AGNIKARMA - अग्निकर्म

Agnikarma – Cauterization is a para surgical procedure where actual heat is transmitted in to the tissues to nullify the disease pathology.

Agnikarma treatment in Ayurveda is one of the generalized ayurvedic therapeutic treatment.

It is useful in various disorders and also at an emergency.

Although there are other procedures having similarities with Agnikarma, they can be considered the same as Agnikarma, which is doing for some particular conditions.

The diseases treated with proper agnikarma has no chance of recurrence. It only cures the disease which are not treatable with Medicine, Surgery and Kshar karma.


What is Agnikarma Ayurvedic Treatment?

Agni karma – is a thermal, minimally invasive a para surgical procedure where actual heat is transmitted into the tissues to nullify the disease pathology.

This involves the creating of controlled, pointed, therapeutic burns over the tender part of the painful region.

Therapeutic burns are performed using various metal rods made of Iron, Copper, Brass, Silver, Gold, etc based on the specialist knowledge in several areas including the kind of disorder, the physical and mental constitution of the patient, the severity of the disorder, etc.

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. 

Post Procedure of Agnikarma

  • After the agnikarma, the patient is advised to take rest for about 15 minutes in a supine position.
  • After therapy general care advice is given to patients after each session to avoid complications and to maximize the benefit of the therapy.
  • Patients are advised to Have light meals and rest for the remainder of the day.
  • Avoid exercise for the day

Agnikarma Indications:- 

  • Lumbar spondylosis
  • Spondylolisthesis
  • Disc prolapse
    Ankylosing spondylitis
    Rheumatoid arthritis
    Lumbosacral strain 
    Chronic Low backache
    Lumbar spondylitis
    Slip disc
    Degeneration of vertebral disc
    Paralysis of lower body
    Back pain
    Tension / Stress
    Tennis Elbow
    Rotator Cuff Tendonitis
    Rheumatoid Arthritis
  • Plantar Fasciitis
  • Repetitive Strain injury
  • Menstrual cramps
  • Osteoarthritis
    Lactic acid build-up
    Hip pain
    Sprains & Strains
    Spastic bowel
    Dupuytren’s Contracture
    Sinus problems
    Golfer’s Elbow
    Shoulder problems
    Crohn’s Disease
    Carpal Tunnel Syndrome

Treatment Duration:-

Each treatment session would last for 30 minutes.
agni karma therapy: 10 minutes
Massage if required of the selected region: 5 to 10 minutes
Rest after external therapy: 10 to 15 minutes.

For chronic conditions, 3-4 sittings of Agnikarma should be implemented with an interval of 7-15 days.

Monitoring and Follow-up:-

  • The patient’s response to therapy is monitored at each follow-up visit and through periodic assessments. 
  • Any exacerbation of symptoms or new symptoms especially neurologic may necessitate immediate reassessment.

Adverse Events:-

  • Adverse events that may occur during Agnikarma are 
  • Discomfort at agnikarma spot.
  • sometimes lightheadedness and vertigo.
  • Redness and blisters at the Agnikarma
  • Allergic reaction

Agnikarma therapy is useful as a primary as well as complementary ayurvedic therapy to the existing conventional treatment.

Along with this therapy Basti PanchakarmaRaktamokshanPinda SwedaPatra Pinda Sweda, Lepa treatments are useful in fastening the disease recovery or relieving chronic pain with fewer side effects.


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