This document discusses Panchakarma treatment approaches for visha (poisoning or toxicity) according to Agada Tantra. It describes the five main Panchakarma treatments - vamana, virechana, nasya, lepa and basti. It provides details on how each treatment is used differently depending on the type of poison (sthavara, jangama etc.), which vega (stage) of poisoning it is being used for, and examples of herbal formulas and procedures used for each Panchakarma treatment in cases of various poisons. The document aims to explain the rationales behind these Panchakarma approaches and how they help remove toxins from the body quickly

1. PANCHAKARMA IN
AGADA TANTRA
PRESENTER:
DR.SRINIDHI S
PG SCHOLAR
6 April 2018
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GUIDES:
DR.ASHVINI KUMAR M
DR.SHASHIBINDU

2. CONTENTS
Introduction
Types of visha
Panchakarma in chaturvimshati upakrama
Discussion
Conclusion
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3. INTRODUCTION
SYNONYMS NAME OF ACHARYA
Visha gara vairodhika prashamanam Charaka
Agada tantra Sushruta
Damstra Vagbhata
Visha tantra Kashyapa, Harita
Visha Raja nighantu
• Definition
• Synonyms
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4. TYPES
Visha
Akrtrima
visha
Sthavara
visha
Jangama
visha
Kritrima
visha
Dooshi visha Gara visha
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5. CHIKITSA
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6. PANCHAKARMA IN 24
UPAKRAMAS
• Agni karma
• Parisheka and pradeha
• Avagaha
• Rakta mokshana
• Vamana
• Virechana
• Nasya
• Lepa
• Pratisarana
• Dhooma
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7. AGNIKARMA
• दम्शम ् मन्डलिनाम ् मुक्त्वा पित्ति्वादथािरम ् ।
प्रतप्तैर्हेमिोर्हाधैदेर्हदाशुल्मुके न वा ।
करोतत भस्मसात ् सध्यो वह्नन: ककम ् नाम क्त्णात ् ॥ -अ.स.उ.४२/९
• ्वक् माम्सगतम ् दार्हो दर्हतत पवशम् । -च.चच.२३/४५
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8. • INDICATIONS: Twak-Mamsa gatha visha
• Dalhana opines that in Mandali sarpa damsha agnikarma is contraindicated , it causes pitta
aggravation and leads quick spread of visha
• MATERIALS REQUIRED:- Hema
Plotha
Loha
• In modern it is known as Cauterization. It destroys affected tissues/minimize infection.
• Here coagulation of protein occurs, so the poison will not go to other sites
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9. PARISHEKA
• To be done after raktamokshana
• चन्दनोशीर युक्ततेन वाररणा िररषेचयेत ् ॥ -सु.क.५/१६
PRADEHA
• प्र्देहसेकैस्तत् । शीतै: स्कन्दतत ततस्िरन् स्कन्ने व्यपयातत तिषिेग ॥ - च.तच.२३/४२
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10. RATIONALITY
• After Raktamokshana the remaining rakta will attain leenata because of the ushna
guna of visha. For this sheethala gunayukta lepa and parisheka should be done.
(अ सं उ ४२/१३)
• Viper bite-Panchavalkala kwatha dhara
• Cobra bite-Gritha saindhava dhara
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11. • Condensation of blood help to pacify the intensity of poison. Appropriate irrigation
of the bite site shown to decrease the rate of absorption of poison
• Cold character of drug help in reduction of further infection in the wound
• Contraction of blood vessels
• Prevent further spread of poison
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12. AVAGAHA
• Avagaha means immersion or dipping the affected part in the medicated decoction
or oil.
• Modern it is known as immersion bath. They help in proper circulation and
eliminates toxic matter from the body
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13. RAKTAMOKSHANA
• पवषे प्रपवस्रुते पवध्येह््सरा सा िरमकिया। अ सं उ ४२/१०
• Once the visha has entered the shareera ,Rakthamokshana is said to be the parama chikitsa.
SELECTION OF VEIN-
• In all cases of snake bite , the wise physician should puncture the vein in the shaaka, lalata
region. By this visha will go out with rakta quickly and can save the life of the person.
• If it is enable to visualize the siras properly one can go for Raktamokshana through
Shrunga and Jalouka.
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14. • As the spread of poison the patient will suffer from Mada, Moorcha, Vishada,
Hrdayadrava
• If blood does not come from the site of bite-pragarshana(rubbing) should be done
with Trikatu, Grihadhuma, Rajani, Varthaka.
• Sheetala chikitsa alleviate such complication.
• The patient should be fanned with vyanjana , pavana till loma harsha
(च चच २३/३९,४०)
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15. VAMANA
INDICATION:-
• वामयेत ्ततष्चैवं पवषशेषोिशान्तये।
्िेष्मिं ्िेष्मिैददष्टं नाभेरूध्वं पवशेषतः॥ अ.स.उ ४२/३८
• Kaphaja bites,
• Being bitten in sheeta kala
• Associated with praseka, mada, moorcha.
• Sthavara visha-first visha vega-
• Sangrahakara -vamana should be done, if snake bite is above nabhi pradesha.
• Dooshi visha and gara visha also vamana is the first line of treatment.
• Emesis is useful for removing ingested unabsorbed poison above pylorus, mainly using salt solution
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16. VIRECHANA
INDICATION:-
कोष्ठदाहरुजाध्िानिूत्रसम्गरुत्न्िति् ।
तिरेचयेच्छक्रुद्वायुसन्गतपत्तातुरि् नरि् ॥ -सु.क.५/४०
• Daha
• Vedana
• Koshta ruja
• Mutra avarodha
• Pitta prakrithi person.
• If the bite is below nabhi, and is localized in pakvasaya,-then Virechana is to be done.
(A.S U/42)
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17. PROCEDURE:-
• Neelini choorna with milk
• Trivrit choorna along with Triphala kwatha
• Neelini phala mixed with danti and along with paya or mustu is given.
(अ.स.उ ४२/४०)
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18. NASYA
• In Shirogata visha nasya is said to be main line of treatment.
INDICATION:-
• Charaka- if there is obstruction in Nasa, Akshi, Karna, Jihwa, Kanta nasya should be done
• DIFFERENT COMBINATIONS USED FOR NASYA KARMA
• Bandhujeeva mula, Bharangi mula, Krushna tulasi - nasya is done.
( अ.स.उ ४२/२९)
• Using Vaartaka, Beejapura, Jyotishmati etc in churna form - nasya should be done.
( च.चच २३/६८)
• Pradhamana with Katabhi, katuka, katphala choornas
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19. DHOOPANA
• It is the procedure, in which giving medicated smoke which helps to nullify the
adverse effect of the poison.
• Nrikeshadi dhoopana-keeta visha(AH/U/37/23)
• Anti toxic material that emitted from smoke enters the body and clear channels of
circulation and nullify toxic effect of poison
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20. PRATISARANA
प्रघषदणेन प्रततसारणमुििमेषूक्ततम्। -च.चच २३/३८ चििाणण
• Method-By applying and rubbing with powders.
• Indicated in Raktamokshana when blood fails to come out.
• Drugs used-
• Trikatu, Pancha lavana, Gruhadooma, Haridra, Bruhathi
(च चच २३/४१)
• Preparation-pippali, nagara , navaneeta used in damsha pradesha as pratisarana.
(च.चच २३/१८९)
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21. LEPA
• If a pitta prakrithi person suffering from Trishna , Daaha , Moha- sheethala lepa should
done.
• After Rakta mokshana for the removal of avashista visha, Lepa should be applied in
the damsha sthana.
• Agaradhoomaadi lepa-In aakhu visha ( A.S.U 46/20 )
• Shigru punarnavadi lepa-allergy caused by viper bite
• Bilvadi gulika/Dashanga lepa-insects poisoning
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22. PANCHAKARMA ACCORDING TO
VISHA VEGAS
STHAVARA VISHA DARVIKARA
VISHA
MADALI VISHA RAJIMANTA
VISHA
1st vega- vamana, shireesha jala seka Raktavisravana Raktavisravana Prachanna, alabu
raktamokshana
2nd vega- virechana, sheetambu seka Vamana Vamana
3rd vega- nasya Navana nasya Vamana,peya
virechana
Nasya
4th vega Koshatakyadi
yavaguvamana
Vamana vamana
5th & 6th vega Seka,lepa, teekshna
vamana,yavagu
virechana Avapeedana nasya
7th vega Nasya Avapeedana nasya Avapeedana
nasya
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23. DISCUSSION
• In dooshi visha, susvinna paschat vamana is indicated(snehana is contra-indicated).
• Basti is the only karma which in contra-indicated in visha chikitsa.
• Panchakarma is necessary in visha chikitsa due to its quick action in visha nirharana .
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24. CONCLUSION
• Visha due to its gunas spreads all over the body very quickly.
• Most of the chikitsa mentioned are panchakarma and bahirparimarjana chikitsa.
• Visha has opposite gunas of ojus.
• Hence after visha nirharana, ojo vruddhikara chikitsa should be done.
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