Critical review to understand the twenty-four Ayurveda treatment modalities for the management of snake bite

Background: Snakebite is a major problem worldwide, and a common medical emergency. There are many treatment modalities available for snake bites, among them Chaturvimsati Vishachikitsopakrama are Ayurveda treatment modality mentioned in Charaka Samhita. The concept and procedures of few Upakramashas also been clearly defined in other Samhitas like Sushruta, Astangasamgraha, Astangahrdaya. Aims and Objectives: To understand the role of Chaturvimsati Vishachikitsopakramain the management of snake bite with the help of Bruhatravi, Laghutrayi and contemporary scienceMaterials and Methods: The keywords such as snake, snake bite, Chaturvimsati Vishachikitsopakrama, management of snakebite were searched from literary of classical text books like CharakaSamhita, SushrutaSamhita, Astanga Hridaya, etc with its responsive commentators, various databases (PubMed, Google scholar, Research gate, Ayush Dhara). Results: There are few traditional healers who are practicing some of the treatment modality of Vishochikitsopakram such as Mantra, Arista, Aaushad etc. Same procedure has been advocated in contemporary science with different terminology. In other hand few treatment modalities mentioned to avoid in snake bite management such as Utkartan, Chushan etc. Conclusion: Among the classical 24 treatment modalities, few are scientifically validated whereas few need to be studied and some are found irrelevant in the current scenario. Many Upakramas are scientifically approachable, easily accessible, cost effective, time saving and can be performed anywhere. So, these treatment modalities should be researched and implemented with the advancement of this era.