EXCISION FOLLOWED BY AGNIKARMA IN THE MANAGEMENT OF RECURRENT PAPILLOMA-A RARE CASE REPORT.
Dr. Ruchi Pandey, *Dr. Dudhamal Tukaram, Prof. Gupta Sanjay Kumar and Dr. Amit Gaur
ABSTRACT
According to Sushruta Agnikarma has been described as superior para-surgical procedures among all the measures used in Ayurveda, as the disease treated by it usually did not relapse. Sushruta clearly mentioned Chedan (excision) followed by Agnikarma in Kaphaj Granthi (one kind of benign tumor with Kapha dosha predominance) and Medoj Granthi when it is not cured by drugs to avoid recurrence. In this case report a 32 years old female patient visited in outpatient department of Shalya tantra having complaints of non inflammatory cystic swelling in left perianal region since 5 months. The swelling was gradually increasing in size associated with local itching and discomfort. Previously she was operated in private hospital for two times before 2years and biopsy report showed papiloma. But patient had again recurrence at same place so she consulted to Ayurvedic hospital for treatment to avoid recurrence. So we planned for Chedan (excision) of papilloma followed by Agnikarma where whole raw area was burnt with Panchadhatu shalaka. Daily cleaning with Panchvalkal Kwath dressing with Kasisadi Tail was done for 7 days. Wound was completely healed after 7 days. Follow up was done up to 10 months and patient had no relapse of swelling or any complaints. This case demonstrates the advantages of Agnikarma in recurrence case of papilloma.
Keywords: Agnikarma, Granthi, Kasisadi Tail, Panchadhatu Shalaka, Panchavalkal Kwath.
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