The term “Shalya Tantra” deals with shastra karma mentioned in the ancient surgical texts. It incorporates Surgical & parasurgical procedures like Bloodletting (Rakta mokshana), Agnikarma (Cauterization), Kshara karma (Local application of Kshar ie. plant extract Caustic), Kshara Sutra karma (Medicated thread used in Piles, Fistula, external benign growth etc.). These are traditional therapies for surgical & para surgical issue of several diseases.