A review on clinical importance of agnikarma according to ayurveda
Journal name: World Journal of Pharmaceutical Research
Original article title: A review on clinical importance of agnikarma according to ayurveda
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Dr. Harmeet Kour and Dr. Sarika Gupta
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Full text available for: A review on clinical importance of agnikarma according to ayurveda
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr20222-22986
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Summary of article contents:
Introduction
Agnikarma is a therapeutic procedure mentioned in ancient Ayurvedic texts, particularly by Acharya Sushruta, as one of the para-surgical techniques used to treat various ailments. This method utilizes heat (Agni) to address diseases that cannot be cured by traditional herbal medicine or surgical interventions. The procedure is noted for its quick pain relief and its effectiveness in preventing disease recurrence. Agnikarma encompasses the application of heat on affected body parts, making it relevant for treating conditions associated with bones, joints, ligaments, and tendons.
The Concept of Agnikarma
Agnikarma, derived from the Sanskrit words for 'heat' and 'procedure,' is primarily a parasurgical approach. It is classified based on the materials used, the tissue affected, and the shape of application. Acharya Sushruta describes multiple materials, such as metal rods and herbal substances, for specific conditions ranging from skin issues to deeper tissue ailments. The classification also includes variations such as Snigdha (using oily substances) or Ruksha (using dry materials), indicating the tailored approach to healing based on the patient's needs and the nature of the disorder.
Indications and Contraindications
Agnikarma is indicated for a variety of conditions including cysts, lymphadenitis, piles, fistulas, painful skin, muscle, joint, and bone conditions. Despite its broad applicability, certain contraindications must be considered. These include patients with Pitta dosha predominance, those in specific seasons such as Autumn and Summer, patients with internal bleeding, the elderly, and pregnant women. Awareness of these conditions ensures the safe application of this therapeutic method and prevents potential complications.
Procedure and Effectiveness
The Agnikarma procedure consists of three steps: Purvakarma (pre-procedure), Pradhankarma (main procedure), and Paschyatkarma (post-management). The technique is relatively simple, allowing it to be performed in outpatient settings without the need for anesthesia. This approach is praised for being cost-effective and devoid of significant side effects, while effectively addressing conditions related to pain management. Its mechanism lies in the ability of Agni to pacify vitiated Vata and Kapha doshas, thus promoting healing and restoring balance within the body.
Conclusion
In conclusion, Agnikarma represents an essential aspect of Ayurvedic treatment that combines traditional healing practices with modern healthcare demands for instant pain relief. The procedure’s adaptability, simplicity, and efficacy make it a relevant treatment modality today. While it has shown promise in pain management and overall healing, the call for further scientific research is critical to enhance understanding and validate its benefits in contemporary medicine. The holistic approach of Agnikarma underscores the need for integrative practices that respect traditional wisdom while embracing scientific inquiry.
FAQ section (important questions/answers):
What is Agnikarma and its purpose in Ayurveda?
Agnikarma is a para-surgical procedure using heat to treat various disorders. It provides quick pain relief and addresses conditions that cannot be cured by herbal medicine or surgery.
Which materials are used in the Agnikarma procedure?
Materials like metals (e.g., copper, silver), herbal preparations, and natural substances like honey are utilized during Agnikarma, depending on the disorder being treated.
What are the classifications of Agnikarma?
Agnikarma can be classified based on the type of material used (Snigdha and Ruksha), the affected body part (Twak, Mamsa, Sira, etc.), and the shape of the application.
What are the indications for performing Agnikarma?
Agnikarma is indicated for various conditions such as cysts, lymphadenitis, piles, and arthritis, as well as pain in skin, muscles, and joints.
Are there any contraindications for Agnikarma treatment?
Yes, contraindications include certain body constitutions, age limits (children and elderly), pregnancy, and conditions like internal bleeding or diarrhea.
How is the Agnikarma procedure performed?
The Agnikarma procedure includes three steps: Purvakarma (preparation), Pradhankarma (main procedure), and Paschyatkarma (post-management), involving careful site selection, application of heat, and post-treatment care.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “A review on clinical importance of agnikarma according to ayurveda”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Agnikarma (Agni-karma):
Agnikarma is a para-surgical procedure highlighted in Ayurveda, utilizing heat to treat various bodily disorders. It offers quick pain relief and is effective for conditions resistant to herbal and surgical interventions. The process involves the application of Agni (fire) on targeted areas to promote healing and prevent recurrence of diseases.
2) Disease:
A disease is a specific abnormal condition affecting the body or mind, often characterized by specific symptoms and signs. In Ayurveda, disease is understood in terms of dosha imbalances. Effective treatments like Agnikarma target these imbalances to restore health and prevent future occurrences.
3) Agni:
Agni, meaning fire, is a fundamental concept in Ayurveda symbolizing transformation and metabolism. It represents biological fire that governs digestion and bodily functions. In Agnikarma, Agni plays a crucial role in healing, as the application of heat is believed to facilitate the body's natural healing processes.
4) Pain:
Pain is an unpleasant sensory and emotional experience often signaling injury or disease. In Ayurvedic practice, pain is classified based on doshic imbalances, particularly related to Vata. Agnikarma serves as an effective treatment for various pains, providing rapid relief through its heat application.
5) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian system of medicine focused on balance in bodily systems and the use of natural healing techniques. It emphasizes personalized treatment and the balance of doshas, providing a holistic approach. Agnikarma is an integral component of Ayurveda, addressing conditions through heat therapy.
6) Sandhi (Shandhi, Samdhi):
Sandhi refers to joints or articulation points in the body. In the context of Agnikarma, disorders related to Sandhi, such as arthritis or joint pain, can be treated through the application of heat to restore movement and alleviate discomfort, making it a vital target in Ayurveda.
7) Dosha (Dosa):
Doshas are fundamental energies in Ayurveda representing biological functions. The three doshas—Vata, Pitta, and Kapha—are responsible for physical and mental health. Agnikarma specifically targets imbalances in these doshas, utilizing heat to harmonize body functions and eliminate disease characteristics caused by vitiation.
8) Asthi (Ashthi):
Asthi refers to bones in Ayurvedic terminology. Various disorders affecting Asthi can lead to pain and dysfunction. Agnikarma is applied to treat such bone-related conditions by using heat to enhance recovery and promote stability, making it an essential area of focus in integrative treatments.
9) Ritu (Rtu):
Ritu denotes seasons in Ayurveda, which significantly influence health and treatment effectiveness. Certain procedures, such as Agnikarma, are recommended to be performed in specific seasons to optimize results. For example, Agnikarma is generally avoided in Autumn and Summer due to potential aggravations in dosha levels.
10) Cauterisation (Cauterization):
Cauterization is a medical procedure involving the application of heat to tissue to destroy abnormal growths or to stop bleeding. Agnikarma is a form of cauterization recognized in Ayurveda, where controlled burns treat various physical ailments and promote quick recovery without recurrence of conditions.
11) Bleeding:
Bleeding refers to the loss of blood from the circulatory system, which can occur due to injuries or underlying conditions. In the context of Agnikarma, preventing excessive bleeding during procedures is crucial. The technique enhances hemostasis, promoting recovery and stabilization of affected areas.
12) Salaka (Shalaka):
Shalaka refers to a metal rod used in the Agnikarma procedure. It is heated and then applied to the affected area to deliver therapeutic burns that facilitate healing. The choice of material like Shalaka is essential, as different instruments suit various tissue types and health conditions.
13) Sharad (Sarad):
Sharad is the Ayurvedic term for Autumn, a season that can exacerbate Pitta dosha imbalances. The Agnikarma procedure is generally avoided during this season due to potential adverse effects. Understanding seasonal influences is crucial for optimal treatment planning and patient care in Ayurveda.
14) Pitta:
Pitta is one of the three doshas in Ayurveda associated with heat, metabolism, and transformation. It regulates bodily functions like digestion and energy. In treatments like Agnikarma, attention to Pitta levels is vital to prevent aggravation, particularly in certain seasons and for specific patient conditions.
15) Madhu:
Madhu, or honey, is a medicinal substance in Ayurveda known for its healing properties. It is used post-Agnikarma for wound care to promote healing and soothe the treated area. Honey's natural antibacterial properties make it an effective treatment adjunct in various Ayurvedic procedures.
16) Sira (Shira):
Sira denotes blood vessels in Ayurveda. Treatment applications like Agnikarma target Sira-related disorders through heat, facilitating healthy blood circulation and tissue healing. Understanding the role of Sira in bodily functions helps guide appropriate interventions for conditions linked to vascular health.
17) Purvakarma (Purva-karman, Purvakarman):
Purvakarma refers to the preparatory steps taken before the Agnikarma procedure. It involves assessing the patient, dietary preparations, and cleaning the treatment area. Proper Purvakarma is essential to enhance the effectiveness of Agnikarma and ensure patient readiness and comfort during the subsequent steps of treatment.
18) Samhita:
Samhitas are ancient texts that compile Ayurvedic knowledge, methodologies, and practices. They serve as resources for practitioners to develop treatment protocols, including for procedures like Agnikarma, thus ensuring adherence to traditional standards and the effective application of Ayurvedic principles.
19) Prasuti:
Prasuti is the Ayurvedic term for obstetrics or childbirth. In the context of Agnikarma, it may be relevant for addressing postpartum issues or gynecological disorders. Knowledge of Prasuti-related conditions helps inform practitioners when assessing suitable treatment options for female patients.
20) Swastik:
Swastik represents a symbolic geometric pattern often associated with auspiciousness in Ayurveda. It may be used in certain healing spaces or therapies to signify life energy and well-being. While not directly involved in Agnikarma, its cultural significance underlies the holistic approach of Ayurvedic practices.
21) Vedana:
Vedana translates to pain or suffering in Sanskrit. It is a key focus in Ayurveda, as understanding the nature and origins of Vedana helps guide treatment strategies, including the application of Agnikarma. The goal is to alleviate Vedana effectively through tailored therapies addressing underlying causes.
22) Ghrita (Ghrta):
Ghrita refers to clarified butter used in Ayurveda, which is known for its nourishing and healing properties. In the context of Agnikarma, Ghrita is applied post-treatment to promote wound healing, soothe irritation, and enhance recovery, making it an integral component of Ayurvedic therapeutic practices.
23) Autumn:
Autumn, known as Sharad in Ayurveda, is a season marked by specific climatic conditions affecting dosha balance. Treatments like Agnikarma are typically avoided during this period to prevent exacerbation of Pitta dosha. Awareness of seasonal effects is essential for designing effective Ayurvedic interventions.
24) Summer:
Summer, referred to as Grisham in Ayurveda, is a season that can aggravate Pitta dosha due to increased heat. In practices like Agnikarma, caution is advised during this time to mitigate potential adverse reactions. Understanding seasonal dynamics is vital for successful treatment planning in Ayurveda.
25) Mamsa (Mamsha):
Mamsa refers to muscle tissue in Ayurveda, significant in assessing musculoskeletal disorders. Agnikarma is employed effectively for conditions affecting Mamsa, utilizing heat application to alleviate pain, improve circulation, and promote overall muscle health, thereby assisting in comprehensive treatment approaches.
26) Dhatu:
Dhatu denotes the seven fundamental tissues in Ayurveda, essential for maintaining bodily balance and health. Each Dhatu has a specific role, and imbalances may lead to diseases. Agnikarma can positively influence Dhatu functionality through the application of heat, aiding recovery from tissue-related disorders.
27) Sara (Shara):
Shara signifies arrowheads used in Agnikarma for specific treatments. The material's sharpness and properties are chosen based on the targeted tissue type, allowing for precise application of heat. This relevance underscores the importance of selecting appropriate instruments for achieving desired therapeutic outcomes.
28) Honey:
Honey, or Madhu in Ayurveda, is prized for its natural healing properties and is often used post-Agnikarma to promote wound healing and soothe the treatment area. Being antiseptic and anti-inflammatory, honey enhances recovery and alleviates discomfort, making it an integral element of Ayurvedic practices.
29) Post:
Post refers to the period following the Agnikarma procedure, which involves specific aftercare measures to ensure effective healing. Following proper post-treatment protocols, such as the application of soothing agents like Ghrita, is vital to maximize recovery and prevent complications.
30) Piper longum:
Piper longum, commonly known as Pipalli, is an Ayurvedic herb with potential therapeutic properties used in various applications, including Agnikarma. Its role in heat generation aligns with traditional practices aimed at addressing dosha imbalances and promoting overall health, signifying the importance of herbal support in treatments.
31) Kaphadosha (Kaphadosa, Kapha-dosha):
Kapha-dosha represents the bodily element of earth and water, influencing structure, fluid balance, and stability. Agnikarma can effectively alleviate excess Kapha, which may contribute to conditions like congestion or mucous buildup, employing heat to balance this dosha and restore health.
32) Sushruta-samhita (Susruta-samhita):
Sushruta-samhita is a classical Ayurvedic text attributed to Acharya Sushruta, detailing surgical techniques and treatments like Agnikarma. It serves as an essential reference for practitioners, outlining guidelines, methodologies, and indications that enrich current Ayurvedic practice and surgical interventions.
33) Inflammation:
Inflammation is the body's natural response to injury or infection, often presenting as redness, swelling, and pain. In Ayurveda, inflammation is linked to dosha imbalances, particularly Pitta. Agnikarma helps manage inflammation by utilizing targeted heat to improve circulation and healing in affected areas.
34) Pratisharana (Pratisarana):
Pratisarana denotes a specific shape applied during Agnikarma treatment. This aspect emphasizes the structured approach in Ayurveda, where practitioners utilize various forms and techniques in healing to enhance therapeutic outcomes, ensuring precision aligns with the therapeutic goal of restoring health.
35) Science (Scientific):
Scientific refers to the methodical approach towards understanding natural phenomena and practices, including Ayurvedic procedures. While many traditional practices, like Agnikarma, are rooted in ancient knowledge, ongoing scientific validation of their efficacy enhances credibility and promotes integration with modern medical paradigms.
36) Prakriti (Prakrti):
Prakriti describes an individual’s constitution or nature, determined by the balance of doshas at birth. In Ayurveda, assessing Prakriti guides personalized treatment approaches. Understanding a patient's unique Prakriti aids in determining the suitability of interventions like Agnikarma for optimal healing outcomes.
37) Medicine:
Medicine encompasses the science of diagnosing, treating, and preventing diseases. Ayurveda represents a holistic form of medicine that integrates physical, mental, and spiritual well-being. Practices like Agnikarma contribute to Ayurvedic medicine by offering impactful, non-invasive treatment options for various health conditions.
38) Swelling:
Swelling is an accumulation of fluid in tissues, causing distension and discomfort typically due to inflammation or injury. In Ayurveda, swelling often relates to dosha imbalances. Agnikarma serves as a treatment to alleviate swelling by promoting circulation and healing through heat application.
39) Vitiation (Vitiated):
Vitiated describes the state of doshas when they are disturbed or imbalanced, leading to disease. Recognizing vitiated doshas is vital in Ayurveda to tailor treatments effectively. Agnikarma is applied to rebalance vitiated doshas, restoring harmony and health.
40) Kshaudra (Ksaudra):
Kshaudra refers to honey, as well as the properties associated with it. It plays a role in soothing and promoting healing in Ayurvedic treatments. Within Agnikarma, Kshaudra may be incorporated for post-treatment care to enhance recovery and alleviate any discomfort.
41) Shastra (Sastra):
Shastra signifies rules or authoritative texts that provide guidance on various practices, including surgical and medical procedures. In Ayurveda, it underlies the systematic approach and principles for treatments such as Agnikarma, supporting the rationale behind therapeutic applications.
42) Sukshma (Shukshma, Suksma):
Sukshma translates to subtle or fine, referring to the intricate nature of bodily processes. In Ayurveda, understanding Sukshma aspects of health is crucial for targeted therapies like Agnikarma, ensuring precision in treatment applications according to individual needs and specific conditions.
43) Granthi (Gramthi):
Granthi refers to a cyst or nodule in Ayurvedic terminology. Agnikarma may be indicated for such conditions, utilizing heat to treat and resolve these abnormal growths effectively. Identifying Granthi helps practitioners decide on the relevance of Agnikarma in treatment protocols.
44) Pippali (Pippalin):
Pippali, or Piper longum, is an Ayurvedic herb known for its benefits in digestion and respiratory health. Its role in practices like Agnikarma highlights the importance of integrating herbal elements with heat therapy for a holistic approach to healing and restoring balance.
45) Prakopa:
Prakopa refers to the aggravation or increasing intensity of doshas, leading to disease manifestation. In the context of Agnikarma, recognizing Prakopa assists practitioners in determining the urgency and type of treatment needed for restoring balance and addressing resultant health issues.
46) Snigdha:
Snigdha refers to a type of Agnikarma using oily or unctuous substances. It is administered to treat conditions characterized by excess dryness or vitiated Vata dosha. Implementing Snigdha Agnikarma effectively synchronizes healing properties of heat with beneficial oils in specific health contexts.
47) Jaggery:
Jaggery, known as Guda, is an unrefined sugar commonly used in Ayurveda for its health benefits. In the context of Agnikarma, Jaggery may serve a dual role in treatments, either as a soothing agent post-procedure or by aiding in nutrition for recovery.
48) Kashmir:
Kashmir, a region in India with rich cultural and medicinal heritage, is known for its traditional Ayurvedic practices and natural healing resources. Its association with treatments like Agnikarma reflects the integration of local herbs and ancient wisdom into health and wellness.
49) Yantra (Yamtra):
Yantra represents a metaphorical diagram or device used in spiritual or healing contexts. In Ayurveda, Yantra can symbolize the systematic approach taken in treatments like Agnikarma, where understanding the subtleties of healing assures efficacy and positive outcomes.
50) Dravya:
Dravya refers to substances or materials used in Ayurvedic treatments. In Agnikarma, various Dravya are utilized for their specific properties, either as tools or therapeutic agents, essential for achieving desired outcomes effectively during the heat application process.
51) Ruksha (Ruksa):
Ruksha refers to a dry or rough type of Agnikarma designed to treat conditions characterized by excess moisture or Kapha dosha issues. Understanding and applying Ruksha techniques effectively addresses specific health concerns, integrating Ayurvedic fundamentals into practice.
52) Akriti (Akrti):
Akriti means shape or form, especially in the context of treatments in Ayurveda. Different Akriti approaches in Agnikarma signify tailored treatments that consider specific health conditions, ensuring the application aligns with individual patient needs and enhances healing outcomes.
53) Valaya:
Valaya refers to a circular shape used in Agnikarma applications. This aspect emphasizes the intricate considerations involved in the therapy, where specific shapes enhance the effectiveness of treatment by applying heat in a targeted manner to affected areas.
54) Dagdha:
Dagdha translates to burnt or scorched, referring to the effects of Agnikarma. Understanding the Dagdha effects allows practitioners to monitor recovery post-procedure, ensuring appropriate healing measures are implemented to support tissue regeneration and prevent complications.
55) Sharika (Sarika):
Sarika is likely a reference to Dr. Sarika Gupta, a co-author in the presented research. The involvement of knowledgeable practitioners like her enhances the credibility of findings in discussions surrounding techniques like Agnikarma and their clinical applications.
56) Reason:
Reason signifies the underlying justification or rationale for procedures in Ayurveda. Understanding the reasons behind treatments like Agnikarma enhances practitioners' decision-making and fosters effective application of these methods to address various health issues.
57) Silver:
Silver, known as Rajat in Ayurveda, may be used in various healing contexts for its soothing and antibacterial properties. While not directly related to Agnikarma, the inclusion of materials like Silver reflects Ayurveda's integrative approach to healing, emphasizing the use of various beneficial elements.
58) Pigeon:
Pigeon does not have a direct connection in the context provided; however, it may refer to the descriptive term 'pigeon-like discoloration' observed in the skin during certain conditions treated with Agnikarma. Awareness of such signs aids practitioners in making informed assessments.
59) Kapha:
Kapha is one of the key doshas in Ayurveda associated with structure and fluid balance. Disorders linked to Kapha can manifest in symptoms involving excessive moisture or sluggishness. Treatments like Agnikarma aim to adjust Kapha levels, facilitating improved health outcomes through heat application.
60) Karma (Karman):
Karma translates to action or deed and signifies the importance of intentionality behind treatments in Ayurveda. Each therapeutic application, such as Agnikarma, carries distinct meanings and planned outcomes, emphasizing the holistic nature of Ayurvedic practice based on individual needs and circumstances.
61) Bindu (Bimdu):
Bindu refers to dot-like shapes used in Agnikarma procedures, emphasizing the precision with which treatments are applied. Understanding different Bindu shapes allows practitioners to adapt therapies effectively to individual health conditions, enhancing therapeutic success in healing endeavors.
62) Sneha:
Sneha represents oily substances in Ayurveda, often used for therapeutic benefits. In Agnikarma, Sneha applications are integral both pre- and post-procedure, aiding in nourishment, enhancement of healing properties, and balancing efforts against conditions of dryness or vitiated doshas.
63) Tamra:
Tamra refers to copper, which is utilized in various Ayurvedic applications for its therapeutic properties. In the context of Agnikarma, the use of Tamra in particular procedures highlights the importance of material properties in achieving effective healing outcomes for targeted conditions.
64) Snayu:
Snayu signifies ligaments and tendons, representing an important focus area in Ayurveda for treatments aimed at musculoskeletal health. Agnikarma procedures target Snayu disorders effectively, applying heat to relieve pain and promote restoration of function in affected areas.
65) Gupta:
Gupta refers to Dr. Sarika Gupta, a co-author of the study. The inclusion of specialized practitioners like her underscores the collaborative nature of Ayurveda, promoting comprehensive knowledge-sharing and innovation in traditional practices like Agnikarma for enhanced patient care.
66) Bhiru:
Bhiru describes individuals who are fearful or timid, and in the context of Agnikarma, such patients may require special attention. Practitioners must address patient comfort and anxiety, tailoring approaches to facilitate smoother treatment experiences for vulnerable demographics.
67) Vrana:
Vrana refers to wounds or ulcers in Ayurveda. Agnikarma is relevant for treating Vrana by utilizing heat therapy effectively to promote healing and minimize complications. Understanding the nature of Vrana ensures appropriate interventions that align with recovery goals.
68) Arrow:
Arrow refers to instruments like Shara used in Agnikarma applications, emphasizing the precision necessary in treatment modalities. The proper selection and utilization of arrow-like instruments ensure targeted therapeutic effects, reflecting the meticulous approach inherent to Ayurvedic practices.
69) Burning (Burn, Burned, Burnt):
Burn in the context of Agnikarma denotes the deliberate application of heat for therapeutic purposes. It highlights the principle that controlled burns can facilitate healing, promote tissue regeneration, and alleviate pain, showcasing the utility of thermal intervention in Ayurvedic practices.
70) Bala:
Bala refers to children in Ayurveda. Special considerations are necessary when applying treatments like Agnikarma in pediatric patients to account for their unique physiology and health needs, ensuring that interventions are safe and effective for younger demographics.
71) Guda:
Guda refers to jaggery, a natural sweetener used in Ayurveda. In treatment contexts, Guda may serve as a beneficial adjunct in healing practices, including post-Agnikarma care strategies to promote recovery, emphasizing the holistic approach inherent in Ayurveda.
72) Vasa (Vasha):
Vasa refers to body fat or flesh in Ayurveda, playing a vital role in nutrition and maintaining health balance. Understanding Vasa assists practitioners in addressing disorders and determining the relevance of treatments like Agnikarma for improving overall well-being.
73) Vata:
Vata is one of the three doshas, symbolizing air and space, responsible for movement and communication within the body. Imbalances in Vata may lead to various disorders, and treatments like Agnikarma are aimed at balancing Vata dosha effectively through heat application.
74) Kala:
Kala signifies time periods or durations in Ayurveda, which can influence treatment effectiveness. Understanding the appropriate timing for procedures like Agnikarma aligns with seasonal and individual needs, ensuring that interventions coincide with optimal conditions for achieving positive health outcomes.
75) Diet:
Diet refers to the types of food consumed and their influence on health according to Ayurveda. Proper dietary practices play a crucial role in conjunction with treatments like Agnikarma, aiding recovery and ensuring the body is nourished for optimal healing post-procedure.
[Note: The above list is limited to 75. Total glossary definitions available: 79]
Other Science Concepts:
Discover the significance of concepts within the article: ‘A review on clinical importance of agnikarma according to ayurveda’. Further sources in the context of Science might help you critically compare this page with similair documents:
Ayurveda, Purvakarma, Surgical intervention, Preventive measure, Mode of action, Contra-indication, Acharya Sushruta, Agnikarma Procedure, Clinical importance, Pradhankarma, Sign and symptom, Agnikarma Kala, Therapeutic burn, Indications of Agnikarma.
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