In Ayurveda, Granthi is attributed to vitiated Kapha dosha. It can be correlated with Medoja Granthi, characterized by symptoms such as being snigdha (unctuous), mrudu (soft), chala (movable), having sita-asita strava (discharge), tvaka savarna (skin-colored), and niruja shotha (painless swelling). In modern science, this can be correlated with a sebaceous cyst. According to Acharya Sushruta, Granthi roga can be treated by Agnikarma (Su. Su. 12/10). Acharya Sushruta also states that Agnikarma is a superior parasurgical procedure in Ayurveda, as diseases treated by it usually do not relapse (Su. Su. 12/3). A 54-year-old male patient visited the outpatient department of Panchakarma with a 2-3 year history of a non-inflammatory cystic swelling over the left earlobe. The patient had taken some oral medications and local applications 2 years ago but did not experience any effect. Concerned about cosmetic appearance, the patient consulted an Ayurvedic hospital for better management. Agnikarma, a superior parasurgical procedure for Kapha dosha-related diseases, was performed to remove the Granthi. After treatment, the cyst was completely cured without any scarring after 6 weeks. The patient had no recurrence. This case demonstrates the advantages of Agnikarma in treating Granthi.
Dr. Ganesh Wagh*1, Dr. Snehal Suryavanshi2, Dr. Vishwajeet Patade3 (Mon,) studied this question.