Study comparing udumberksheersutra and Barron's ligation for hemorrhoids.
Journal name: World Journal of Pharmaceutical Research
Original article title: A clinical comparative study to evaluate the effect of udumberksheersutra ligation and barron’s rubber band ligation in management of arsha w.s.r to second and third degree internal haemorrhoids
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
This page presents a generated summary with additional references; See source (below) for actual content.
Original source:
This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.
Dr. Vipul D. Soni, Dr. M.D.P. Raja and Dr. K. H. Pachchinavar
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: A clinical comparative study to evaluate the effect of udumberksheersutra ligation and barron’s rubber band ligation in management of arsha w.s.r to second and third degree internal haemorrhoids
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr202212-25485
Copyright (license): WJPR: All rights reserved
Download the PDF file of the original publication
Summary of article contents:
Introduction
The study presented in the World Journal of Pharmaceutical Research focuses on comparing two treatment methods for internal hemorrhoids, namely Udumberksheersutra ligation and Barron’s rubber band ligation. With the increasing incidence of anorectal disorders attributed to lifestyle changes and dietary habits, this study aims to provide insight into effective management options for Arsha, which corresponds to hemorrhoids in modern medicine. The research was conducted on 60 patients diagnosed with second and third degree internal hemorrhoids, assessing the efficacy of both treatment modalities.
Comparative Effectiveness of Treatments
One significant aspect of the study is the comparative assessment of Udumberksheersutra ligation (KSL) vs. Barron’s rubber band ligation (RBL). KSL is an Ayurvedic method that involves ligation with a medicated thread, while RBL is a well-known modern technique using rubber bands. During the observation period, the study measured outcomes such as bleeding per rectum, constipation, and inflammation. The results indicated that KSL showed slightly better outcomes in various subjective parameters, such as improvement in bleeding and pruritus, despite statistical similarities between the two groups.
Statistical Findings and Observations
The findings revealed that for the parameter of bleeding per rectum, 89.47% of patients in the KSL group showed improvement compared to 83.75% in the RBL group. Conversely, for constipation, RBL had a higher improvement rate of 87.50% compared to 84.62% in the KSL group. Additional symptoms like pruritus, discharge, and protrusion of mass also demonstrated that KSL generally had better outcomes compared to RBL. However, inflammation was slightly more effectively managed with RBL, showing that while both methods are effective, there are nuanced differences in their performance.
Role of Lifestyle and Dietary Factors
The study also discusses the role of lifestyle factors in the development of Arsha. Contributing elements such as irregular meal timings, sedentary work environments, and increased consumption of fast food have been identified as significant risk factors for the escalation of hemorrhoids. The authors highlight that heredity plays a critical role in the emergence of Arsha, suggesting it could be both a congenital and hereditary condition. By understanding these causal factors, there is potential for enhanced preventative strategies alongside treatment options.
Conclusion
In conclusion, the study suggests that both Udumberksheersutra ligation and Barron’s rubber band ligation are viable treatment options for managing internal hemorrhoids. While KSL appears to be slightly more effective in alleviating certain symptoms, RBL also holds its significance, particularly in accommodating specific patient profiles. The findings underline the importance of addressing lifestyle influences on the onset of Arsha, emphasizing the need for integrated treatment approaches that encompass both medical and lifestyle modifications for better patient outcomes.
FAQ section (important questions/answers):
What is the main focus of the study conducted by Dr. Soni et al.?
The study compares the effectiveness of Udumberksheersutra ligation and Barron’s rubber band ligation in managing second and third degree internal hemorrhoids, aiming to evaluate both methods' clinical outcomes.
What are the common symptoms associated with Arsha (hemorrhoids)?
Common symptoms include bleeding per rectum, constipation, protrusion of mass, and sometimes pruritus. These affect the quality of life and indicate the need for effective treatment.
What criteria were used to include patients in this study?
Patients diagnosed with second and third degree internal hemorrhoids aged 18 to 60 were included regardless of sex, while those with 1st and 4th degree hemorrhoids were excluded.
How many patients participated in this comparative study?
A total of 60 patients participated, with 30 receiving Udumberksheersutra ligation and 30 undergoing Barron’s rubber band ligation for their second and third degree internal hemorrhoids.
What were the primary assessment criteria for the study?
The assessment included subjective parameters like bleeding per rectum and constipation, as well as objective parameters such as discharge, tenderness, inflammation, and overall improvement.
What conclusions were drawn regarding Ksharasutra ligation versus Barron’s rubber band ligation?
The study concluded that Ksharasutra ligation appears to be more effective than Barron’s rubber band ligation in managing hemorrhoids based on the clinical outcomes observed.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Study comparing udumberksheersutra and Barron's ligation for hemorrhoids.”. 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) Arshas (Arsa, Arsas, Arsha):
Arshas is the plural form of Arsha, indicating multiple cases or studies related to hemorrhoids. Understanding Arshas encompasses exploring various treatment approaches, symptomatology, and patient outcomes, enhancing the comprehension of this prevalent condition.
2) Disease:
Diseases, in a broader sense, encompass various health conditions affecting individuals and communities. This study specifically focuses on anorectal disorders, such as hemorrhoids, which have become increasingly prevalent. Understanding the patterns and treatments of these diseases is essential for effective healthcare solutions.
3) Varanasi (Varanashi):
Varanasi is a city in India known for its cultural and historical significance in Ayurveda and other disciplines. Mentioning Varanasi connects the study to its roots in traditional Indian medicine, where ancient texts and practitioners have contributed to contemporary medical practices.
4) Bleeding:
Bleeding is one of the most common symptoms associated with hemorrhoids, impacting patients' quality of life. This study measures the effectiveness of various treatment methods in alleviating this symptom, thus highlighting the importance of addressing bleeding to enhance patient well-being.
5) Samhita:
Samhita refers to ancient texts or compilations that serve as foundational references in Ayurveda and other traditional Indian sciences. The study references the Sushruta Samhita, which contains surgical techniques and descriptions related to the treatment of conditions like hemorrhoids.
6) Sthana:
Sthana translates to 'location' or 'place' in Sanskrit, often used in Ayurvedic texts to denote specific anatomical areas or contexts for treatment. In this study, it aligns with the anatomical focus on the anal region affected by Arsha and its management.
7) Study (Studying):
The term study is indicative of a systematic investigation aimed at understanding and improving treatment methodologies for conditions like hemorrhoids. This research compares Ayurvedic techniques with modern practices, contributing to the body of knowledge regarding effective healthcare practices.
8) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
Shalyatantra merges 'Shalya' (surgery) and 'Tantra' (technique), representing the surgical branch of Ayurveda. This study is grounded in Shalyatantra, focusing on innovative surgical approaches for treating conditions like hemorrhoids within the Ayurvedic framework.
9) Inflammation:
Inflammation is a biological response that can indicate underlying issues in medical conditions, including hemorrhoids. The study assesses parameters such as inflammation to gauge the effectiveness of treatment methods. Monitoring inflammation is vital for understanding healing processes post-intervention.
10) Tantra (Tantrism, Tamtra):
Tantra refers to a system or technique, often associated with Ayurvedic practices. In the context of the study, it denotes structured methods for treating conditions like Arsha, emphasizing the importance of systematic approaches in traditional medicine.
11) Shalya (Salya):
Shalya denotes 'surgery' in Ayurveda and is central to the practice of Shalya-tantra. This term emphasizes the surgical aspects of treating anorectal disorders and highlights the various techniques employed, including both traditional and modern surgical interventions.
12) Shri (Sri, Sr):
Shree is an honorific title in Indian culture often associated with respect. Its inclusion may denote reverence toward the subjects and practices discussed in this research, emphasizing the significance of traditional knowledge in contemporary health discourses.
13) Food:
Food plays a critical role in Ayurvedic medicine, impacting health and the incidence of diseases like hemorrhoids. The study reflects on dietary patterns as an influential factor in treatment outcomes, advocating for dietary management in conjunction with other therapeutic methods.
14) Post:
Post refers to periods after a procedure or treatment, particularly in the context of postoperative care. Postoperative care involves monitoring and management to ensure complications are minimized, and recovery is optimal. The study discusses postoperative strategies following interventions for hemorrhoids.
15) Ksharasutra (Ksarasutra, Kshara-sutra):
Kshara-sutra refers to a specific type of medicated thread used in Ayurveda for surgical procedures. This study evaluates its application in treating hemorrhoids, illustrating the blend of traditional practices with modern medical assessment methodologies.
16) Vidyotini:
Vidyotini is an ancient commentary that elucidates Ayurvedic texts, providing insights into treatment methods and concepts. In this study, references to such literature enrich the understanding of traditional practices and their application in modern healthcare contexts.
17) Sanskrit:
Sanskrit is the ancient language of Indian texts, particularly in Ayurveda. The study references Sanskrit literature to validate Ayurvedic practices, enhancing the credibility of the methods employed and linking modern research to historical knowledge.
18) Bharati:
Bharati signifies India and is often used in the context of cultural and educational references. In the study, it highlights the Indian origins of Ayurvedic practices and their continued relevance in contemporary medical discussions.
19) Science (Scientific):
Science encompasses systematic knowledge development through observation and experimentation. This study merges Ayurvedic practices with scientific evaluation, emphasizing the importance of a holistic approach to understand and treat conditions like hemorrhoids effectively.
20) Life:
Life signifies the biological and holistic aspects of human existence, including health and wellness. The study reflects on lifestyle factors impacting the onset of diseases like hemorrhoids and emphasizes the need for comprehensive lifestyle management in treatment strategies.
21) Jatyadighrita (Jatyadighrta, Jatyadi-ghrita):
Jatyadighrita is a medicated ghee used in Ayurvedic practices for its healing properties. The study discusses Jatyadighrita in postoperative care, demonstrating the integration of traditional remedies in modern surgical protocols for managing hemorrhoid symptoms.
22) Observation:
Observation is a crucial method in clinical studies, allowing for detailed assessment of patient responses to treatments. This study employs systematic observation to determine the effectiveness of different treatment modalities for hemorrhoids, highlighting the role of empirical data in medical research.
23) Discussion:
Discussion encompasses the analysis and interpretation of collected data in studies. In this context, it refers to the comparative evaluation of the effectiveness of Ksharasutra and Barron’s rubber band ligation, indicating a thorough examination of results and clinical implications.
24) Ayurveda (Ayus-veda):
Ayurveda is the ancient Indian system of medicine that emphasizes balance and holistic health. This study harnesses Ayurvedic concepts and practices to provide insights into alternative treatment strategies for conditions like hemorrhoids, fostering integration with modern medical practices.
25) Medicine:
Medicine signifies the application of scientific knowledge and practices to prevent, diagnose, and treat diseases. In this research, 'medicine' applies to both Ayurvedic techniques and modern medical interventions used to manage hemorrhoids, illustrating a blend of historical and contemporary methodologies.
26) Painting:
Painting refers to the preparation stage in surgical procedures, such as disinfecting the area. This term highlights the importance of maintaining aseptic conditions during interventions, ensuring patient safety and preventing complications during the treatment of hemorrhoids.
27) Dressing:
Dressing signifies the application of protective materials over surgical sites post-operation. In the study, it is emphasized that proper dressing is critical for preventing infections and promoting healing in patients undergoing treatment for hemorrhoids, demonstrating an aspect of postoperative care.
28) Kshara (Ksara):
Kshara refers to alkaline substances used in Ayurvedic treatments. In the context of this study, it indicates the significance of Kshara in the Ksharasutra procedure and its therapeutic properties, crucial for managing conditions like hemorrhoids.
29) Sutra:
Sutra refers to a thread or formula, often in the context of Ayurvedic methods like Ksharasutra. It emphasizes the methodical and structured approach in treatment techniques, underscoring the importance of traditional wisdom in contemporary surgical practices.
30) Delhi:
Delhi, the capital of India, represents a hub of education and healthcare. Mentioning Delhi in this context may imply a connection to government bodies and institutions that facilitate the advancement and integration of Ayurveda into modern healthcare systems.
31) Raja:
Raja signifies royalty or leadership. In the context of Ayurveda, it might be connected with historical or cultural aspects of medicinal practices. This term may evoke a respect for the traditional knowledge preserved and practiced through generations of practitioners.
32) Sushruta-samhita (Susruta-samhita):
Sushruta-samhita is one of the foundational texts in Ayurvedic surgery, detailing various surgical techniques and treatments. This study draws upon its teachings, illustrating how ancient wisdom informs modern therapeutic approaches for managing conditions like hemorrhoids.
33) Vijayarakshita (Vijayaraksita):
Vijayarakshita is likely an author of an Ayurvedic commentary or text. Mentioning their name highlights the lineage and scholarship in the field of Ayurveda, enriching the academic foundation upon which this study builds.
34) Vranashodhana (Vranasodhana, Vrana-shodhana):
Vranashodhana refers to the purification and healing of wounds in Ayurveda. Its relevance in the study underscores the importance of addressing complications and enhancing recovery in postoperative care following hemorrhoid treatments using methods such as Ksharasutra.
35) Tuberculosis:
Tuberculosis is a severe infectious disease; its mention as an exclusion criterion emphasizes the study's commitment to safety and the need to understand patient history. It ensures that certain health conditions do not complicate the treatment of hemorrhoids.
36) Pratishthana (Pratisthana, Pratishthan):
Pratishthan means 'establishment' or 'foundation.' In this context, it might refer to the institutions or methodologies that uphold the practice of Ayurveda, emphasizing a structural aspect to the continuity and application of traditional practices in healthcare settings.
37) Apanavayu (Apana-vayu):
Apana-vayu is a principle in Ayurveda signifying downward-moving energy in the body. This concept is essential in understanding some disorders, including Arsha, reflecting the Ayurvedic perspective of bodily functions and their relevance in the development of diseases.
38) Nadivrana (Nadi-vrana):
Nadivrana refers to a type of wound or lesion. Its mention illustrates the even broader surgical knowledge in Ayurveda, linking specific medical conditions with treatment modalities, thereby enriching the understanding of complex disorders like hemorrhoids.
39) Bhaishajya (Bhaisajya):
Bhaisajya translates to 'medicine' in Ayurveda and encompasses herbs and formulations used for therapeutic purposes. This study explores various Bhaisajya, illustrating how traditional Ayurvedic medicine is leveraged to manage conditions like hemorrhoids effectively.
40) Vidharana:
Vidharana refers to the retention or suppression of natural body urges. In Ayurvedic medicine, it signifies one of the causative factors for disorders like hemorrhoids, emphasizing holistic treatment approaches that integrate lifestyle counseling.
41) Agnikarma (Agni-karma):
Agnikarma is a surgical technique in Ayurveda involving the use of heat for therapeutic effects. Its mention underlines the variety of Ayurvedic methods available for treating conditions like hemorrhoids, emphasizing surgical innovation in classical medicine.
42) Vitiation (Vitiated):
Vitiation refers to the disruption of the body's natural balance, leading to disease. Understanding vitiation plays a crucial role in Ayurveda, as it informs treatment strategies aimed at restoring balance and health in patients suffering from conditions like hemorrhoids.
43) Apamarga:
Apamarga is a medicinal plant with various therapeutic properties. Its inclusion in the study reflects the importance of herbal medicine within Ayurvedic practices, showcasing the utilization of botanical resources in treating health conditions, including hemorrhoids.
44) Lakshana (Laksana):
Lakshana denotes characteristics or symptoms of a disease. In this study, it aids in identifying patients with Arsha, allowing for better diagnosis and understanding of the condition's nature, thereby informing effective treatment plans.
45) Shooting:
Shooting, in this context, likely refers to the increasing incidence or urgency of conditions such as hemorrhoids in the population. This term underscores the significance of addressing growing health concerns through research and intervention strategies.
46) Hridaya (Hrdaya):
Hridaya translates to 'heart,' but in Ayurveda, it also symbolizes emotional and spiritual aspects of health. Its mention could highlight the interconnectedness of physical and mental well-being in treating gastrointestinal disorders, including hemorrhoids.
47) Nirmala:
Nirmala indicates purity or cleanliness, often associated with practices in Ayurveda. This relevance emphasizes the need for clean techniques and environments when performing surgical methods, safeguarding patient well-being during treatment.
48) Tikshna (Tiksna):
Tiksna means sharp or potent, used in Ayurveda to describe the qualities of certain treatments. In the context of this study, Tiksna likely refers to the characteristics of some interventions, emphasizing their suitability for patient needs in treating hemorrhoids.
49) Kashaya (Kasaya):
Kashaya refers to astringent properties in Ayurveda, often associated with certain herbs and treatments. Its relevance in this study indicates the use of Kashaya substances in managing hemorrhoids, showcasing Ayurvedic practices based on specific property applications.
50) Siddha:
Siddha denotes 'achieved' or 'perfected' in Ayurveda, often relating to advanced practices or formulations. Its mention emphasizes the depth of knowledge in Ayurvedic medicine, where perfected techniques are crucial for effectively treating complex conditions like hemorrhoids.
51) Shabda (Sabda):
Shabda means 'sound' or 'word,' often in relation to the recitation or study of texts. Its inclusion highlights the significance of verbal tradition in Ayurveda, reinforcing the essence of linguistic heritage in preserving medicinal knowledge.
52) Sahaja (Saha-ja):
Sahaja refers to hereditary or innate qualities. In this study, it stresses the genetic or inherited aspects of conditions like Arsha, emphasizing the comprehensive understanding required to address both genetic and lifestyle factors in treatment.
53) Vaidya:
Vaidya denotes a physician or healer in Ayurveda. It emphasizes the practitioner's role in understanding and addressing conditions like hemorrhoids, showcasing the importance of expertise and tradition in effective medical practice.
54) Arbuda:
Arbuda in Ayurveda refers to a tumor or growth; it is often connected with references to surgeries. Its relevance in this study aligns with discussions about the surgical management of hemorrhoids and their anatomical implications.
55) Bhatta:
Bhatta is often used to acknowledge a scholar or expert in the Ayurvedic tradition. Including this term recognizes the contributions of various authors and commentators in developing and preserving Ayurvedic knowledge, enriching the overall discourse.
56) Adhman:
Adhman refers to abdominal distension or discomfort, often associated with anorectal disorders. Its mention is crucial in understanding the symptomatology of conditions like Arsha and tailoring appropriate treatment strategies to address associated symptoms.
57) Sharman (Sarma, Sharma, Sarman):
Sharma is a common surname in India and could refer to a contributor or author in the Ayurvedic context. Its inclusion in the discussions underscores the connection to a broader scholarly community and lineage in traditional practices.
58) Riding:
Riding, or vehicle riding, is mentioned as a lifestyle factor that can exacerbate conditions like hemorrhoids. Highlighting such factors underlines the importance of lifestyle modifications in conjunction with treatment to improve patient outcomes.
59) Pitta:
Pitta is one of the three doshas in Ayurveda, signifying metabolic processes. Its mention highlights the consideration of specific doshic imbalances in managing conditions like hemorrhoids, underscoring the holistic approach inherent in Ayurvedic medicine.
60) Marma:
Marma refers to vital points in the body that are crucial in Ayurveda for surgery and treatment. Their mention aligns with the surgical aspect of the study, indicating points of significance in the treatment of anorectal conditions.
61) Mamsa (Mamsha):
Mamsa translates to 'flesh' in Ayurveda. Its mention may refer to dietary considerations or surgical aspects concerning hemorrhoids, incorporating considerations of physical tissue management in treatment regimens.
62) Ushna (Usna):
Ushna refers to heat or warmth and is an important concept in Ayurveda related to herb properties and treatment effects. Its mention could inform the choices of treatments based on their warming or cooling impacts on patients.
63) Ahara:
Ahara means 'food' or 'diet' in Ayurveda, highlighting the significant role nutrition plays in health and disease prevention. The discussion of Ahara within the context of hemorrhoids emphasizes dietary management along with surgical interventions.
64) Sadyas (Sadya, Sadyash):
Sadya translates to 'immediate' or 'acute' in Ayurveda. It may refer to conditions requiring prompt intervention. This term indicates the urgency in treating hemorrhoids to prevent complications and enhance patient recovery and outcomes.
65) Apana:
Apana signifies the downward movement of energy or vayu in the body, which is relevant to bodily functions and processes. Its consideration helps to understand the physiological bases of conditions like hemorrhoids and their treatments.
66) Viman:
Viman refers to 'division' or 'specialization' within Ayurveda, often linked to different branches of Ayurveda. This relevance underscores the interdisciplinary aspects of study within the vast traditions of Ayurvedic healing.
67) Guru:
Guru means teacher or master in Sanskrit, signifying authority in knowledge transmission. In this context, 'Guru' highlights the traditional lineage and expertise inherent in Ayurvedic practice, reflecting the respect for learned practitioners in the field.
68) Anna:
Anna translates to 'food' or 'grain' and is significant in dietary guidelines within Ayurveda. It emphasizes the importance of nutritional components in health and recovery processes, especially concerning conditions like hemorrhoids.
69) Rasa (Rasha):
Rasa refers to taste and is fundamental in Ayurveda for understanding how foods affect health. Recognizing Rasa in dietary considerations lends insights into how specific tastes can influence conditions like hemorrhoids, illustrating a core Ayurvedic tenet.
70) Yoga:
Yoga signifies the integration of body and mind practices, which may be relevant in holistic health measures. In this study, the mention of Yoga may relate to overall wellness strategies beneficial for patients dealing with conditions like hemorrhoids.
71) Vega:
Vega denotes urges or natural urges in Ayurveda, often playing a critical role in physiological health. Its mention signifies the importance of adhering to natural bodily signals to prevent disorders like hemorrhoids.
72) Guda:
Guda refers to the anal region in Ayurvedic texts, placing emphasis on anatomical focus in the study of diseases like hemorrhoids. Understanding anatomical references is essential for applying traditional Ayurvedic techniques effectively in treatment.
73) Veni:
Veni may refer to braids or cords symbolically, signifying connections or networked traditions in Ayurveda. It represents the intertwining of historical knowledge and practices with contemporary applications in medicinal fields.
74) Vayu:
Vayu means 'air' or 'wind' in Ayurveda, often associated with bodily functions and energies. Its inclusion indicates the dynamic interplay of vata dosha in understanding and treating conditions like hemorrhoids, highlighting holistic approaches to patient care.
75) Diet:
Diet refers to the overall food consumption patterns of individuals and is crucial in Ayurveda for maintaining health and managing diseases. The study emphasizes the need for dietary modifications as part of comprehensive treatment plans for conditions like hemorrhoids.
[Note: The above list is limited to 75. Total glossary definitions available: 77]
Other Science Concepts:
Discover the significance of concepts within the article: ‘Study comparing udumberksheersutra and Barron's ligation for hemorrhoids.’. Further sources in the context of Science might help you critically compare this page with similair documents:
Shalyatantra, Sushruta, Chakrapanidatta, Agnikarma, Ksharakarma, Light diet, Diagnostic criteria, Ayurvedic Medical College, Outpatient department, Subjective and objective parameters, Arsha (hemorrhoids), Bleeding per rectum, Post operative, Clinical comparative study, Patient inclusion criteria, Proctoscopy, Medicated thread, Internal haemorrhoid, Pre operative investigation.
Concepts being referred in other categories, contexts and sources.