A clinical efficacy of kadali pratisaraneeya kshara in the management of abhyantara arshas (internal haemorrhoids)

Summary of article contents:

Background: 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. 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. Objectives: Clinical efficacy of Kadali Pratisaraneeya Kshara in the Management of Abhyantara Arshas. The Patient selected with classical signs and symptoms of Abhyantara Arsha. Methods and materials: It is randomized uncontrolled pre and post test clinical trial. 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. Results: Kadali 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. Conclusion: 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.