Preprint / Version 1

Subcutaneous intralesional Ksharodaka injection: A novel treatment for the management of Warts: A case series

Authors

  • Manohar Gundeti Raja Ramdeo Anandilal Podar Ayurveda Cancer Research Institute (CCRAS, Department of AYUSH, GoI), RA Podar Medical (Ayu) College, Mumbai, Maharashtra, India
  • R Reddy Raja Ramdeo Anandilal Podar Ayurveda Cancer Research Institute (CCRAS, Department of AYUSH, GoI), RA Podar Medical (Ayu) College, Mumbai, Maharashtra, India
  • Jangle Muralidhar Department of ShalyaTantra, RA Podar Medical (Ayu) College, Mumbai, Maharashtra, India

Keywords:

Charmakila, intralesional injection, Kshara, Ksharodaka, wart

Abstract

Warts are generally managed using cryosurgery, keratolytic ointments, curettage and electrodessication. Warts, vis-a-vis Charmakila, in Ayurvedic classical texts are classified into different types depending on the dominance of dosha. Ayurveda prescribes oral medications, topical use of Kshara (alkaline ash of herbs), Agni (thermal cautery) and Shastrakarma (surgery) for removal of Charmakila. Use of topical Kshara in the form of powder, aqueous solution i.e. Ksharodaka and Ksharasutra (thread smeared with Kshara) for warts has been reported. However, these methods necessitate multiple sittings and takea longer duration for removal of the warts. Herewith, we report a case series of different types of warts treated with intralesional infiltration of Apamarga Ksharodaka (AK), i.e. aqueous solution of Apamarga (Achyranthes aspera) Kshara. We observed that all these warts took a minimum of 2-6 days to shed off, leaving minor scars. There were no adverse reactions reported in any of these cases. Keywords: Charmakila, intralesional injection, Kshara, Ksharodaka, wart

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