"Palash vs. Arka Kshar Pratisaran for Arsha: A Conceptual Study"

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Journal name: World Journal of Pharmaceutical Research
Original article title: Effect of palash kshar pratisaran compared with arka kshar pratisaran in treatment of arsha – a conceptual study
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.
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Original source:

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Author:

Dr. Yogesh Badwe, Chetna Kelkar, Dr. Jyoti Shinde and Dr. Sandesh Khobragade


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Effect of palash kshar pratisaran compared with arka kshar pratisaran in treatment of arsha – a conceptual study

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr20229-24566


Download the PDF file of the original publication


Summary of article contents:

Introduction

The study authored by Dr. Yogesh Badwe et al. aims to evaluate the effectiveness of Palash Kshar Pratisaran compared to Arka Kshar Pratisaran in treating Arsha, also known as hemorrhoids. Arsha is a significant ailment in Ayurvedic medicine characterized by muscular projections in the anal canal leading to various clinical symptoms. The research highlights that many lifestyle changes have increased the prevalence of Arsha, necessitating effective treatment options. This clinical trial will meticulously analyze the outcomes of both treatments over a series of follow-ups.

Kshar as a Treatment Method

Kshar therapy is rooted in ancient Ayurvedic practices, particularly highlighted by Acharya Sushruta, who deemed it superior to surgical methods. Kshar refers to an alkaline caustic, derived from the ashes of medicinal plants, which possesses properties that facilitate excision, cutting, and scrapping of tissues, alongside reducing vitiated doshas. Kshar therapy is considered a safer and less invasive alternative to conventional surgery and is appropriate even for patients who are apprehensive about more invasive procedures. The study seeks to statistically validate the safety and effectiveness of Kshar concentrations in addressing hemorrhoidal conditions.

Methodology of the Study

The research plans to conduct a prospective conceptual study involving 60 participants diagnosed with second and third-degree hemorrhoids. These individuals will be randomized into two groups, with one receiving Palash Kshar and the other Arka Kshar treatments. The application procedures will be standardized and carried out under aseptic conditions, followed by a closely monitored follow-up regimen on the 7th and 14th days post-treatment. This systematic approach will help analyze the subjective and objective parameters, including bleeding and pain, to assess the effectiveness of each treatment.

Assessment and Outcome Measures

The outcome measures will incorporate both subjective and objective criteria. Subjectively, patients will report their experiences of bleeding and pain, which will be quantified and graded. Objectively, the size of the hemorrhoidal mass will be measured to evaluate the reduction in size post-treatment. The research will leverage statistical analyses, such as the t-test and chi-square tests, to validate findings between the two treatment modalities, ensuring comprehensive data collection and interpretation.

Conclusion

This study's findings are anticipated to contribute significantly to the field of Ayurvedic medicine, particularly in the management of hemorrhoids. By evaluating the relative effectiveness of Palash Kshar and Arka Kshar, the research may offer compelling evidence for Kshar therapy as a viable alternative to more invasive surgical procedures. Ultimately, it seeks to present a cost-effective, efficient treatment method for hemorrhoidal patients, while also aligning with the broader goals of promoting health and well-being as outlined in Ayurvedic principles.

FAQ section (important questions/answers):

What is the primary focus of the study?

The study focuses on comparing the effects of Palash Kshar and Arka Kshar in treating Arsha, specifically 2nd and 3rd degree hemorrhoids, through a prospective conceptual methodology.

What is Arsha in Ayurvedic terms?

Arsha refers to hemorrhoids in Ayurveda, described as muscular projections in the anal canal that cause significant discomfort, bleeding, and other complications.

What methods did the researchers use for patient treatment?

Researchers randomly allocated 60 patients into two groups, using Palash Kshar for one group and Arka Kshar for the other, followed by observations on post-treatment days.

What are the inclusion criteria for the study?

Patients aged 18 to 60 years with diagnosed 2nd or 3rd degree hemorrhoids were included, regardless of gender or socioeconomic status.

What are the expected outcomes of both treatments?

The study aims to assess the reduction of pile mass, improvement in bleeding, and pain relief, comparing results between the two treatment groups.

What statistical methods were used to analyze the data?

The researchers used t-tests and chi-square tests to assess significance, with a p-value of less than 0.05 considered statistically significant.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “"Palash vs. Arka Kshar Pratisaran for Arsha: A Conceptual Study"”. 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):
Arsha refers to the condition commonly known as hemorrhoids in Ayurveda, characterized by swollen veins in the anal area. It poses significant discomfort and can lead to severe complications if untreated. The study investigates treatment methods for Arsha, employing Kshar, an Ayurvedic alkaline therapy, to alleviate symptoms and promote healing.

2) Bleeding:
Bleeding, or Raktasrava in Ayurveda, is a primary symptom of Arsha. It refers to the discharge of blood during bowel movements, causing anxiety and distress to patients. Monitoring the extent of bleeding is crucial in assessing treatment effectiveness and determining the severity of the hemorrhoids.

3) Observation:
Observation pertains to the systematic monitoring and evaluation of patients post-treatment in this study. It involves assessing changes in symptoms, bleeding, pain levels, and overall recovery over specified follow-up periods. Consistent observation helps in deriving conclusive evidence regarding the efficacy of different therapeutic approaches.

4) Nagapura (Naga-pura):
Nagpur is a city in Maharashtra, India, where the research study is conducted at Shri Ayurved Mahavidyalaya. It serves as the regional hub for Ayurveda practices and education. The choice of location is crucial as it provides access to a specific demographic experiencing Arsha, facilitating effective research.

5) Study (Studying):
The study is a prospective clinical trial evaluating the effects of Palashkshar and Arkakshar Kshar pratisaran on 2nd and 3rd degree hemorrhoids (Arsha). It aims to compare these two modalities to identify effective treatments, reinforcing the importance of traditional Ayurvedic methods in contemporary medical practice.

6) Arka:
Arka refers to an alkaline preparation derived from the medicinal plant used in the study as a treatment protocol for Arsha. It is known for its caustic properties, promoting necrosis of the hemorrhoid tissue, leading to symptom relief. The study investigates its effectiveness relative to Palashkshar.

7) Shri (Sri, Sr):
Shri is an honorific prefix used in India, denoting respect and reverence. In this context, it is part of the institution's name, Shri Ayurved Mahavidyalaya, emphasizing its commitment to the traditional practice of Ayurveda and the rigorous research efforts conducted there to improve patient health.

8) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
Shalya-tantra is the surgical branch of Ayurveda, dealing with surgical techniques and innovations for various ailments. This study emphasizes Kshar therapy as a key focus within Shalya-tantra, reinforcing the importance of integrating traditional surgical concepts with contemporary treatment methodologies.

9) India:
India is the country where the study takes place, known for its rich heritage in traditional medicine, especially Ayurveda. The cultural context and demographic diversity provide a vital backdrop for understanding the prevalence and treatment of conditions like Arsha, contributing to the study's significance in healthcare.

10) Pain:
Pain, referred to as Shula in the study, is a debilitating symptom associated with Arsha. Its assessment, particularly post-operative pain, is critical in evaluating the treatment outcome. Effective management of pain is essential for patient comfort and overall quality of life in clinical practice.

11) Maharashtra (Maharastra, Maha-rashtra):
Maharashtra is the Indian state housing Nagpur and Shri Ayurved Mahavidyalaya. It plays a pivotal role in the study as a location rich in Ayurvedic practices, providing access to a patient population with varying degrees of Arsha and enabling the assessment of treatment efficacy.

12) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian system of medicine that emphasizes holistic healing, emphasizing balance among mind, body, and spirit. This study utilizes Ayurvedic principles and treatments, focusing on the Kshar therapy for Arsha, highlighting Ayurveda's potential in modern medical interventions.

13) Dosha (Dosa):
Dosha refers to the three fundamental bodily energies in Ayurveda: Vata, Pitta, and Kapha. Their balance is essential for health, and disturbances can lead to diseases like Arsha. Understanding Dosha is crucial in tailoring treatments to restore harmony and alleviate symptoms in patients.

14) Drug:
In the context of the study, 'Drug' refers to Kshar preparations used for treating Arsha. Both Palashkshar and Arkakshar are being evaluated for their efficacy. The investigation into these drugs underscores the importance of specific herbal treatments in Ayurvedic medicine.

15) Vitiation (Vitiated):
Vitiated describes the condition when Doshas become imbalanced or disturbed, leading to diseases. In this study, identifying vitiated states of Doshas aids in recognizing the underlying factors of Arsha, thus allowing for targeted treatment strategies aimed at restoring balance and promoting healing.

16) Shastra (Sastra):
Shastra refers to a surgical or sharp instrument in Ayurveda, contrasting with Kshar, which offers a non-invasive alternative for treatment of conditions like Arsha. The study's emphasis on Kshar training reveals the ongoing development of less invasive surgical techniques based on traditional knowledge.

17) Cutting:
Cutting is a surgical action typically associated with Shashtra. However, Kshar therapy presents a milder, chemical alternative, emphasizing a less invasive approach in treating Arsha. The exploration of cutting versus caustic treatment in this study seeks to establish safety and efficacy in management.

18) Disease:
Diseases refer to pathological conditions affecting health, with Arsha being one example. This study aims to explore effective Ayurvedic treatments for such conditions, drawing on the vast body of knowledge and practice within Ayurveda to address common health issues faced by patients.

19) Karma (Karman):
Karma in this context refers to the actions or procedures performed in Ayurvedic medicine. The study targets Kshar Karma for treating Arsha, underpinning the philosophy of doing purposeful actions to facilitate healing and restore health through time-honored Ayurvedic practices.

20) Agnimandya (Agni-mandya, Agnimamdya):
Agnimandya translates to impaired digestion or low digestive fire in Ayurveda, recognized as a significant causative factor for many diseases, including Arsha. Understanding Agnimandya helps contextualize the dietary and lifestyle factors that underpin hemorrhoid pathology, guiding holistic treatment approaches in the study.

21) Discussion:
Discussion is an analytical evaluation of findings from the study, contrasting the effects of Palashkshar and Arkakshar treatments for Arsha. It encompasses interpretation, implications of results, and comparisons with existing literature, offering insights into Ayurveda’s contribution to contemporary medical understanding.

22) Bhedya:
Bhedya is a term that denotes the action of breaking down or disrupting a pathological formation, such as hemorrhoids in this case. In the study, Bhedya highlights the therapeutic role of Kshar in effectively managing Arsha by facilitating tissue reduction and healing.

23) Lekhya:
Lekhya translates to the property of excision or scraping in Ayurveda. This concept applies to Kshar therapy, which aims to meticulously remove or mitigate the pathologies associated with Arsha. The method's exploration in this study enhances understanding of non-surgical hemorrhoid management.

24) Shula (Sula):
Shula refers to pain in Ayurveda, particularly relevant in assessing the discomfort experienced by patients diagnosed with Arsha. The study evaluates pain levels pre- and post-treatment, emphasizing the importance of managing pain effectively for improved patient outcomes.

25) Table:
Table refers to the structured presentation of data used in this study to outline assessment criteria, treatment outcomes, and results. Tables facilitate clear communication and understanding of research findings, helping healthcare practitioners to comprehend and apply the data in clinical practice.

26) New Delhi:
New Delhi, the capital of India, holds significance in the study's context as a hub of Ayurvedic medical advancements. Its proximity to various institutions enriches the research landscape, allowing practitioners to collaborate and share knowledge regarding effective treatment strategies for conditions like Arsha.

27) Cauterisation (Cauterization):
Cauterization involves the application of heat or a caustic agent to destroy tissue. In the context of this study, Kshar therapy serves as a chemical form of cauterization to treat Arsha, demonstrating a less invasive alternative to traditional surgical practices while ensuring effective relief.

28) Raktasrava (Rakta-srava, Raktashrava):
Raktasrava is the Ayurvedic term for bleeding, particularly relevant in the context of hemorrhoids. Understanding Raktasrava is essential for diagnosing Arsha and monitoring treatment efficacy. The study highlights the need for clinical evaluations of blood discharge during bowel movements in affected patients.

29) Education:
Education pertains to the knowledge and training imparted to practitioners in Ayurvedic medicine. The context of the study emphasizes the ongoing need for educational advancement in Ayurvedic surgical practices to enhance patient care and foster evidence-based approaches within traditional healthcare frameworks.

30) Suffering:
Suffering depicts the physical and emotional distress experienced by patients with conditions like Arsha. Addressing suffering through effective treatments forms the core motivation of this study, which aims to alleviate discomfort and improve the quality of life for those affected by hemorrhoids.

31) Apamarga:
Apamarga refers to another form of Kshar therapy derived from a different medicinal plant. Previous studies comparing its effects with Arkakshar found the latter more effective. The exploration of Apamarga in the wider context of Ayurvedic treatments underscores diverse approaches to managing Arsha.

32) Painting:
Painting refers to the preparation and cleansing of the perianal area before surgical procedures. It is a necessary step in the study's methodology to ensure aseptic conditions and minimize the risk of infections during Kshar applications in treating Arsha effectively.

33) Tikshna (Tiksna):
Tikshna describes the sharp or potent quality of Kshar used in treatment. In the study, Tikshna Kshar is applied to hemorrhoids, highlighting the need for effective yet controlled applications to achieve necrosis and facilitate healing while minimizing damage to surrounding healthy tissues.

34) Science (Scientific):
Science embodies the systematic study of phenomena through observation and experimentation. The research represents an intersection of Ayurvedic practices and scientific inquiry, aiming to validate traditional methods like Kshar therapy under contemporary medical scrutiny, contributing to a broader understanding of holistic health care.

35) Tantra (Tantrism, Tamtra):
Tantra refers to a system or method, particularly in Ayurveda concerning therapeutic practices. This study’s focus on Shalya-tantra reinforces the tradition’s intricate approach to surgical techniques and provides a framework for integrating modern treatments with ancient wisdom in patient care.

36) Kshara (Ksara):
Kshara denotes an alkalizing agent or caustic substance used in Ayurveda derived from medicinal plant ashes. In this study, Kshara is applied for treating Arsha, showcasing its efficacy in promoting tissue necrosis and subsequent healing. Its role emphasizes non-invasive surgical options in contemporary medicine.

37) Shalya (Salya):
Shalya refers to a broader category in Ayurveda that encompasses surgical science and methodologies. The incorporation of Shalya principles within this study highlights its relevance in addressing conditions like Arsha and showcases the evolution of surgical practices through integrated traditional approaches.

38) Nature:
Nature represents the natural origins of Ayurvedic practices, emphasizing the use of plant-based treatments. The study’s exploration of Kshara therapy underscores the importance of utilizing nature’s resources in therapeutic applications to alleviate conditions like Arsha sustainably and effectively.

39) Delhi:
Delhi is a significant city in India, often associated with a wealth of knowledge, including Ayurveda. Its relevance to this study lies in its historical context as a center for medicinal education and research, allowing collaborations that benefit the research on Arsha treatments.

40) Agni:
Agni signifies digestion and metabolic fire in Ayurveda, vital for maintaining health. Its relationship to Arsha is profound, as impaired Agni (Agnimandya) can lead to many ailments, including hemorrhoids. This study aims to align dietary practices with treatment methods, restoring Agni to improve patient overall wellness.

41) Guda:
Guda refers to the anus and rectum in Ayurvedic anatomy. Understanding Guda is essential in the context of treating diseases like Arsha, as the location of symptoms directly influences treatment approaches and highlights the need for precision in surgical and therapeutic interventions.

42) Sign:
Sign indicates observable manifestations of a disease. In this study, signs of Arsha, including the size of the pile mass and the extent of bleeding, are measured meticulously to assess treatment effectiveness and improve clinical outcomes for patients undergoing Kshar therapies.

43) Burning (Burn, Burned, Burnt):
Burn relates to the chemical action of Kshara, which, when applied to hemorrhoidal tissue, causes necrosis. This reaction is pivotal for treating Arsha, allowing specific tissue destruction followed by natural healing, highlighting the innovative aspects of stylefocused Ayurvedic therapy.

44) Post:
Post refers to the time following the application of Kshar therapy to monitor and assess patient recovery and symptom resolution. Collecting data post-treatment is critical for evaluating the safety and efficacy of the treatment modalities applied in the study.

45) Life:
Life encompasses the overall well-being and health of individuals. This study aims to enhance the quality of life for patients suffering from Arsha by providing effective treatment options through Kshar therapy, reflecting the fundamental goal of Ayurveda in promoting wellness and longevity.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘"Palash vs. Arka Kshar Pratisaran for Arsha: A Conceptual Study"’. Further sources in the context of Science might help you critically compare this page with similair documents:

Dosha, Agnimandya, Surgical intervention, Clinical trial, Follow Up Period, Visual analogue scale, Ethics Committee approval, Cost-effective method, Postoperative Pain, Kshar karma, Shalyatantra Department.

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