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Ayurveda Multi Speciality Medical College Hospital

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Shalya Tantram

Surgery | Orthopaedics | Marmachikitsa

Department Introduction

At Ashtamgam, the Department of Shalyatantra (Ayurvedic Surgery) represents the precision and depth of Ayurveda, rooted in the teachings of Acharya Sushruta, the pioneer of surgery. The department provides comprehensive care for anorectal disorders, chronic wounds (Vrana), and orthopedic & musculoskeletal conditions, focusing on both structural correction and functional restoration.

Ayurveda explains these conditions as manifestations of Dosha imbalance (especially Vata), impaired tissue healing, and obstruction in Srotas (body channels). Special emphasis is placed on Vrana (wounds) and Marma (vital anatomical points)—two key concepts in Shalyatantra. While Dushta Vrana (chronic wounds) reflect poor healing and systemic imbalance, Marma involvement can lead to pain, restricted mobility, and neuromuscular dysfunction.

At Ashtamgam, treatment is designed to address both local pathology and systemic causes, ensuring faster healing and reduced recurrence. The department integrates:

  • Shodhana (purification): Detoxification to improve healing capacity 
  • Shamana (conservative care): Herbal medicines, diet, and local applications 
  • Shastra & Anushastra Karma: 
    • Ksharasutra – for anorectal disorders 
    • Agnikarma – for musculoskeletal pain and localized lesions 
    • Raktamokshana – for inflammatory conditions 
  • Vrana Chikitsa: Scientific wound cleansing (Shodhana) and healing (Ropana) 
  • Marma Chikitsa: Functional restoration through vital point therapy 

The unique strength of Ashtamgam lies in its integrated surgical and healing approach—combining minimally invasive procedures, advanced wound care, and pain management therapies. With in-house formulations and individualized protocols, Ashtamgam ensures safe, effective, and holistic care.

The goal is not just disease removal, but complete healing, pain relief, restored mobility, and prevention of recurrence.

Conditions Treated 

At Ashtamgam, the Department of Shalyatantra manages anorectal disorders, chronic wounds (Vrana), and orthopedic/ musculoskeletal conditions.

Ayurvedic Condition

Modern Medical Name

Brief Description

Arsha

Hemorrhoids (Piles)

Painful/ bleeding rectal veins

Bhagandara

Fistula-in-ano

Discharging tract near anus

Parikartika

Fissure-in-ano

Painful anal tear

Nadi Vrana

Sinus

Chronic discharging tract

Dushta Vrana

Chronic Non-healing Ulcer

Delayed healing (diabetic/varicose ulcers)

Shuddha Vrana

Clean Healing Wound

Post-procedure/surgical wounds

Vidradhi

Abscess

Localized pus collection

Granthi

Cyst/ Benign Lump

Nodular swelling

Charmakeela

Corn / Wart

Painful skin thickening

Sandhigata Vata

Degenerative Joint Disorders/ Osteoarthritis

Joint pain & stiffness over major joints

Gridhrasi

Sciatica

Radiating pain to the legs

Snayugata Vata

Tendinitis/ Ligament Injury

Pain & restricted movement over attachment sites of muscles

Kati/Prishta Shoola

Low Back Pain / Cervical Spondylosis

Chronic spinal pain localized over neck and low back

Marma Abhighata

Traumatic Soft Tissue/ Nerve Injury

Pain due to vital point involvement, tramatic episode

Key Highlight:
At Ashtamgam, Vrana Chikitsa ensures faster wound healing, while Agnikarma provides immediate pain relief and Marma therapy restores functional mobility.

Frequently Asked Questions (FAQ)

Is Ayurvedic surgery painful?

Most procedures at Ashtamgam are minimally invasive and performed under appropriate anesthesia, ensuring minimal discomfort.

Yes. Ashtamgam specializes in Vrana Chikitsa, including:

  • Vrana Shodhana (wound cleansing) 
  • Vrana Ropana (healing therapies) 
  • Use of medicated oils like Jathyadi Ghrita
    This ensures better healing and infection control. 

Yes. Many conditions are effectively managed using Agnikarma, Marma therapy, and Ayurvedic medicines, avoiding major surgery.

It offers low recurrence, minimal invasion, and gradual healing, allowing patients to continue daily activities.

A non-invasive therapy involving stimulation of vital points to improve pain, circulation, and mobility

  • Pain conditions: 1–3 sittings (Agnikarma) 
  • Wounds: Weeks to months depending on severity 
  • Chronic diseases: Structured long-term care

Mostly OPD-based, with IPD care for complex wound or surgical cases.

Yes. Ashtamgam provides customized Pathya diet plans to promote healing and prevent recurrence.

Our Doctors

Dr. Purushothaman Namboothiri

BAMS, MS (Shalya Tantram)

Dr. Jyotsna Govindan Shalyathantram

Dr. Jyotsna Govindan

BAMS, MD (Shalya Tantram)

Dr. Bijuna P

BAMS, MD (Shalya Tantram)

Our Department

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