Surgical/Para-surgical Protocol
Vyadhana (Puncturing / Tapping)
in Bengaluru
Vyadhana is the surgical act of puncturing. While Siravyadha specifically means puncturing a vein for bloodletting, Vyadhana is the broader term used for puncturing body cavities to drain excess fluids (like ascites or hydrocele) or puncturing specific points for pain relief.
Clinical Benefits
- Provides immediate relief from massive fluid buildup in body cavities (e.g., tapping the abdomen in severe ascites)
- Drains large, fluid-filled cysts (like hydrocele or ganglions)
- Used as a micro-surgical technique (like Viddhakarma) to release severe trapped nerve pressure
Clinical Procedure
1. Preparation (Purvakarma)
- • Strict asepsis is maintained. The exact point of puncture is identified.
2. Main Action (Pradhana Karma)
A hollow needle (Vrihimukha Shastra or modern trocar/cannula) is inserted swiftly to puncture the cavity or vein. The fluid or blood is allowed to drain under controlled conditions.
3. Post-Therapy (Paschatkarma)
- • The needle is removed, and a pressure bandage is applied to seal the puncture wound instantly.
Patient FAQs
Is this only for bloodletting?
No. While Siravyadha (vein puncture) is the most common use, Vyadhana is also used to drain water/fluid from swollen joints, cysts, or the abdomen in chronic liver disease.
Medically Reviewed by Dr Abhiram SSBAMS (Reg No: 36991)
Chief Consultant, Ayurvedic Rheumatology & Dermatology • Updated: 2026-07-24
Protocol Details
Duration
Varies greatly; 5 minutes for a micro-puncture, longer for large fluid drainage.Frequency
Done as an acute therapeutic or palliative procedure.Primary Indications
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Contraindications
- Severe weakness or bleeding disorders
- Without proper ultrasound/anatomical guidance for deep cavities
- Infections at the puncture site