणयुक्तां च तालवणं
सुसांग्स्त्ितां| (su.su.12/16)
Ana awagadha vranata ( wound which is
not deep )
Talaphala varnata ( Fruit of tala tree –
Asian palm fruit)
Susamsita vrana ( without elevation or
depression )
This is not considered as injury when
performed for the therapeutic purpose. If the
above sign and symptoms occurs that indicate
the perfect Agnikarma/ Samyak Agnikarma.
27
28. According the Acharya Sushruta (Su.Su.12/8)
तर, शब्दप्रादुर्ामवो दुिमधिता त्वक्सङ्कोचश्च त्वनदनिन ।
Shabdapradurbhava ( production of sound)
Durghandata (Bad odour)
Twak Sankocha (Contraction of the skin)
कपोतवणमताऽल्पश्वयिुवनदिा शुष्कसङ्कगचत व्रणता च र्ाांसदनिन ।
kapotavarnata (Colour like that of pigeon i.e ashy, dark
grey )
Alpa swayathu (mild swelling)
Sushka sankuchit vranata (dry, contracted wound)
28
29. कृ ष्णोधितव्रणता स्त्रावसग्धिरोिश्च ससरा स्त्िायुदनिन
Krishna vranata (black coloration )
Unnata vranata (elevation)
Srava sannirodha (stoppage of discharge)
रूक्षारुणता कक
म श ग्स्त्िरव्रणता च सधध्यग्स्त्िदनिन
Ruksha (Dryness)
Arunata (Red colour)
Karkasha (Roughness)
Sthira vranata(Firmness of ulcer)
29
30. तर सम्यनदनिन र्िुसपपमभयार्भयङ्िेः | (su.su. 12/13)
The Madhu (honey) and Ghrita (Ghee) should be applied
after the agnikarma procedure.
सम्यनदनिन तुिाक्षीरीप्लक्षचधदििररकेः ।।
सार्ृतेः सपपमषा ग्स्त्िनिरालनपां कारयनद्सर्षक् ।
ग्राम्यािूपौदकश्चिां पपष्टर्ामसेः प्रलनपयनत् ।
पपिपवद्रगिवत्चिां सधतत उष्र्ाणर्ाचरनत्( Su.Su 12/23,24)
Paste of Tugakshiri, Plaksha, Chandan, Amrita & Gairika with Gritha can be used as
ointment for local application.
Paste of flesh of some animals like horse, pig etc may also be used as lepa /ointment for
local application. (for local as well as internal medication).
If person doesn't get relief from above medicine that surgeon should follow the line of
treatment like Pitta Vidradhi.
Madhuchisth ghrita prepared by processing of wax ,in ghrit with Yashtimadhu,
lodhra, raal , sarjras, manjistha, rakta Chandana and murva. (Su.Su.12/27-28)
30
31. इतरिा दनिसर्तत प्रकारा अधतरनण वद्यादृतन (Dalhana su.su. 12/15 )
The word Etartha Dagdha indicates the other kinds of burns
other then samyak dagdha Caused by the mistake of Vaidya.
It is of two types
Snighda and Ruksha.
अग्निसधतप्तो ठह स्त्िनहेः सूक्ष्र्ससरािुसाररत्वात्त्विादीििुप्रपवश्याशु दहतत;
तस्त्र्ात ् स्त्िनहदनिनऽगिका रुजो र्वग्धत |(Su.Su.12/15)
Acharya stated that Snigdha Dagdha is more painful than
Ruksha because of its ability of penetrating into the minutest
vessels. 31
32. The diseases in which Agnikarma is indicated are due to vitiation
of vata and kapha, so Agnikarma is considered as better therapy to
pacify these doshas. Due to Ushna, Sukshma, thekshna and
Ashukari guna of Agni, it pacifies vitiated vata and kapha dosha.
As per Acharya Sushruta basically Agnikarma is used in two
manner i.e. one for रोि उधर्ूलि (diseases cure) and other for
Vedana Shamana (Pain Management).
The diseases cure Agnikarma is used in assistance with surgery
and for pain Management, Agnikarma is used independently.
It also destroys the Vitiated tissue on wound surface by its
mechanical burn causing thermal injury. In this way it promotes
the healing in chronic non healing wounds.
32
34. It removes srotavarodha, avarana and increase in
rasarakta samvahana to the affected site.
It works deep in tissue because of its power of
penetration to deep tissue by virtue of laghu,
sukshma and theekshna guna
Dahana karma is having the property of
sirasankochana by that quality even it helps for
raktha sthambana( haemostasis).
34
36. छिन्नां छ्िःशेषतिः शनखनां दग्ध्वन
तैले् बुद्धिमन् ् |
ब््ीयनत् कोशबनिे् प्रनप्तां कनयं
च रोपणम्|| (Su. Chi. 2/37)
Wound that developed after
limb excision during trauma
should be treated with
Agnikarma using heated taila
and then bandaged In the
manner of kosha Bandha
followed by appropriate
Ropana Karma.
36
37. ग्रग्धििर्र्म प्रर्वाि अपक्वािुद्िृत्य चाग्निां पवदिीत पश्चात ्……(सु.गच.18/24)
A Granthi occurring in any part of the body other than a marma, not
suppurated, should be opened and Cauterized with fire.
According to Sushruta (सु.गच. 18/14)
A Kaphaja Granthi on any part of the Body other than a Marma &
not resolved should be incised even in its non suppurated stage and
removed. The expert surgeon should then cauterize the incidental
wound after the arrest of bleeding and treat like sadyavrana
treatment.
Mainly followed in Kaphaja and medoja Granthi
37
38. AGNIKARMA IN
KAPHAJA ARBUDA
अल्पनवशशष्टे कृ शमभक्षिते च शलखेत ्
ततो अग्निां पवदिीत पश्चनत ् |
(सु.धच.18/37)
When only a small remnant (of
the tumor) remains after the
worms have eaten, the area
should be scraped and
cauterized by Agnikarma;
AGNIKARMA IN
UPADAMSHA
दुष्टव्रणववधिां क
ु यनात् क
ु धितां मेह्ां
त्यजेत ् ।
जम्ब्वोष्ठनिाग्निवणेि पश्चनच्िेषां
दहेद्शभषक् || (Su.Chi.19/49-51)
The putrid portion of the
penis should be excised and
the remaining part should be
completely cauterized with
Jambaoshta Shalaka, made
red hot by Agni.
38
39. Agnikarma is one among the Shashti Upakrama.
स्रवतोऽश्र्र्वाधर्ूरां यन चाधयन रक्तवाठहिेः |
तिेःशनषग्रछधिसधिीांश्च साियनत्अग्निकर्मणा | (Su.Chi.1/89)
When there is bleeding in the basti after removal of
Ashmari then Agnikarma should be done for
RaktaStambhana.
During Surgical Procedure Any Bleeding Spots Should be
Controlled by AgniKArma
If there is Bleeding After An Injury from the cut ends , it
should be Cauterized by using AgniKarma 39
40. Acording toAcharya Sushruta (Su.chi.20/9-11)
After Draining the Pus by cutting it with knife if
the Disease does not Subside then The affected
part should be cauterized with Agni and an oil
prepared with decoction of the drugs of the
Madhura (Kakolyādi) Gana should be applied for
healing.
The same course of treatment should also be
employed in a case of Kunakha (bad nail)
40
41. According to Su.Chi 19/22
If the intestines have
descended down to inguinal
region (Vamkṣaṇa), it should
be cauterized with a heated
Ardhacandra Salaka
(crescent-mouthed rod) to
prevent its descending down
into the scrotal sac.
41
42. 42
जतुमणण समुत्कृ त्य मषक
ां छतलकनलकम् ॥३२॥
िनरेण प्रदहेद्युक्तत्यन वन्नह्न वन श्ैिः श्ैिः ||( Su.chi.20/32)
The seats of affection should be scraped and gradually and
judicially cauterized by applying Kshara or agnikarma in case of
Jatumani,Mashaka & Tilakaalaka
43. चतुपवमिां यदनतद्गि रुगिरस्त्य तिवारणर्् ।
सधिािां स्त्कधदिां चव पाचिां दहिां तिा ||39||
व्रणां कषायेः सधििन रक्तां स्त्कधदयतन ठहर्र् ् |
तिा सम्पाचयनद्र्स्त्र् दाहेः सङ्कोचयनत ् ससराेः
||40|| (Su.Su/14/39-40)
Is one among the raktasthambhana
upanya i.e, sandhana, skandhana,
pachana and agnikarma.
Agnikarma has the property of
Contraction of Sira ( Vein) i.e.
SiraSankochana.
43
44. …With any of the three of these
preceding measures a physician
should try to check the flow of Rakta,
the process of cauterization should
be resorted which is considered as
the best among the four and should
be used as last resort.
Acharya Sushruta mentioned
Dahana Karma as one among the
Raktasthambanopaya, Currently in
Modern Surgery as well Agnikarma
is Utilized in the form of
Cauterization for Hemostatic
Purpose During Surgery.
44
45. • In Su.Su .12/10. Acharya Sushruta
has given Agnikarma Chikitsa in
the disease Charmakila which can
be correlated with warts in modern
science on the basis of visual
appearance.
• In Ch.Chi. 14/5 , Acharya Charaka
explained Charmakila as
Adhimansa and also advocated
Agnikarma Chikitsa for
Adhimansa
45
Wart in Axilla Application of
probe at base
of wart
Removed
wart Wound after
removal of wart
46. उत्कृ त्य दनध्वा स्त्िनहनि जयनत ्
कदरसांज्ञकर््॥Su.Chi.20/23॥
In Kadara, the lesion should
be excised and cauterised
with heated oil.
46
47. Samanya Chiktsa of Bhagandara.
…अधतर्ुमखन चवां सम्यनयधरां प्रणणिाय प्रवाहर्ाणस्त्य
र्िधदरर्ुखर्ासाद्यषणीां दत्त्वा शस्त्रां पातयनत्; आसाध्य वाऽग्निां
क्षारां चनतत; एतत् सार्ाधयां सवेषु ।(Su.Chi.8/4)
…after the orifice is obtained, it is cut/incised by a
sharp instrument; If that (incising) is not possible,
then it should be Treated by AgniKarma (heated rod)
or by KsharaKarma ; this treatment is common for all
varieties of fistula.
सवमतेः स्त्िाव र्ािांस्त्तु दहनद्वद्यस्त्तिाऽग्नििा |(Su.Chi.8/11)
All discharging Nadi (Channels) in the affected region
should be cauterized with fire by the surgeon.
47
Agnikarma with gold
shalaka
48. चतुपवमिोऽशमसाां साििोपायेः । तद्यिा-र्नषजां क्षारोऽग्निेः शस्त्रसर्तत|
……कक
म शग्स्त्िरपृिुकठठिाधयग्नििा…. (Su.Chi.6/3)
Agnikarma is indicated in rough, fixed, thick and broad
and hard type of Arshas,
These features of arshas can be correlated to Sentinal Tag
of Chronic fissure in ano and external haemorrhoids.
48
51. 51
• In Current Practise of
Agnikarma, The shalaka is
modified with the heat
source being electricity
• The Shalaka has Different
Shape of Probe from
Various Specified use
52. The medical practice or technique of
cauterization is the burning of a part of a
body to remove or close off a part of it,
which destroys some tissue in an attempt to
stop bleeding and remove an undesired
growth, or minimize other potential harm,
such as infections.
52
53. Electrocautery uses electrical current to heat a metal
wire that is then applied to the target tissue in order
to burn or coagulate the specific area of tissue.
Electrosurgery passes electrical current through
tissue to accomplish a desired result. The electricity
used is a form of alternating current similar to the
that used to generate radio waves.
Uses
To stop bleeding from small vessels
To cut small tissues
Is often used in surgery to remove
unwanted or harmful tissue.
53
55. Using a pencil instrument, the
active electrode is placed in the
entry site
Uses : cut tissue and coagulate
bleeding.
The return electrode pad is
attached to the patient.
Most commonly used because of
its versatility and effectiveness.
55
From the
generator
To the
electrode
Through
the target
tissue
To the
patient
return
pad
56. Passes the current between 2
tips of a forceps like a tool.
It prevents the flow of current
through other tissues of the body
and focuses only on the tissue in
contact.
This is useful in microsurgery
and in patients with cardiac
pacemaker
Gives better control over the
targeted area.
Helps prevent damage to other
sensitive tissues. 56
57. As with any procedure, there are potential risks to the patient, as
well as the operating physician.
Patient’s consent.
Fear of Scar formation
Needs skill to perform
Burns
Transmission of Infection 57
58. Agnikarma works by virtue of its guna but in some
places it works by mechanical degeneration of tissue.
Acharya Sushruta indicated Agnikarma in Arbuda,
bhagandar, Nadivrana and dushtavrana. Here
agnikarma works by its power of destroying the
Unhealthy granulation tissue by heat.
In contemporary Science also agnikarma has been
enumerated in different forms such as
monopolar,bipolar electro cautery
58
59. Acharya sushruta mentioned Agnikarma as one
among Raktasthambanopaya, now in modern
surgery also Agnikarma is utilized in the form of
cauterization for haemostatic purpose.
Acharyas mentioned different materials to perform
Agnikarma in different structures for the
temperature regulatory purpose
59
60. The Technique and Equipment have become advanced but the basic
principle remains the same.
Agnikarma therapy is result oriented to Vataja and Kaphaja disorders,
Agnikarma, due to its usna, suksma, asukari guna pacifies the vata kapha
dosa and removes srotavarodha. Patient is effectively relieved from pain
and other associated symptoms.
It is a good measure for haemostasias.
There will be no recurrence of the disease which are managed by
Agnikarma
According to Acharya Sushruta when bheshaja chikitsa, kshar chikitsa and
shastra chikitsa are unable to cure the disease then Agnikarma can be
used to treat the disease successfully.
60
Swedana is contraindicated for suffering from: Pandu, Atisara, Guda Bhramsa, Udara Roga, Nasta Sangya, Chhardi, Shonhita, person under influence of alcohol, Vidagdha Rakta Pitta, Sthula, Ajirna, Kruddha, Trishna, Adhya Rogi, Garbhini, Prameha, Ruksha, Daurbalya, Shranta, Visha, Kshudha, Timir, Kshata and Oja Kshaya.
pitta shamak property.
Snigdha dagdha latent heat penetrates deeper & damages the tissues of Body.
Nispava, pinyaka (molasses) and paste of kulattha added with more of meat and water of curd (whey) made as a nice paste and be applied on the tumor so that flies shall swarm to it and krimi (worms/maggots) develop there and eat away the tumor.
Su.chi.7/34
In a case of Cippa, the affected part should be first washed with hot water and the incarcerated pus, etc. drained by cutting it with a knife. Then after applying the Cakra Taila, Sarja Cūrṇa should be dusted over and duly bandaged.
Treatment of Antra Vṛddhi: A case of Antra Vrddhi extending down to the Phala Koşa (scrotal sac) should be avoided for treatment; but in the case of its not descended to scrotum, it should be treated similar to Vataja Vrddhi.
Kshudrarog Chikitsa chapter
A grounding pad is placed on the body (usually the thigh) before the surgery to protect the person from the harmful effects of the electricity.
Agnikarma is the base behind the recent advancement and developments of Cauterisation, electro cautery, Diathermy, radiation and LASER therapy. This treatment modality deals with the action of thermal energy over the human tissue in order to reduce pain, destroy unwanted or diseased tissue