Role Of Tamra Shalaka Agnikarma In The Management Of Xanthelasma: A Case Study
DOI:
https://doi.org/10.69980/ajpr.v28i5.790Keywords:
Xanthelasma, Agnikarma, Tamra Shalaka, Medo-dhatu vikara, Ayurveda, Para-surgical therapyAbstract
Background: Xanthelasma palpebrarum is a benign, slowly progressive lipid disorder presenting as yellowish plaques over the eyelids. It is primarily a cosmetic concern and is associated with lipid metabolism disturbances. In Ayurveda, it can be correlated with Medo-dhatu vikara and Kapha-Meda dushti. Agnikarma, a para-surgical procedure described by Sushruta, is effective in conditions of Kapha-Meda origin, where scraping and cauterizing actions are required. Tamra Shalaka (copper probe) is used due to its Ushna and Lekhana properties.
Aim: To evaluate the effect of Tamra Shalaka Agnikarma in the management of Xanthelasma without recurrence or scarring.
Case Description: A 40-year-old female patient presented with bilateral yellowish plaques above the inner canthus of the upper eyelids for 3 years. No prior treatment was taken. A single sitting of Agnikarma using a red-hot Tamra Shalaka was performed under aseptic conditions. Post-procedure, ghruta was applied for soothing and healing. No internal or topical medication was given.
Results: Complete resolution of lesions occurred within 10 days without scarring or recurrence during 3 months of follow-up.
Conclusion: Tamra Shalaka Agnikarma proved to be an effective, safe, and minimally invasive approach for managing Xanthelasma with excellent cosmetic results.
References
1. James WD, et al. Diseases of the Eyelids. In: Andrews’ Diseases of the Skin, 13th Ed. 2019.
2. Rohrich RJ, et al. Xanthelasma: Review and Treatment Options. Plast Reconstr Surg. 2002;110(4):1315–1320.
3. Sushruta Samhita, Chikitsa Sthana 9/8–9, Chaukhambha Sanskrit Sansthan, Varanasi.
4. Sushruta Samhita, Sutra Sthana 12/10–13 – Agnikarma Vidhi Adhyaya.
5. Pandey G, et al. Therapeutic potentials of Copper in Ayurveda and Modern Science. J Res Ayurveda. 2017;38(2):125–130.
6. Taneja N, et al. Management of Xanthelasma Palpebrarum: Comparative Evaluation of Different Modalities. J Cutan Aesthet Surg. 2018;11(1):11–15.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 American Journal of Psychiatric Rehabilitation
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License permitting all use, distribution, and reproduction in any medium, provided the work is properly cited.
This work is licensed under a 
