Sushruta Samhita Chapter 12 Agnikarma Vidhi Adhyaya

Tvak Dagdha Lakshana – manufacturing of sound, dangerous odor and constriction of the skin- are the indicators of tvak dagdha i.e., burning of the pores and skin.
Mamsa Dagdha Lakshana – look of colour like that of the pigeon i.e., ash colour or darkish gray colour, delicate swelling, ache and dryness and constriction of the wound (ulcer) – are the indicators of mamsa dagdha i.e., burning of the muscle.
Sira Snayu Dagdha Lakshana – ulcer turning into black and elevated and cessation of exudation – are the indicators of sira snayu dagdha (burning of veins and tendons).
Sandhi-Asthi Dagdha Lakshana – look of dryness and slight purple colour, roughness and firmness (hardness) of the ulcer – are the indicators of sandhi- asthi dagdha (burning of joints and bone).

Dahana pradesha

Websites of Branding
In illnesses of the top and Adhimantha (a illness of the attention – glaucoma) branding ought to be accomplished on the eyebrows, brow and / or the temples.
In illnesses of the eyelids, branding ought to be accomplished on the follicles of hairs (eye lashes) after masking the world of imaginative and prescient (pupil and cornea) with a pad of moist material.

Burning (branding) also needs to be accomplished in situations resembling –

• presence of very extreme ache within the pores and skin, muscle tissue, veins, ligaments, joints and bones attributable to aggravated vata
• muscular outgrowths which turn into exhausting and numb (lack of sensation) within the ulcer (wound)
• cysts / tumors
• hemorrhoids
• malignant tumor
• fistula-in-ano
• glandular swelling within the neck
• filariasis
• warts on the pores and skin
• moles
• hernia
• tearing ache within the joints
• tearing of veins
• sinus ulcers
• extreme bleeding (profuse hemorrhages)

Completely different patterns of branding
Completely different patterns (shapes) of branding (fireplace cautery) are –

• Valaya – round, ring-like
• Bindu – dot
• Vilekha – straight line and
• Pratisarana – unfold extensive, flat

The doctor ought to conduct branding (with fireplace) after fastidiously contemplating –

• the gravity of signs of the illnesses,
• the important spots,
• energy of the affected person,
• illness and seasons

As soon as the branding (thermal cauterization) has been accomplished in a correct means, the burnt space ought to be anointed with a mix of honey and ghee.
Learn – How To Use Ghee For Pores and skin Care? A Easy Ayurveda Methodology

Agni Karma anarha

Contraindication of branding
Branding by fireplace (thermal cautery) ought to be prevented within the under talked about sorts of individuals (and situations) –

• individuals of Pitta predominant structure,
• having bleeding problems (or in whom blood has been gathered within the stomach)
• diarrhea / rupture of stomach organs
• in whom the overseas physique has not been eliminated,
• these debilitated
• kids
• aged individuals
• these fearful
• these affected by a number of wounds / ulcers,
• these unfit for sudation remedy (vide chap 32, chikitsa sthana)

 Anyatha Dagdha

Burning apart from banding
Additional on, we are going to describe the options of different kinds of burning (for the remedies of illnesses),

• agni (fireplace/ warmth) burns the physique residing in substances that are unctuous (fatty, oily) and dry;
• fatty substances getting heated by fireplace, being able to travelling by way of the minutest veins and pores enters in a short time into the pores and skin and different tissues and causes burning therein, due to this fact there shall be extreme ache when burnt by fatty substances

Dagdha bheda

Sorts of burns
Agnidagdha i.e., burns attributable to fireplace are of 4 varieties, they’re –

Plusta Dagdha (scorched burns) – is a situation during which the pores and skin colour will get extraordinarily deformed i.e., extreme discoloration happens and seems to be burnt i.e., not completely burnt (however can have burning sensation).
Dur-Dagdha (blistered burns) – is that during which vesicles related to extreme sucking sort of ache, burning sensation, redness, suppuration (exudation, ulceration) and ache seem and subside after a very long time.
Samyak Dagdha (superficial burns) – is that which isn’t deep, has the colour of tala phala, is even (with out elevation or despair) and having the signs talked about earlier (burning of pores and skin, muscle tissue, veins and so on.).
Ati-Dagdha (deep burns) – is that during which the burnt muscle tissue are seen hanging unfastened, the components of the physique or the joints get dislocated, extreme destruction (ache) of veins, ligaments, joints, bones and is related to issues within the type of fever, burning sensation, and thirst and fainting. The injuries / ulcers (attributable to burning) heal after a very long time and even the healed ulcers turn into discolored.

The great information of the options (signs) of those 4 sorts of agni dagdha (levels of burns) will assist the doctor to carry out and attain success whereas treating the affected person.
Learn – How To Make Natural Oil To Take away Burn Scars

Aggravation of blood and pitta by the burns
The blood aggravated by fireplace undergoes additional (higher) aggravation within the physique of the individual. Resulting from this aggravation and depth of the blood, the pitta additionally will get aggravated in the identical tempo (velocity). It’s because each blood and pitta are related of their efficiency, style and substance. Because of (aggravation of each blood and pitta) this, extreme ache happens and the burning sensation would naturally happen, blisters (vesicles) develop shortly and extreme enhance of fever and thirst.

Sanskrit Versus

Dagdha Chikista

Therapy of burns

Plushta Dagdha Therapy
Now we will clarify the remedy to mitigate the sufferings of an individual who has been affected by burns –

Plushta Dagdha (burns of the primary diploma) – On this situation, the burnt space ought to be given warmth from the hearth (warming the physique, growing the physique temperature). Likewise, medicine / medicines of sizzling efficiency ought to be administered for exterior utility and inner medicines (oral consumption). When the physique begins sweating as a result of impact of burns (as a result of enhance in physique temperature as a consequence of burns), the blood too begins getting liquefied. On this situation if chilly comforts are given or if chilly water is used (to sprinkle and so on), the water by the character of its chilly efficiency would thicken the blood i.e., trigger coagulation of blood. Subsequently, sizzling water alone (sizzling comforts) ought to be used for irrigating the ulcers / wounds (attributable to burns) and in addition for consuming functions. Chilly water or chilly issues ought to by no means be used.
Learn – Veerya, Efficiency Of Herbs And Doshas – Inter-relationship

Durdagdha Therapy
Durdagdha (burns of the second diploma) – On this situation, the doctor ought to resort to each heat and chilly therapies / comforts. However ghee, anointments and bathing (showering) of the physique ought to be accomplished in chilly state solely (with herbs, ghee and liquids having chilly efficiency or ready chilly).

Samyak Dagdha Therapy
Samyak Dagdha (burns of third diploma) – On this situation, Tugaksiri, Plaksa, Candana, Gairika and Amrta ought to be floor on a clear stone slab (or in mortar) and made into clean paste. This paste shall be blended with ghee and utilized over the physique (alternatively the ghee ready with these herbs shall be used for utility). Additionally, the paste of the meat of home animals, these dwelling in marshy areas and people dwelling in water ought to be utilized over the physique. If there’s fixed burning sensation within the burnt space or the whole-body remedy ought to be accomplished on the traces of treating ‘pitta vidradhi’ i.e., abscess of pitta origin.
Learn – Vidradhi: Causes, Pathogenesis, Varieties, Therapy, Medicines

 Atidagdha Therapy
Atidagdha (burn of the fourth diploma) – On this situation, firstly the torn (and loosely hanging) muscle ought to be eliminated (by chopping) adopted by chilly therapies / comforts. Later the doctor ought to apply the powder of damaged rice or decoction of tinduki bark blended with ghee. Or the wound / ulcer (attributable to burns) ought to be coated with leaves of Guduchi or aquatic vegetation (like lotus and so on). All different remedies ought to be accomplished on the traces of treating ‘pittaja visarpa’ – herpes / erysipelas of pitta origin.

Maducchistadi Ghrta
Madhucchista, Madhuka, Rodhra, Sarjarasa, Manjista, Candana and Murva ought to be macerated collectively and made into paste. Ghee ought to be processed and ready with this paste. That is the perfect one for therapeutic burnt wounds of all types. In case of burns attributable to sizzling fat (oil, ghee and so on), dry remedies ought to be accomplished particularly.

Dhumopahata Lakshana

Suffocation by smoke
Now we are going to describe the signs of dhumopahata i.e., the individual troubled by smoke (suffocation). The signs are as listed under –

• elevated respiration / problem in respiratory (dyspnoea)
• continued and repeated sneezing,
• distension of stomach / flatulence and
• burning sensation within the eyes
• redness within the eyes
• exhales smoke or presence of odor of smoke within the breath
• perceives odor of solely smoke and doesn’t understand the odor of anything
• lack of notion of all tastes
• impairment of listening to capability (lack of sound notion)
• thirst
• burning sensation
• fever
• debility / weak spot
• fainting

Now take heed to the remedy of this situation.

Therapy of Dhumopahata
Vamana (emesis) – In the beginning, emesis ought to be administered to the individual affected by dhumopahata. For inducing emesis, one ought to use any of the ghee, juice of sugarcane, draksa, milk, sugar water, issues of candy or bitter tastes ought to be used. Emesis remedy shall trigger koshta shuddhi i.e., cleaning of the alimentary tract and chest. The odor of the smoke too disappears. Other than this (as an impact of emesis remedy) debility, sneezing and fever would get pacified. Additionally, burning sensation, fainting, thirst, distension / flatulence and extreme dyspnoea and cough are additionally relieved.
Kavala (mouth gargles) – By doing mouth gargles with liquids and decoctions ready with herbs having candy, salt, bitter and pungent tastes, the individual will be capable of understand objects by all of the senses. His thoughts additionally would turn into clear.
Shiro Virechana (nasal remedy to trigger purging of head) – After having administered emesis remedy, the doctor who has complete information of therapies shall skillfully administer purging errhines, adhering to the procedures defined in Ayurveda. By this, his sight (imaginative and prescient) turns into clear, so additionally his head and neck.

Following this, the affected person ought to be given meals that are mild (simply digestible) and unctuous and don’t trigger burning sensation.
Learn – Exterior Remedies To Preserve Doshas In Stability

Atapadi Dagdha

Sunstroke and so on: –
In burns attributable to sizzling breeze and extreme sun-heat / daylight (sunstroke) all chilly remedies ought to be accomplished at all times.
For these bothered by extreme chilly, rain storm and chilly breeze, remedies / comforts that are unctuous and sizzling shall be splendid (useful).
In case of assault by extreme lightning or thunder any sort of remedy is not going to yield success. If by likelihood or luck, if any individual has survived these assaults and is discovered alive, the doctor shall deal with him with unctuous therapies, oil therapeutic massage, oil bathtub (showering) and utility of heat and thick paste of herbs.
 Thus ends the Twelfth chapter by title Agnikarma Vidhi- in Sutra Sthana of Susruta Samhita.