Management of Charmakeela (Anal Warts) with Agnikarma by electrocautery- along with Adjuvant Ayurvedic Remedies: A Case Report

Abstract

Anal warts are the commonest benign viral conditions caused by a variant of papilloma virus. These are often transmitted by sexual contact hence it may be associated with sexually transmitted diseases and also noticed in patients whose immune response have been depressed with steroids or other form of chemotherapy. Available treatment options includes local application of 25% podophyllin cream, surgical excision of warts, intralesional injection of interferon alpha 2b but it can cause skin reaction, systemic side effects, and recurrence rate is also high. In Ayurveda it can be corelated with Charmakeela.  In present case study, 50 years old male patient came to Shalya Tantra OPD with complaints of fleshy hard growth at perianal region which was gradually increasing in size and number along with complaint of occasional itching at affected site since last 9 months. He had also complaint of discomfort and burning pain in ano since last 15 days. Final diagnosis was made on the basis of clinical examination and histopathological report as condyloma acuminata. Triphala Guggulu 500mg TDS/AF, Eranda Brista Haritaki 5gm HS with warm water as oral medications and sitz bath with warm water made up of 10 gm Shuddha Tankana for one and half month were administered in post-operative period along with local dressing by ointment containing Aloe vera, Turmeric extract, Honey, Cow ghee, Karanja oil. As per Acharya Susrutha, Agnikarma is superior among para-surgical procedure as the disease treated by it, usually have no recurrence. Wound was completely healed within 6 weeks without any complaint for 9 month of follow-up period. This case demonstrates that condyloma acuminatum can be managed through Agnikarma by electrocautery as complete excision along with adjuvant Ayurvedic remedies without any complications and recurrence.