Viddhakarma & Agnikarma in ENT Diseases

Chandrakumar Deshmukh

Viddhakarma & Agnikarma in ENT Diseases

Deshmukh C.^1*

DOI:

^1* Chandrakumar Deshmukh, Govt. Ayurved Collage Nanded, Viddhakarma Agnikarma Specialist, Pune, Maharashtra, India.

Viddhakarma is unique treatment of ayurveda which gives instant pain management and disease management. Agnikarma i.e., conduction of heat with Gold Stick is another scientific management of pain in Ayurved. Both Viddhakarma and Agnikarma is more helpful in management of ENT diseases.

Keywords: Viddhakarma, Agnikarma, ENT Disease

Corresponding Author	How to Cite this Article	To Browse
Chandrakumar Deshmukh, , Govt. Ayurved Collage Nanded, Viddhakarma Agnikarma Specialist, Pune, Maharashtra, India. Email:	Chandrakumar Deshmukh, Viddhakarma & Agnikarma in ENT Diseases. J Ayu Int Med Sci. 2022;7(10):241-244. Available From https://www.jaims.in/jaims/article/view/2058

Introduction

While treating patients using Viddhakarma and Agnikarma, usually there are patients with pain in joints. A person having pain is always restless. This is routine observation in practice. The patients always demand quick methods to relieve pain. Thus, comes idea of Viddhakarma and Agnikarma in Ayurved. Because there is not quick expected result of Ayurved medicine including Shuoolprashamana Gana. But extent of Viddhakarma and Agnikarma is not limited to pain management only. Both are useful in pain as well as disease management. It’s applied to ENT diseases also. With the reference of Siravyadh Adhyaya and Agnikara Adhyaya of Sushrut Samhita Chapter 8.

These two chapters, we started experiencing the procedures mentioned there in. While doing so many facts came in light which were obscure. This Viddhakarma and Agnikarma Chikitsa is widely distributed in Sushruta Samhita. We started doing and we got better results.

Discussion

Viddhakarma is explained in Siravyadh Vidhi Adhayaya. Here Viddha means to puncture. In Siravyadh Vidhi Adhyaya, there is explanation of Raktamokshana and every Ayurved physician knows it. We do Raktamokshana on explaind site. But what to do in references like Nasaroge.

There are no any blood vessels to do Raktamokshana at many points in Urdva Jatrugat Vikaar. So many practitioners do Raktamokshan at jugular vein or on hand. But as mentioned Raktamokshana is Point specific treatment, there is perfect places of diseased. As in Nose disorder we must do Raktamokshan at Tip of nose. There is no point in doing at different places. This problem is solved by acharya Dalhana.

Sukshma Viddha Avyaktam Asrujam Stravet |

He said at expected site if there is no blood vessel, and then does Viddha. Blood letting is not expected or very less blood letting is expected in such cases.

Instrument

For ENT diseases, we use Needle of size 26 no. and ½ length. As it is exact of Vrihi Pramana.

Agnikarma: Agnikarma explained according to places of disease. The Agnikarma we do is with Suvarn Shalaka (Gold stick) with conduction method. Also, we use Loha Shalaka, Raupya Shalaka, Pippali, Haridra (Turmeric), Bhallataka as explained in Sushruta Sanmhita. If there is no relief of pain or disease with Kaychikitsa, use of Agnikarma is Apunarbhava.

Suvarn Shalaka: Made from 14 carat gold,

7 cm long and 2 mm thick (End 4 mm)

We can us 18 carat gold Shalaka also.

How Viddhakarma and Agnikarm works

स्नेहादिभी: क्रिया योगये: न तथा लेपने: अपि |

यान्ति आशु : व्याधय: शांति यथा सम्यक सिराव्याधात |

धमन्य: च विशुध्यन्ति दुष्ट रक्तत्वाच: आशया :|

तत्र या सूक्ष्म शस्त्र विदध :अव्यक्त असृजम स्त्रावेत | सु.शा.ड

As we know from Urdvha Jatrugat Vikara are due to Dushta Dosha comes from Sira, Rakta to Shirobhaaga. Hence in all Vedya Vyadhi after Viddhakarma we get results as told in Raktamokshana by removing Dosha.

And Agnikarma works by removing Stambha Guna and causing vasodilation thus helping in various diseases.

1. Jivhaa VIkara, Dant Vikara

At the base of tongue for disease of tongue and teeth. Viddha should be done by raising tongue at its base.

On vein situated on both sides of frenulum.

उन्नमित विदष्ट जिव्हाग्रस्याधो-जिव्हायाम् ।। सु.शा.८/८

जिव्हारोगेष्वधोजिव्हायां दन्तव्याधिषु ।। सु.शा.८/१७

2. Talu Vikara

For disease of palate and teeth, Viddha should be carried out on the palate and gums by opening mouth.

This Viddha helps in tooth ache, lichan planas, sub mucosal fibrosis etc.

3. Nasa Rog

In Nasagat Vyadhi, Viddhakarma at tip of nose. This helps in DNS, Nasavarodha, Nasal obstruction, allergic rhinitis. If there is Rakt Pittadushti then it gives instant changes in symptoms.

नासाग्रे । सु. शा. ८ / १७

गंधाग्रहणे नासारोगेषु सु. शा. ८ / १७

4. Karn Vikaar (Ear disorders): Viddhakarma in Karna Badhirya, Karn Shul, Karnavikar carried out at a point one Angul above Vidhur Marma at margin of hair follicle called as Keshante. In children we treated more than 25 patient of hearing loss who were advised chochlear implant. it works in sensorineural hearing loss in great output. Viddhakram peirod is too long in hearing loss,but karn shul patient gives instant results. Specially ASOM pain

कर्णशूले कर्णरोगे तद्रोगेषु |

विधुरमर्माश्रित अधोभागस्य |

5. Shirorog: Viddhakarma in Shirorog is at Nasasamipasathe. On the lateral side of nose this Viddhakarma is also useful in refractive errors, Akshipaak (conjunctivitis), Adhimantha (glaucoma).

तिमिराक्षिपाक प्रभृष्वक्ष्यामयेषूपनासिके ।

एता एव शिरोरोगाधिमन्थप्रभृतिषु रोगेष्वस्ति ।। सु.शा.८/१७

6. Conjunctivitis (Akshipaak): Akshipaak of inflammatory and non-inflammatory types should be treated by Viddhakarma at Apand Upanasika Lalat Pradesh.

सशोफश्चाप्य शोफस्य तत्र... विध्दवां शिरां भिषक् | सु.उ.१२/३८

सिरांश्चात्र अपाङ्ग्ग्या औपनासिका ललाट्यां वा | टीका

7. Abhishyanad and Adhimanth: all types of Abhishyanda and Adhimantha Viddhakarma at the Upanasika Lalatya and Apang Sandhi.We see more patients of both in our practice specially ophthalmic. With correct Viddhakarma we can see reduction in IOP 2-3 mm of HG. In this diseases there is importance of accuracy. “Abhyasat Prapyate Drushti Karm Siddhi Prakashini” told in Vagbhat Sanhita. As we do Viddha according to Mandala and Patal. When there is changes in Drushti then we must consider involvement of Shrungatak Marama and Shankha Marm. Shrungatak Marm is the place where four Strotasa are united i.e., Netra Vaha, Nasavaha, Shabdavaha, Jivhaa.

पुराणसर्पिषा स्निग्धौ स्यन्दाधिमन्थ पीडितौ ।

स्वेदयित्वा यथान्यायं सिरामोक्षेण योजयेत् ।।

सिरामोक्षेणेत्यत्र सिरा उपनासिका ललाट्यां अपाड्यां वा । टीका

8. Vedhya: Sirotpaat, Siraharsh, Akshipaak, Anytowaat, Puyalas, Vaatviparyay, Adhimanth, Abhishyand. These are diseases mentioned as Vedhya Vyadhi. In all Vedhya Vyaadhi Raktamokshan e., Viddhakarma Chikitsa is main Chikitsa. As we know Basti is half treatement in Kayachikitsa, such as Viddhkarma is half treatment in Shalya Shalakya Vyadhi.

As mentioned earlier Raktmokshan i.e., Viddhakarma is point- Sthan specific Chikitsa, we must do Viddhakarma at the specific points mentioned, and Agnikarma is done at maximum point of pain and tenderness.

But in some Vydhi like Anantawaat - Trigeminal neuralgia, Kaach, Timir etc. there is only reference of Raktamokshan but not specific place for it. So with the help of modern science anatomy and Ayurved Netra Sharir, we started Viddhakarma according to Mandal – Pratham Dwitiya, Trutiya etc. and we are getting excellent results in Shalakyatantra diseases.

Case History

Age: 56 yr

Previous medical history

Known case of Diabetes - controlled by Tablets, no h/o BP and any previous medical history.

A person came to clinic with Disturbance in vision, unable to see the vision field, some foggy changes in vision. PL - Normal, Finger count - normal.

In OCT – rt eye – There was bleeding

Conclusion

For deciding efficacy of Viddhakarma we diagnosed this with the Drushtigat Vyadhi, as patient was complaining a little pain in rt eye so we decided to Viddhakarma only for clinical purpose. We started Viddhakrama of Drushtigat Vyadhi, First Bhrumadhya, Apang, Bhrupuccha and Upanasika. Day 2 - Pain Complaint resolved, Day 3 - Slight vision improved. After 15^th Viddha All symptoms resolved. Without any medication we repeated OCT and we got best result.

Reference

1. Sushrut Samhita, Chaukhamba Prakashan, Sutrasthan Chapter 8

2. Viddhakarma and Agnikarma book. Dr R B Gogate

Manuscript Received	Review Round 1	Review Round 2	Review Round 3	Accepted
2022-09-29	2022-10-01	2022-10-08	2022-10-15	2022-10-22
Conflict of Interest	Funding	Ethical Approval	Plagiarism X-checker	Note
Nil	Nil	Yes	17%

Case Report

ENT Diseases

Journal of Ayurveda and Integrated Medical Sciences