Chaturvinshati Upkrama and its role in management of poisoning

Agadtantra is the branch of Astanga Ayurved having system of knowledge for conquering poisons. Acharya Charaka has explained twenty-four modalities of treatment which are to be employed while treating poison. Chaturvinshati Upkramas are unique in the management of poisons. It can be seen that most of them are based on same principle of modern medicine. Chaturvinshati Upkramas is common for all types of Visha i.e., Sthaavara, Jangama, Gara, Dooshi Visha etc. In most of the cases Upakramas should be selected by the physician on the basis of the type of Visha Prakruti (constitution), Saatmya (compatibility), Ritu (season), Desha (place), Vega (impulse) and Balaabala (strength and weakness of both the patient and poison).