Management of Second-Degree Hemorrhoids with Tikshna Kshara

Summary of article contents:

Introduction

Haemorrhoids, commonly referred to as piles, are a prevalent anorectal disorder that significantly impacts many individuals' lives. This case report discusses the management of second-degree internal haemorrhoids through Ayurvedic treatment, specifically utilizing Kshara karma with Apamarga pratisaraneeya Tikshna kshara. The subject of the report is a 32-year-old male patient who experienced prolapsed pile masses and bleeding during defecation for three years but found relief following Ayurvedic intervention. The treatment approach not only alleviated the symptoms but also demonstrated the effectiveness of Ayurveda in managing this condition with minimal complications compared to conventional surgical procedures.

Efficacy of Kshara Karma

One pivotal concept discussed in the case report is the procedure known as Kshara karma, a technique in which a caustic alkaline paste is applied directly to the haemorrhoidal mass. This intervention leads to the coagulation of proteins within the hemorrhoidal plexus, contributing to the reduction of the pile mass over time. In the case at hand, the patient underwent this procedure with Apamarga pratisaraneeya Tikshna kshara. Following application, the treated haemorrhoidal mass was observed to shrink significantly and change color, indicating its response to the treatment. The necrosis of the tissue that occurs allows for natural shedding within a week, leading to the formation of fibrous tissue and ultimately a decrease in symptoms and size of the haemorrhoids.

Post-Operative Care and Recovery

Another important aspect of the management highlighted in the report is the comprehensive post-operative care that played a crucial role in aiding recovery. The patient received multiple supportive treatments, including the administration of Triphala guggulu, Yashtimadhu taila, and sitz baths to manage pain and swelling while promoting healing. The post-operative strategies not only bolstered the patient's comfort but also facilitated quicker recovery, allowing for a gradual return to a normal diet and lifestyle. The combination of therapies provided during the follow-up ensured that the patient remained free from complications, including bleeding and severe discomfort, reinforcing the effectiveness of a holistic approach in Ayurveda.

Conclusion

In conclusion, this case report emphasizes the successful management of second-degree internal haemorrhoids using Ayurvedic methods, particularly Kshara karma, which represents a viable alternative to conventional surgical treatments. The findings illustrate the procedure's efficacy in reducing haemorrhoid size with limited complications, highlighting its suitability for outpatient care. Moreover, the holistic post-operative care contributed significantly to the patient's recovery, fostering a sense of safety and satisfaction with the treatment approach. Ultimately, this case underscores Ayurveda's potential in providing effective, non-surgical options for managing common anorectal disorders, promoting greater acceptance and reliance on traditional practices.