Abstract :
Introduction: Arshas is considered as one of the asthamahagadaroga by Acharya Susruta for which different methods of management such as Bheshjakarma, ksharkarma, Shastrakarma Agnikarma and Raktamokshana. The approach of Agnikarma has been mentioned in the context of disease as Arsha, Arbuda, Bhagandar, Sira, Snayu, Asthi, Sandhigata Vata Vikaras etc.in
which pain is a predominant symptom. Agni karma can be ideating as ancient pain treatment tool. Arshais an extremely common problem reported since many years with prevalence rate that is highest among all the anorectal disorders. But in Ayurveda fourfold according to chronicity Agnikarma procedure seems to be more effective in clinical basis in the management
of Arsha. Materials and Methods: It's an open randomized parallel trial group. A total 40 patients were selected randomly with the symptoms were divided in two groups, and in each group 20-20 patient were treated with Tamrashalaka and panchadhatu shalaka respectively. With that diseased group Exicsion of Bahyaarsha was done.
Result: Both group had given remarkable improvement by the Agni karma procedure which was carried out throughout the study. This shows that agni karma acts very well for the management of Arsha.
Conclusion: Agnikarma by TamraShalaka gives better symptomatic relief than
panchadhatushalakasin the management of BahyaArshw.s.r to External skin tag.
Keyword :
Agnikarma, Arsha, Tamra Shalaka, Panchadhatu Shalaka.