A clinical comparative study of Chedana Paschat Arka Pratisaraeeiya Kshara & Agnikarma in the management of Kadara (Corn)

Abstract

Sushruta Samhita is the earliest known authentic treatise on Ayurveda. In Vedic period also there is a description of Agnikarma and Ksharakarma. In Shalya Tantra common procedure are Agnikarma, Ksharakarma and Jalokavacharna etc. Kadara is one among Kshudra Roga is claimed to be effectively dealt with Agnikarma and Ksharakarma. This is intended to offer instant relief to the patient to evolve a simple and economic management and to evaluate whether the relapse can be prevented with Agnikarma and Ksharakarma.The studies conducted with 40 patients were selected, made into 2 groups of 20 each patients. Group A patients were treated with surgical excision followed by Arka Pratisaraneeya Ksharakarma and Group B patients were treated with surgical excision followed by Agnikarma. Arka Kshara is prepared and applied after excision of lesion, keeping for 100 Shatamatrakala (100 sec), treated with Nimbuka Swarasa. With all aseptic measures the lesion is excised and then Agnikarma using Lohashalaka, Madhu and Sarpi is applied and bandaged. Both procedures are in single sitting, dressing for alternate day and every 15 days follow up till 45 days. After the completion of clinical trial, it was found that Agnikarma procedure there was highly significant results in reducing pain, discomfort, bleeding infections and healing period. Where as in KsharaKarma there is also significant result in reducing pain, discomfort but statically considering average mean Kshara Karma shows comparatively lesser effective than Agnikarma. By the statistical results it can be concluded that Agnikarma has better result when compared to Kshara Karma in the present study.