Changes

==== Treatment modalities ====

==== Treatment modalities ====

Visha is managed by the above said 24 fold treatment principles. Any of the above said methods can be implemented in the treatment. They can be classified in to two as per the usage. One is emergency management and the other is conservative and rasayana treatment. The procedures like mantra, arishta, utkartana, nishpeedana, aachooshana, agni, parisheka, avagaha, raktamokshana are all emergencies as they will arrest the spread of visha. The vamana, virechana, samjna sthapana (restoration of consciousness) etc are helpful in the removal of the absorbed poison. The set of treatments like prashamana (pacification), aushadha etc. are self explanatory. Mrita sanjeevana (restoring life in about to die or apprantly dead person) acts as a life saving and rasayana. To say, rasayana has an inverse relation with visha. This is told very clearly by Vagbhata while explaining the Ashtangas of Ayurveda. Rasayana comes next to visha in the chronology. Visha Chikitsa completes only after rasayana prayoga as it rejuvenates the damaged cells and tissues. The one which stands separate is kakapada chikitsa. It is a trump card management in visha chikitsa when all other treatments fail. In olden days of practice it was very much used by various vaidyas. Now it is restricted only to a limited area like Kerala. There are still some incidents of life saved by this procedure.   Smilar references about the line of management in cases of poisoning can be cross referred in Sushruta Samhita & Ashtanga Samgraha (Su.K.5/3-4) (A.S.U. 42/8 & 42/19-23)   

''Visha'' is managed by the above said 24 fold treatment principles. Any of the above said methods can be implemented in the treatment. They can be classified in to two as per the usage. One is emergency management and the other is conservative and ''rasayana'' treatment. The procedures like ''mantra, arishta, utkartana, nishpeedana, aachooshana, agni, parisheka, avagaha, raktamokshana'' are all emergencies as they will arrest the spread of ''visha''. The ''vamana, virechana, samjna sthapana'' (restoration of consciousness) etc are helpful in the removal of the absorbed poison. The set of treatments like ''prashamana'' (pacification), ''aushadha'' etc. are self explanatory. ''Mrita sanjeevana'' (restoring life in about to die or apprantly dead person) acts as a life saving and ''rasayana''. To say, ''rasayana'' has an inverse relation with ''visha''. This is told very clearly by Vagbhata while explaining the Ashtangas of Ayurveda. ''Rasayana'' comes next to ''visha'' in the chronology. [[Visha Chikitsa]] completes only after ''rasayana prayoga'' as it rejuvenates the damaged cells and tissues. The one which stands separate is ''kakapada chikitsa''. It is a trump card management in [[Visha Chikitsa]] when all other treatments fail. In olden days of practice it was very much used by various ''vaidyas''. Now it is restricted only to a limited area like Kerala. There are still some incidents of life saved by this procedure. Smilar references about the line of management in cases of poisoning can be cross referred in Sushruta Samhita & Ashtanga Samgraha (Su.K.5/3-4) (A.S.U. 42/8 & 42/19-23)  

First aid or immediate treatment after bite:

   

==== First aid or immediate treatment after bite ====

 

Application of tourniquet should be to such an extent that the pressure exerted thereby should allow passing littlefinger underneath it and above the skin. It remains always a matter of debate whether to incise the bite site or not. One school of thought combat the procedure as there are chances of infection of the wound created thereby. It may also get worsen especially in cases of Viper bites as the open injuries get necrosed due to vasculotoxic effect of the venom ultimately results in amputation of the organ involved.   

Application of tourniquet should be to such an extent that the pressure exerted thereby should allow passing littlefinger underneath it and above the skin. It remains always a matter of debate whether to incise the bite site or not. One school of thought combat the procedure as there are chances of infection of the wound created thereby. It may also get worsen especially in cases of Viper bites as the open injuries get necrosed due to vasculotoxic effect of the venom ultimately results in amputation of the organ involved.   

Chushana (sucking) may also be done after putting gomaya (dried cowdung) agada churnas, or bhasma in mouth. (A.H.U.36/46-47)

Chushana (sucking) may also be done after putting gomaya (dried cowdung) agada churnas, or bhasma in mouth. (A.H.U.36/46-47)