Efficacy of Agnikarma (Cauterization) in the Management of Mashaka (Elevated Mole): a case study

Abstract

Mashaka is a type of Kshudra Roga described by Acharya Sushruta, characterized by a raised, firm, small, rounded, smooth swelling resembling a masa (black gram)  It occurs due to Vata- Kapha dosha dushti along with Twak-dhatu involvement.Acharya Vagbhata refers to black, painless skin sprouts similar to Tilakalaka (nonelevated mole), which, when  elevated, are called Mashaka (elevated mole). Naevus- A pigmented naevus, or mole, is a lesion rich in melanin pro- duced by melanocytes. These cells move from the neural crest to the basal epidermis during development. A naevus is formed when melanocytes group in the dermis or at the dermoepidermal junction.  Moles are commonly found on the face, limbs, and mucocutaneous junctions like the mouth and nose, typically measuring 1–3 mm. They are usually smooth and soft but can also be warty and protrude.

Agnikarma (cauterization) is considered superior to other parasurgical techniques by Acharya Sushrut. It treats various Kshudra Rogas (minor diseases), including Mashaka (elevated mole).  Dahan Upakaran   In Twakagat disorders instruments for Agnikarma include- Pippali, Stools of goat, Godant (tooth of the cow) and Shalaka.). According to Ayurveda, amongst all the Anushastras  Jalauka is the pradhana, Agni is pradhantar and Kshara is the pradhanatam. Agnikarma is considered better than Ksharakarma, because of There will be no recurrence of the disease and Aushadha, shastra and ksharakarma sometimes fails to cure but agnikarma have never.