kshara karma and agni karma for the diseases of eye, ear, nose, throat and headache in ayurveda

1. Udaya Shankar
Prof,Author, Clinician
KSHARA AND AGNI KARMA IN SHALAKYA
TANTRA

2. OVERVIEW
• Opportunities in ShalakyaTantra
• Kshara karma in ShalakyaTantra
• Agnikarma in ShalakyaTantra

3. 25,30,00,000
P E R S O N S H A V E D I S E A S E S O F E Y E A N D
W I T H O U T C U R E F R O M M O D E R N
O P H T H A L M O L O G Y . .
…AWAITING
ADVICE…

4. 1 IN 20
HAVE IMPAIRED
HEARING.
IT WILL BE
1 IN 10
IN 2050

5. UP TO 40%
OF THE WORLD
POPULATION
HAS
ALLERGIC
DISEASES

6. TOOTH DECAY /
PERIODONTITIS
AFFECTS MORE THAN
85% POPULATION
6
Dental diseases
bleeding
gum
calculus
shallow
pocket
deep
pocket
healthy

7. तदििं बहु गूढार्थं चिकित्साबीजमीरितम् |
िु शलेनाभिपन्नं तद्बहु धाऽभिप्रिोहतत ||
तस्मान्मततमता तनत्यं नानाशास्रार्थथिभशथना
|सर्थमूह्यमगाधार्थं शास्रमागमबुद्चधना ||

8. TOOLS IN YOUR HAND

9. IF ALL THESE
FAIL, GO
FOR
KSHARA
KARMA OR
AGNI KARMA

10. KSHARA KARMA
IN
SHALAKYA TANTRA

11. तर क्षिणात्
क्षणनाद्र्ा क्षािः
तित्र्ा तित्र्ा आशयात् क्षाि:,
क्षित्र्ात ् क्षाियत्यध: - ि. चि.
५/५८
Removes and
Destroys!
Breaks down the defects from cavities!!
क्षिणाद् िुष्टत्र्ङमांसादििाल
नात्, शातनादित्यर्थथः;

12. MULTIPLE TASK MANAGER
नानौषचध
समर्ायात्त्त्रिोषघ्नः
आग्नेयौषचधगुणिूतयष्ठ
त्र्ात् िटुि
उष्णस्तीक्ष्णः
िृ म्यामिफिु ष्ठ
वर्षमेिसामुपहन्ता
पािनो वर्लयनःशोधनो
िोपणः शोषणः स्तम्िनो
लेखनः
सौम्यः;तस्य सौम्यस्यावप
सतो िहनपिनिािणादिशत्त्तति
वर्रुद्धा,
पुंस्त्र्स्य
िाततसेवर्तः

13. CLASSIFICATION
Concentration- Mild,
Moderate and Extreme
Administration -
External (Dosage-Size of
nails) and Internal(1 pala
(40G))

14. METHODOLOGY

15. PURVA KARMA
Examine for proper indications
and contraindications
Pre operative examinations
and investigations
Arrange for instruments,
equipments, staff and OT

16. INDICATIONS
Skin diseases,
cysts / tumors
non healing
ulcers
poisons
and
7 MUKHAROGAS
तर प्रततसािणीयः िु ष्ठकिदटििद्रुम
ण्डलकिलासिगन्ििाबुथिाशोिुष्टरणनणना
डीिमथिील-
ततलिालिन्यच्िव्यङगमशिबाह्य
वर्द्रचधिृ भमवर्षादिषूपदिश्यते , सप्त
सु ि मुखिोगेषूपत्त्जह्र्ाचधत्त्जह्र्ोपिु श
िन्तर्ैििेषु ततसृषु ि िोदहणीषु, एतेष्र्े
र्ानुशस्रप्रणणधानमुततम ्||७||

17. NETRA ROGA
LAGANA
Bedhana---- Kshara
karma
Yavakshara,thutha,g
orochana & pippali
mixed with honey
(A.H)

18. ARSOVARTHMA,
SUSHKARSAS,
VARTMARBUDA
Chedana ---Kshara
application
Erandabeeja Majja
orVibhitaki kshara
+ Honey (S. U)

19. PAKSHMA KOPA
UPAPAKSHMAMALA
Epilation -- Kshara
application
Gunja kshara + Honey
(S.U)

20. KRIMI
DANTA
Arka kshara
application
(A.H)

21. DANTA
SARKARA
Remove
sarkara - Apply
Yavakshara +
Honey(Chikitsa
manjari)

22. DANTA SOOLA
DANTA HARSA
Saindava + Kshara +
Honey  Pratisarana
(Yogamruta)
Yavakshara +Tila taila –
Kavala
Danta Vaidarba
janya– Ksara lepa
(Chakradatta)

23. ADHI MAMSA
Chedana –
Swarjika
kshara + honey
(Chakradatta)
23

24. ADHIJIHWA
UPAJIHVA
Adhijihwa
Yava kshara + Ardraka Swarasa
Lepana(Yogamruta)
Upajihva
Pratisarana withYava Kshara
(Chakradatta)

25. Panchakola
kshara for
dharana
(chakradatta)
Gala Roga

26. Kodrava
prepared in
water mixed
with amalaki
kshara +
gomutra
(chikitsa
manjari)
26
Kaphaja
Galaganda

27. Kodravatruna
kshara +
waterfor
kshalana
(A.H)
27
Darunaka

28. ARUMSHIKA
Kushta Kshara +
Madhu For
Lepana(S.U)

29. Chedana 
kshara karma
gunja kshara +
honey –
lepana(AH)
29
NASARSHAS
NASARBUDA

30. Application of
apamarga
kshara over the
hypertrophied
turbinate
NASANAHA

31. NASAGATA
RAKTAPITTA
Utpala Kshara +
Honey
Lepana(A.H)

32. Apamarga
kshara jala +
apamarga
moola kalka 
taila –
karnapoorana
32
KARNA NADA,
BADHIRYA

33. AVOID
• DISEASES Raktapitta, Praviddha, Jwara,
Trishna, Udararoga, Murchha, Hridroga,
Prameha, Shiroroga, Panduroga, Sarvaanga
Shopha and Raktajagulma.
• STATE -Children, phobic persons, aged,
Menstruating or pregnant, Durbala, Ruksha
persons, Shukra-ksheena persons.
• SITES -Arteries, joints, vital parts, cartilages,
veins, ligaments, throat, umbilicus, penis,
insufficient musculature, nailed, testis, all
parts of the eye except eye lid.
• SEASONS -Summer, autumn and cloudy
weather.

34. PRADHANA KARMA
• ..शलािया क्षािं प्रततसाियेत्, ि
त्त्र्ा र्ातशतमारमुपेक्षेत ||१
• तत्त्स्मत्त्न्नपततते व्याधौ िृ ष्णता
िग्धलक्षणम्
34

35. PASCHAT
KARMA
तराम्लर्गथः शमनः सवपथमथधुिसंयुतः ||
अर्थ िेत्त्त्स्र्थिमूलत्र्ात्क्षाििग्धं न शीयथते |
इिमालेपनं तर समग्रमर्िाियेत्||
अम्लिात्त्जजिबीजातन ततलान्मधुिमेर् ि |
प्रपेष्य समिागातन तेनैनमनुलेपयेत्||

36. AVOID
• Milk & milk products.
• Exposure to cold &
cold drinks
• Meat & Masha
products
• Hot & Hard food for 3
days

37. ADOPT
• Luke warm water &
soft diet for 3 days
• Triphala kashaya +
Yasthimadhu for
gargling
• Oral medicines
according to need

38. ASSESSMENT
◦ तर सम्यग्िग्धे
वर्िािोपशमो
लाघर्मनास्रार्
श्ि
◦ Alleviation of
disease
◦ Without any
secretions
◦ हीनिग्धे
तोििण्डुजाड्या
तन
व्याचधर्ृद्चधश्ि
• Pricking pain
• Itching
• Numbness
• Aggravation of
disease
◦ अततिग्धे
िाहपाििागस्रार्ाङगमिथतलमवपपा
सामूच्िाथः स्युमथिणं र्ा
◦ Burning sensation
◦ Redness/Suppuration
◦ Secretions
◦ Body ache /Thirst
◦ Faintness /death

39. AGNI KARMA
IN
SHALAKYA TANTRA

40. TOP 5
CENTERS
OF
AGNIKARMA
RESEARCH
• Govt. Ayur College, Bangalore, 22
• IPGTR A Jamnagar, 21
• KV G AMC, Sullia, Karnataka 16
• Ayurved Mahavidyalaya, Nasik10
• NIA , Jaipur, 10
Int J Ayu Pharm Chem
Review of Researches on Agnikarma
[Cauterization] Therapy by Sathish et al

41. CLASSIFICATION
External Effect
(physical)
• अत्त्ग्नना िृ त्र्ा यत् िमथ
Internal Changes
(chemical)
• अग्नेः सम्बत्त्न्ध र्ा यत् िमथ

42. तद्िग्धानां िोगाणामपुनिाथर्ाद्िेषजशस्रक्षािैिसानयानां
तत्सानयत्र्ाच्ि ||३||
सुश्रुत संदहता / सूरस्र्थानम् - १२.
िेषजाशततौ शस्रार्िािणं, शस्राशततार्शेषव्याचधशम
नाय क्षािः, क्षािाशतयेऽर्गाढमूले व्याधार्त्त्ग्नरितत||३||-
डल्हण

43. CLASSICAL
MATERIALS
• तद्यर्था-
वपप्पल्यजाशिृ द्गोिन्तशि
शलािाजाम्बर्ौष्ठेतिलौहाः
क्षौद्रगुडस्नेहाश्ि |
• वपप्पल्यजाशिृ द्गोिन्तशि
शलािास्त्र्ग्गतानां,
• जाम्बर्ौष्ठेतिलौहा मांसग
तानां,
• क्षौद्रगुडस्नेहाः भसिास्नायुस
न्नयत्त्स्र्थगतानाम् ||

44. Pancha loha shalaka
Rajata shalaka

46. • h

48. DIATHERMY
48

49. MONOPOLAR
AND
BIPOLAR
DIATHERMY

50. METHODS
तर द्वर्वर्धमत्त्ग्निमाथहुिेिे -
त्र्ग्िग्धं, मांसिग्धं ि; इह तु भसिास्नायुसन्नयत्त्स्र्थष्र्वप
न प्रततवषद्धोऽत्त्ग्नः ||७||
तर्था ि िद्रशौनिः-
“त्र्ङमांससंचश्रतो र्ायुस्त्र्ग्िाहेनैर् शाम्यतत| मांसे िग्धे
दह शाम्यत्त्न्त भसिास्नाय्र्त्त्स्र्थसत्त्न्धजाः”- इतत||४||

51. Kashyapa v/s Dalhana
िाश्यपेन मुतनना भसिादिष्र्त्त्ग्नि
मथ प्रततवषद्धं; तर्था ि तद्र्िनं-
“न भसिास्नायुसन्नयत्त्स्र्थममथस्र्
वप िर्थजिन| िंशस्योत्ितथनं िायं
िाहो र्ा भिषजाऽत्त्ग्नना|”- इतत;
अरावप भसिास्नायुसन्नयत्त्स्र्थच्िे
िाद्रतताततप्रर्ृत्तौ व्यापत्प्रतीिािा
यात्त्ग्निमोततं, न पुनः भसिादिग
तिोगोच्िेिनाय, यतो मांसिाहािे
र् भसिादिगतिोगोच्िेिो जायत ए
र्;

52. BASIC RULES
त्र्ङमांसभसिास्नायुसन्नयत्त्स्र्थ
त्त्स्र्थतेऽत्युग्ररुत्त्ज र्ायार्ुत्त्च्ित
िदठनसुप्तमांसे रणनणे ग्रन््यशो
ऽबुथििगन्ििापिीश्लीपििमथिी
लततलिालिान्रर्ृद्चधसत्त्न्धभस
िाच्िे िनादिषु नाडीशोणणताततप्र
र्ृवत्तषु िात्त्ग्निमथ िु याथत् ||१०
||
• Point of intense tenderness
• Pulsate area
• Fibrosis area
• Abnormal sensation
52

53. SPECIAL RULES
तर भशिोिोगाचधमन्र्थयोर्भ्ूथललाटशङखप्रिेशेषु
िहेत्, र्त्मथिोगेष्र्ाद्राथलततिप्रततच्िन्नां दृत्त्ष्टं
िृ त्र्ा र्त्मथिोमिू पान ् ||९||
• Headache- supra orbital, frontal and
temporal area.
• Eye lid diseases – lid margins
• Hemorrhagic area after excision
53

54. तर र्लय-बबन्िु-वर्लेखा-
प्रततसािणानीतत िहनवर्शेषाः ||
११||
SHAPES.
1. Circular ring
2. Pointed
3. Curved lines
4. Rubbing
5. Crescent
6. Swasthika
7. Eight limbed

55. िोगस्य संस्र्थानमर्ेक्ष्य सम्य
ङनिस्य ममाथणण बलाबलं ि |
व्याचधं तर्थतुं ि समीक्ष्य सम्य
ि् ततोऽव्यर्स्येद्भिषगत्त्ग्नि
मथ ||१२||
Involved tissues in disease
Proximity to energy points- marma
Immunity
Debility
Character of the disease
Climate and season

56. INDICATIONS
Shiro roga
Mukha roga
Shiras – Shiro Roga,Ardhavabhedaka
Mukha- Medoja osta Jalrabuda,
Krimidanta, Dantanadi, Danta Vidradhi,
Dalana,Vardahna, Medoja Galaganda
General- Shonita Atipravritta, Granthi,Arnuda,
Katina-ucchrita Vrana

57. Netraroga
57
1. Lagana – After Bedana
2. Shonitarshas After Cedana
3 Shushkarshas After Cedana
4 Arbuda After Cedana
5. Pakshmakopa After Shastra
Karma
6 . Alaji With Suchi Agra Bhaga
7. Kaphaja Linganasha- If Pain Is Not
Subsiding After Vyadhana Karma
8. Adhimantha - If Pain Is Not
Subsiding

58. EFFECTS OF
AGNI KARMA
• Local action
• Special actions

59. It increases the Vasodilatation, rate
of metabolism, capillary permeability,
delivery of leukocyte, elasticity of
ligaments capsules, muscle and
nerve conduction.
2. Removal of metabolic waste.
3. It causes the analgesia and
sedation of Nerves
4. It decreases the edema formation,
muscle tone, muscle spasm and
perspiration
LOCAL
EFFECTS
1. Vaso dilatation
2. Waste disposal
3. Analgesia
4. Inflammation

60. • • Induction of pro-inflammation
theory
• • Application of thermodynamic
principle to biological system
• • Gate control theory of pain
• • Superficial nerve endings response
• theory
• • Contact inhibition theory
• • Pain threshold theory
• • Pizo- electric current theory
• • Reflex theory
SYSTEMIC
EFFECTS

61. These effects will depend
upon…
• Duration of heating
• Method of application
• Depth of absorption of
specific radiation
• Size of area heated

62. PHOTO
COAGULATION
1. Eyelid lesions such as
Haemangiona
2. Corneal conditions
3. Laser for glaucoma.
4. Lesions of iris.
5. Lesions of retina and
choroid.

63. MACULAR PHOTOCOAGULATION
TECHNIQUES

64. THANK YOU!
DR. UDAYASHANKAR
BENAKA HEALTH CENTRE
GANAPATHY STREET
MADIKERI, KA
dr.udayashakar@gmail.com