AGNIKARMA - अग्निकर्म

Pre-Procedure Measures:-

• The patient is made aware of the procedure with written/ informed consent. 
• A small amount of Snigdha Dravya is taken in a sterile dish and heated over the stove
• The patient is allowed to sit comfortably, and the most tender and painful point is marked with the marker. 
• Before starting the procedure, as per the requirement of Agnikarma required type of Shalaka is checked and kept ready. 
• Snigdha Picchila Annapana (rice and curd) was given before the procedure. 
• The site of Agnikarma is washed with Triphala Kwatha and wiped with dry sterilized gauze and covered with a cut sheet. 
• Shalaka was heated up to red hot, Ghritakumari pulp, Haridra Churna kept ready for dressing.

Main Procedure:-

• After cleaning the site, with the help of shalaka, the Samyak Dagdha Agnikarma (adequate heat burn with scar) is done intermittently on the affected site as marked.
• The tip of Shalaka is kept in contact with the skin for a duration of up to 1 to 10 sec seconds.
• This is done only once as the shalaka therapeutic heat transfer without post-burn scar or it is repeated multiple times (10-12 different places) to get the desired effect covering the affected area.
• Irrespective of a specific site, Agnikarma was done at the maximum affected tender site.
• The Tapta Snigdha dravya should be drawn using a glass pipette, poured on the predetermined site, and wiped off after cooling.
• About ½cm gaping should be maintained between the Dagdha sthana.
• The required minimum space was kept between two Agnikarma points to avoid overlapping of burn.

Post-Procedure Measures:-

• After Agnikarma, After wiping of Fresh Ghritakumari pulp, soothing medicated ghee or a mixture of honey and ghee was applied on the Dagdha spot is applied immediately on the burn spot to relieve burning pain, post-burn discomfort.
• after that dusting of Haridra Churna was done.
• The site of Agnikarma should be water-proofed to prevent wound infection.
• Patients were strictly advised not to allow water contact at the karma site for 24hr.
• Depending on the severity of the post-burn Medicines or supplements are advised for a short course of time.
• The patient was observed for 30 min after the procedure and advised Pathya Apathya until the healing.