Agadtantra is the branch of Astanga Ayurved, having a system of knowledge for conquering poisons. Acharya Charaka has expounded over twenty-four therapy strategies for managing poisoning. There is nothing like Chaturvinshati Upkramas for handling toxins. The majority of them are founded on the same current medical theory. Chaturvinshati Upkramas are typical of all varieties of Visha, including Sthavara, Jangama, Gara, Dooshi Visha, etc. Generally, the doctor should choose Upakramas based on Visha Prakruti (constitution), Saatmya (compatibility), Ritu (season), Desha (location), Vega (impulse), and Bala-Abala (patient's strength and weakness combined with the poison).
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Kumar et al. (2024) studied this question.
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