Abstract

AGNIKARMA (CAUTERY) A PARASURGICAL PROCEDURE - NEW INNOVATIONS

Dr. Tiwari Rajkumar S.*, Dr. Raut Subhash Y. and Dr. Kedar Nita

Abstract

“Agnitapten shastren chhindyat anyatha pakbhayam syaat” (Incision should be taken with heated or sterlized instrument otherwise suppuration can occur). this Narration from dalhan tika and “Daaha sankochayet Sirah”(heat constricts or close the vessels) by Acharya Sushruta is self-explanatory about the value of Agni (Thermal Energy) in Surgical field. In Sushruta Sutrasthana Agnikarmavidhi adhyaya, Sushruta has described each and every aspect of Thermal Cauterization. According to him cauterization is the ultimate Source to treat the disease which could not be cured with the help of medicines, surgery and chemical cautery. Ailments treated with thermal cautery do not recur thus establishing the supremacy of Agni karma (cauterization) in curing diseases. This process of Cauterization was very well known and in use in the Sushruta era as described above, over the centuries it slowly vanished due to ignorance and orthodox beliefs. Now, this modality of treatment is emerging again with new researches and advancements proving its efficacy in pain management, coagulation, cutting the tissues etc. and it is part of day to day surgical procedures including radio ablation of fissure to laparoscopic surgical cauterization and use of argon beam laser. Thus, Agnikarma(Thermal cauterization) Procedure is now accepted worldwide in new form with new innovations. AIMS AND OBJECTIVE Aim 1) To elaborate the changes in Agnikarma (Thermal cauterization) therapy over the period of time. Objective 1) To assess the new innovations in the field of Agnikarma (Thermal cauterization). 2) To compare the new advancements with the basics of Agnikarma (Thermal cauterization). Methodology: Information regarding Agnikarma (Thermal cauterization) and New Advancements in the field will be collected from Samhitas, literatures, websites etc. Each information will be evaluated and collected having basics of Agnikarma (Thermal cauterization) and described in this Paper. Conclusion: Many Changes and innovations have been made in Agnikarma Therapy with New Technical Advancement, but the basic Principle remains the same as told by Acharya Sushruta. As Acharya Sushruta told that Diseases treated by Agni karma (Thermal Cautery) never reoccur. We Should adopt the new techniques with newer innovations which is need of time and try to apply it with keeping basic principles in mind to treat the diseases and serve the Mankind.

Keywords: Agni karma, Cauterization, Coagulation, Laser, MASER, Argon plasma coagulator.