sciatica buttock pain || Agni Karma in Ayurveda || Dr.Amit Bharti Dehradun ||. Agnikarma, a therapeutic heat burn procedure in Ayurveda, works by applying controlled heat to produce a "Samyaka Dagdha Vrana" (therapeutic burn), which, through its "Ushna" (heat) and other properties, counteracts vitiated Vata and Kapha doshas, improves blood circulation, and stimulates pain-inhibiting mechanisms. Here's a more detailed explanation of the mode of action: 1. Counteracting Vata and Kapha Imbalances: Ayurvedic Principles: Agnikarma is considered effective for pacifying aggravated Vata and Kapha doshas, which are believed to be the root cause of many ailments, especially musculoskeletal pain. Ushna Guna: The "Ushna" (heat) property of Agnikarma is opposite to the "Sheetaguna" (cold) of Vata, and it also counteracts the "Ruksha" (dry) and "Laghu" (light) properties of Kapha. Srotorodha: Agnikarma helps to remove blockages in the channels (Srotas) of the body, which can occur due to the accumulation of vitiated doshas. 2. Enhancing Blood Circulation and Tissue Metabolism: Rasa Rakta Samvahana: The therapeutic heat of Agnikarma increases blood circulation to the affected area, which helps to flush out pain-producing substances and deliver essential nutrients to the tissues. Dhatvagni: The heat also enhances the digestive fire (Dhatvagni), promoting proper metabolism and digestion of "Amapa" (improperly digested food). 3. Pain Management through Neuro-Physiological Mechanisms: Gate Control Theory: Some researchers suggest that Agnikarma may work by stimulating the "A" (large) nerve fibers, which can inhibit the transmission of pain signals through the "C" (small) nerve fibers, a mechanism known as the "Gate Control Theory". Endorphin Release: Agnikarma may also stimulate the release of endogenous opioids (endorphins) in the brain, which have pain-relieving effects. Inflammation Reduction: Improved blood circulation and tissue metabolism can help to reduce inflammation and pain associated with musculoskeletal disorders. 4. Other Potential Mechanisms: Tissue Regeneration: Agnikarma may promote tissue regeneration and healing by stimulating the body's natural repair mechanisms. Elimination of Degenerated Tissues: The therapeutic heat may help to eliminate degenerated and necrotic tissues, contributing to the resolution of chronic pain and joint problems. Osteophyte Weakening: Agnikarma may weaken osteophytes (bone spurs) and reduce nerve compression, leading to pain relief in conditions like osteoarthritis.