REVIEW ARTICLE ON CHATURVIMSHATI UPAKRAMA OF VISHA CHIKITSA

Vd. Ajinkya Deshmukh Raje*, Vd. Sachin Patil, Vd. Amrapali Patil, Vd. Rachana Phartale, Vd. Deepali Aher and Vd. Vivek Gopal.

ABSTRACT

Ayurveda offers a distinct approach to the management of Visha (poison) through the specialized branch of Agadtantra, which plays a crucial role in Visha Chikitsa (poison treatment). Ayurvedic texts such as Charaka Samhita, Sushruta Samhita, and Vagbhata elucidate foundational treatment principles for poisoning. Acharya Charaka outlines twenty-four Upakrama (modalities) for addressing both animate and inanimate poisonings, which continue to hold significance despite the specific treatments suggested by other scholars. Modern toxicology also presents a general treatment protocol for poisoning, encompassing vital stabilization, removal of the toxin, administration of antidotes, and comprehensive patient care. However, given the complexities of poisoning cases, these general protocols serve as guidelines for tailored management. A comparison of Ayurveda and contemporary medicine reveals that many principles advocated in modern practice have been articulated in Ayurvedic texts thousands of years prior. The Chaturvimshati Upakrama (24 modalities) serve as treatment principles guiding the individualized therapeutic approach. This review article aims to compare the twenty-four modalities with the general treatment protocols for poisoning in modern medicine.

Keywords: Protocol, Agadtantra, Upakrama, Visha, Chikitsa, Charaka.