Efficacy of kshara sutra from papaya and snuhi latex for fistula.
Journal name: Ancient Science of Life
Original article title: Efficacy of kshara sutra mad from papaya and snuhi latex in the treatment of fistula in ano
The ANSCI is a peer-reviewed, open-access journal focused on Ayurveda and traditional medicines. It publishes original research, reviews, and literary studies linking traditional knowledge with modern science, covering disciplines like botany, ethnomedicine, pharmacology, and clinical research.
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Original source:
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S. Dattatreya Rao
Ancient Science of Life:
(A quarterly multi-disciplinary scientific research journal in Ayurveda)
Full text available for: Efficacy of kshara sutra mad from papaya and snuhi latex in the treatment of fistula in ano
Year: 1998
Copyright (license): CC BY-NC-SA
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Summary of article contents:
Introduction
Fistula in ano is a challenging condition traditionally treated through surgical methods such as fistulectomy or fistulotomy, which may lead to complications like delayed healing and incontinence. The introduction of Kshara Sutra therapy has revolutionized treatment options, significantly reducing complications associated with surgery. However, there remains a need to enhance the efficacy and patient acceptability of Kshara Sutra. Recent modifications in its preparation involve using latex derived from the tender fruit of papaya, which offers advantages over traditional methods that utilize snuhi latex, including lower corrosiveness and reduced pain during treatment.
Efficacy of Papaya Kshara Sutra
A comparative study was conducted to assess the effectiveness of Kshara Sutra made from papaya latex against that made from snuhi latex. Around 45 patients participated, showing a varied distribution in age and gender, with a predominance of male cases. The methods of preparation and application were uniform, with careful monitoring of progress throughout the treatment. Results indicated that the Kshara Sutra made from papaya latex not only had a lower pH but also provided a significantly faster unit cutting time (UCT) and reduced pain duration compared to that made from snuhi latex. Patients treated with papaya Kshara Sutra reported a greater average of pain relief days, highlighting its superior comfort and efficacy.
Conclusion
The findings suggest that Kshara Sutra prepared from papaya latex is a more effective treatment for fistula in ano than the one prepared with snuhi latex. It offers numerous advantages, including ease of preparation, better availability, and improved patient comfort. Both types of Kshara Sutra demonstrated favorable outcomes in terms of recurrence and complications, with no reported cases of incontinence or stricture formation. Given these benefits, the use of papaya latex Kshara Sutra is recommended as a preferred approach for managing fistula in ano, representing a significant advancement in Ayurvedic treatment modalities.
FAQ section (important questions/answers):
What is Kshara Sutra and how is it used?
Kshara Sutra is a traditional Ayurvedic treatment for fistula in ano. It involves using a specially medicated thread to cut through the fistula tract, promoting healing while minimizing complications compared to conventional surgical techniques.
What were the benefits of using papaya latex for Kshara Sutra?
Kshara Sutra prepared from papaya latex showed lower pH, reduced pain, and faster treatment times compared to snuhi latex. Additionally, papaya latex is easier to collect and prepare, making it more convenient for treatment.
How does the pain experience differ between papaya and snuhi Kshara Sutra?
Patients treated with papaya latex Kshara Sutra reported shorter pain duration compared to those receiving snuhi latex. The pain relief was significantly greater, contributing to a more comfortable treatment experience overall.
Was there any recurrence of fistula after Kshara Sutra treatment?
In the study, there were no reported cases of recurrence, complications, or adverse effects in either group after treatment with Kshara Sutra, indicating a high level of effectiveness and safety for both types of treatments.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Efficacy of kshara sutra from papaya and snuhi latex for fistula.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Kshara (Kṣāra):
Kshara represents an alkaline substance, traditionally utilized in Ayurvedic medicine for its therapeutic properties, particularly in managing conditions like fistula-in-ano. Its efficacy lies in its ability to promote tissue healing and facilitate the cutting of abnormal tissue, reducing the risk of complications during treatment.
2) Ksharasutra (Kṣārasūtra, Kshara-sutra):
Ksharasutra refers to the therapeutic thread prepared using specific medicinal plants and alkaline substances for treating anal fistulas in Ayurvedic medicine. This approach has gained recognition for its efficacy, minimal complications, and the ability to facilitate healing while maintaining patient comfort.
3) Sutra (Sūtra):
Sutra translates to 'thread' in Sanskrit and symbolizes the application of a thin line or filament that can have various implications in traditional practices. In this context, it refers to the Kshara-sutra, which is pivotal in treating fistula-in-ano by utilizing threads coated with therapeutic substances.
4) Snuhi (Snuhī):
Snuhi (Euphorbia neriifolia) is a plant whose latex is traditionally employed in Ayurvedic treatments, especially in the preparation of Kshara-sutra. The latex from Snuhi possesses alkaline properties beneficial for treating fistula-in-ano but may have some drawbacks compared to alternatives like papaya latex.
5) Ayurveda (Āyurveda, Ayus-veda):
Ayurveda is an ancient holistic system of medicine originating in India, emphasizing balance in bodily systems through diet, herbal treatment, and yogic practices. It encompasses a comprehensive approach to health, integrating physical, emotional, and spiritual well-being, particularly noted in the treatment of conditions like fistula-in-ano.
6) Discussion:
Discussion refers to the analysis and interpretation of the trial's findings regarding the comparative efficacy of Kshara sutra made from papaya and Snuhi latex in treating fistula-in-ano. It highlights patient outcomes, pain levels, and treatment effectiveness, guiding future research and clinical practices.
7) Tridosha (Tridoṣa, Tri-dosha):
Tridosha represents the three fundamental bodily doshas in Ayurveda: Vata, Pitta, and Kapha. These doshas are essential in understanding an individual's constitution and health status, influencing treatment modalities in Ayurveda, including the selection of Kshara-sutra for specific conditions like fistula-in-ano.
8) Triphala (Triphalā, Tri-phala):
Triphala is a renowned herbal formulation in Ayurveda, composed of three fruits: Amla, Bibhitaki, and Haritaki. It is celebrated for its detoxifying properties, digestive benefits, and overall health-promoting qualities. In this context, it aids in supporting the body during Kshara-sutra treatment processes.
9) Medicine:
Medicine embodies the science and practice of diagnosing, treating, and preventing illness. In the context of Ayurveda, it stresses natural remedies and holistic approaches to health, focusing on treatments like Kshara-sutra to address conditions such as fistula-in-ano without invasive surgeries.
10) Turmeric:
Turmeric is a widely used spice known for its anti-inflammatory and antiseptic properties, stemming from the active compound curcumin. In Ayurvedic practice, it serves multiple purposes, including enhancing the properties of Kshara-sutra, contributing to the healing process of fistula-in-ano.
11) Avagaha (Avagāha):
Avagaha, or sitz bath, is a therapeutic bathing method in Ayurveda, used to soothe and heal local ailments, particularly in the anal region. It's often recommended post-treatment with Kshara-sutra to promote healing, relieve discomfort, and enhance overall recovery.
12) Haridra (Hāridra, Haridrā):
Haridra, or turmeric, is vital in Ayurvedic medicine for its medicinal properties. Its role in the formulation of Kshara-sutra enhances the healing process of anal fistulas due to its anti-inflammatory, antiseptic, and antimicrobial characteristics, contributing significantly to patient recovery.
13) Pittaja (Pitta-ja):
Pittaja is one of the classifications of fistula types in Ayurvedic practice, associated with the Pitta dosha, indicating disorders resulting from heat and inflammation. Understanding Pittaja types helps in tailoring treatments like Kshara-sutra for optimal patient outcomes in fistula management.
14) Tankana (Ṭaṅkaṇā, Ṭaṅkana, Taṅkana, Tamkana):
Tankana, or borax, is another significant ingredient in the preparation of Kshara-sutra. Known for its alkaline properties, it enhances the therapeutic effects of the sutra, playing a crucial role in treating conditions like fistula-in-ano by promoting necrosis of the affected tissue.
15) Science (Scientific):
Science involves the systematic study of the structure and behavior of the physical and natural world through observation and experiment. In Ayurveda, it represents the empirical aspects of traditional practices, emphasizing evidence-based approaches to enhance treatments like Kshara-sutra for fistula-in-ano.
16) Bhasma (Bhasman):
Bhasma denotes a form of calcined or processed mineral in Ayurveda, usually created through purification and incineration. It is known for its potency and is often included in formulations to enhance therapeutic effectiveness, as seen in the preparation of Kshara-sutra, adding to its healing properties.
17) Shalya (Śalya, Salya):
Shalya translates to 'surgery' or 'surgical procedures' in Ayurvedic medicine. The discipline of Shalya Shalakya within Ayurveda focuses on surgical methods, including innovative treatments like Kshara-sutra therapy for fistula-in-ano, reflecting the system's integrative approach to managing surgical diseases.
18) Shata (Sata, Sāṭa, Sāta, Saṭa, Śaṭa, Śata, Sātā, Śaṭā, Śāta, Saṭā, Satā):
Shata refers to the concept of 'hundred' in Sanskrit and, in this context, relates to specific classifications of diseases or conditions. Although not directly detailed in this study, it shows the intricacy of Ayurvedic classifications which help tailor treatment modalities, such as Kshara-sutra.
19) Glass:
Glass, in this context, refers to the instrument used to measure pH values during the preparation of Kshara-sutra. The precise measurement of pH is crucial for ensuring the therapeutic efficacy of the alkaline solutions involved in the treatment of fistula-in-ano.
20) Borax:
Borax, known as Tankana in Ayurveda, is a mineral salt often utilized for its alkaline properties in medicinal preparations. In the context of Kshara-sutra, it enhances the therapeutic effects and helps to establish appropriate pH levels, critical for the successful management of fistula-in-ano.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Efficacy of kshara sutra from papaya and snuhi latex for fistula.’. Further sources in the context of Science might help you critically compare this page with similair documents:
Ksharasutra, Fistula in ano, Ayurvedic College, Clinical trial, Complementary Medicine, Aseptic precaution, Long-term follow-up, Unit Cutting Time, Surgical technique, Pain Duration, Ancient Science of life, Pain Relief Day, Delayed healing.