The Role of Ayurveda Kshara Karma in the Management of Keloid: A Case Study

Keloids, the benign dermal fibro-proliferative nodular lesions, which often tend to cause socio-economic and psycho-somatic stress pose a major challenge to clinicians till date. Apprehending and analyzing keloids under the concept of Vranagranthi described in the ancient science of Ayurveda and amalgamating the therapeutic principles explained in the classics can emerge as a ray of hope in the condition. Kshara karma (chemical cauterization) is an important para-surgical procedure which can be effectively incorporated into the treatment of wounds, Keloids and hypertrophic scars. An 18-year-old client who presented with overgrowth of scar tissue at the right anterolateral part of the chest region was treated at the OPD of the Division of Ayurveda, MAHE, Manipal. Kshara karma, which included the painting of Teekshna Apamarga kshara (ashes of Achyranthes aspera) for a duration of 100 Matra kala (approximately 2 mins), in two sittings brought about total regression of the Vranagranthi and the associated symptoms. No signs of recurrence were noticed during the follow-ups. Thus, Kshara karma can emerge as a promising solution in the stress-filled life of Keloid patients.