• Dr. Sharad Tulashiram Kale
• Dr. Tejal Sharad Kale

Acharya Sushruta known as father of ancient surgery and he explained various parasurgical procedures in Arsha. The procedures like Kshara Karma (chemical cauterization), Agni Karma (thermal cauterization) and Raktamokshana (Blood letting) are explained in detailed in this Article. Chakradatta has mentioned use of ksharasutra in Naadi Vrana, Bhagandara & Arshas. It is equipped by repeated coating of snuhi Ksheera, Kshar & Haridra on a thread & it helps to excise this diseases. While in the management of Arshas Agni Karma is indicated in rough, Asthir (not- fixed sessile) round in shape, hard in consistency (Thrombosed pile) such Arshas which arise from the vitiation of Vata and Kapha can be treated with AgniKarma. Acharya Vagbhata advised bloodletting in Arshas which is charactercterized by hard inflamed mass where Dooshita Rakta is retained. Father of surgery, Acharya Sushruta explained four type of treatment in Arshas and this Karma is considered Arshas last treatment modalities to treat Arshas. He indicated Shastra Karma (chedan) if the pile mass is to be excised by incising with the help of sharp instruments such as khara- Patra etc and the excised part is to be treated with AgniKarma.

Arsha, Shastrakarma, Agnikarma, Ksharakarma, Raktamokshana

"A Critical Literature Review of Para Surgical Procedure (Ksharkarma & Agnikarma Chikitsa) in Arsha", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.10, Issue 4, page no.k103-k106, April-2023, Available :http://www.jetir.org/papers/JETIR2304A17.pdf

"A Critical Literature Review of Para Surgical Procedure (Ksharkarma & Agnikarma Chikitsa) in Arsha", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.10, Issue 4, page no. ppk103-k106, April-2023, Available at : http://www.jetir.org/papers/JETIR2304A17.pdf