A Clinical efficacy of Kadali Pratisaraneeya Kshara in the Management of Abhyantara Arshas (internal haemorrhoids).

  • Hardik Rameshchandra Variya GAU
Keywords: Abhyantara Arsha, Internal haemorrhoid, Kadali Pratisaraneeya Kshara, Kshara Karma

Abstract

Ayurveda is the science of life, since time immemorial, Ayurveda has been showing the ideal way of living, which promises a disease-free, happy and long life. The prime etiopathogenic factor of Arshas is Mandagni, which in turn leads to constipation, prolonged contact of accumulated Mala or excretory material to Gudavali causes development of Arshas. Acharya Sushruta described four principal therapeutic measures in the management of Arshas i.e. Bhesaja Chikitsa (Medical treatment), Kshara karma (Caustic therapy), Agnikarma (Thermal cautery) and Shastra karma (SurgeryDifferent modalities. The Patient selected with classical signs and symptoms of Abhyantara Arsha. As per the available treatment modalities of Arsha, the Kshara karma modality is the best one, taking into the consideration its convenience, easy adoptability, cost-effectiveness and curative results. Under this para-surgical procedure, various forms of external Kshara application are used in treating the Arsha. These are Ksharasutra Ligation (KSL), Ksharpatan, etc. Kshara sutra ligation is a surgical procedure, while Ksharapatan vidhi is local application and seems to be effective with an easy procedure. Several studies of ksharapatan had been conducted.  Kadali Pratisaraneeya Kshara was applied in internal haemorrhoids. The signs and symptoms of Abhyantara Arsha was bleeding per rectum, Pain, Burning sensation, sloughing of pile mass and discharge of Arshas were assessed before and after the completion of treatment. In this article described inclusion criteria, exclusion criteria, methodology, procedure, mode of action and results. After the treatment of applying Pratisaraneeya Kshara application 100% relief in bleeding, reduction in sloughing of pile mass and total reduction in size of pile mass was recorded. Kadali Pratisaraneeya Kshara provided better relief in pain, bleeding, sloughing of the pile mass of the patients. Recently these invented techniques have got one or the other type of limitations as well as have not been proven free from post-operative complications. Hence it leaves a scope to switch over a new and better type of treatment which should be free from all such complications and give the cure in reasonable shorter time, as well as, proves economically better.

References

[ ] John Goligher: Surgery of the anus, rectum and colon. “Hemorrhoids or Piles” chapter Edited by: John Goligher Edition: 5th Vol: 1 2001

Sushruta: Sushruta Sutrasthana 33rd chapter Ayurved Tatvsandipika Hindi commentary by: Kaviraj Ambikadatta Shastry, Published by: Chaukhambha Sanskrit Samsthana Varanasi, Edition: - reprint 2013, verse-4, p.163.

Sushruta: Sushruta Nidansthana 2nd chapter Ayurved Tatvsandipika Hindi commentary by: Kaviraj Ambikadatta Shastry, Published by: Chaukhambha Sanskrit Samsthana Varanasi, Edition: - reprint 2013, p.306-311.

Sushruta: Sushruta Chikitsasthana 6th chapter Ayurved Tatvsandipika Hindi commentary by: Kaviraj Ambikadatta Shastry, Published by: Chaukhambha Sanskrit Samsthana Varanasi, Edition:- reprint 2013, p.46-52.

Sushruta: Sushruta Chikitsasthana 6th chapter Ayurved Tatvsandipika Hindi commentary by: Kaviraj Ambikadatta shastry, Published by: Chaukhambha Sanskrit Samsthana Varanasi, Edition: - 14th 2013, verse 3, p. 46.

Dr. P. Hemantha Kumar: Recent Trends in The Management of Arshas/ Hemorrhoids, Published by; Chaukhambha Sanskrit Pratishthan, Delhi, Edition: Second Revised 2011. P.3-4.

Sushruta: Sushruta Sutrasthana 11th chapter Ayurved Tatvsandipika Hindi commentary by: Kaviraj Ambikadatta Shastry, Published by: Chaukhambha Sanskrit Samsthana Varanasi, Edition: - reprint 2013, verse-11, p 42.

Dr. P. Hemantha Kumar: Recent Trends in The Management of Arshas/ Hemorrhoids, Published by; Chaukhambha Sanskrit Pratishthan, Delhi, Edition: Second Revised 2011. P.39.

Published
2018-11-15