Abstract

A SINGLE CASE STUDY ON THE EFFECT OF CHHEDAN BY AGNIKARMA IN THE MANAGEMENT OF TWAKARSHA W.S.R. TO PAPILLOMA

Dr. Sampurna Nand Prajapati*, Dr. Kapil, Dr. Elizabeth P. John

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Abstract

Twakarsha correlated with cutaneous papilloma in modern medicine, is a benign skin growth often managed by surgical excision, which can be associated with postoperative pain, infection, and recurrence. Agnikarma (therapeutic thermal cauterization) is a revered parasurgical procedure in Ayurveda, praised for its efficacy, minimal side effects, and ability to prevent recurrence. Aim -To evaluate the effect of Chhedana (cutting) by Agnikarma using a Lauha Shalaka (iron probe) in the management of Twakarsha. Case Presentation -A 42- year-old male presented with a single, pedunculated, firm, and tender growth on the dorsal aspect of the right hand, diagnosed as Twakarsha (Papilloma). The lesion measured approximately 6mm in diameter. Intervention - Under aseptic precautions and local anesthesia, the lesion was firmly held with an Allis tissue forceps and excised at its base using a red-hot Lauha Shalaka until Samyak Dagdha Lakshana (signs of proper cauterization) were achieved. Post-procedure, the site was dressed with Madhu (honey) and Ghrita (ghee). Outcome - The patient was followed up on the 5th, 10th, 15th, and 30th days. Complete healing was observed by the 15th day with significant relief in pain, itching, and tenderness. There was no evidence of infection, and most importantly, no recurrence was noted at the one-month follow-up. Conclusion -Chhedana Karma by Agnikarma proved to be a highly effective, single-sitting, cost-efficient, and definitive treatment for Twakarsha (Papilloma) in this case. It successfully addressed the core limitations of conventional surgery by ensuring minimal bleeding, no postoperative infection, and preventing recurrence. This case strongly advocates for the wider integration of this ancient Ayurvedic technique into mainstream clinical practice for similar benign skin lesions.

Keywords: Agnikarma, Twakarsh, Papilloma, Chhedana Karma, Lauha Shalaka, Benign Skin Tumor.