Study on Pathadi Kwatha for managing hemorrhoids (Arsha).

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Journal name: Ayushdhara
Original article title: Clinical study of indigenous drugs - pathadi kwatha in the management of arsha (hemorrhoids)
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Author(s):

Devata M. Shiralkar
Associate Professor, Dept. of Shalya Tantra, K.P.S.V.S. College of Ayurved, Manavi, Karnataka, India.
*Mayur V.Shiralkar
Associate Professor, Dept. of Shalakya Tantra, Dr. D.Y.Patil College of Ayurved, Pimpri, Pune. M.S., India.
Shende Krushnadev
Associate Professor, Dept. of Kayachikitsa Dr.D.Y. Patil Ayurved College, Pune, M.S., India.
Rupesh Wagh
4Associate Professor, Dept. of Shalya Tantra, SMBT Ayurvedic Medical College, Nandi Hills, Nasik, M.S., India.
Vishal Tamhane
Associate Professor, Dept. of Shalya Tantra, Ashwin Rural Ayurved College, Manchi Hill, India.


Ayushdhara:

(A peer-reviewed, bi-monthly open-access journal)

Full text available for: Clinical study of indigenous drugs - pathadi kwatha in the management of arsha (hemorrhoids)

Year: 2015

Copyright (license): CC BY-NC-SA 4.0


Download the PDF file of the original publication


Summary of article contents:

Introduction

The clinical study presented focuses on the effectiveness of an Ayurvedic remedy known as Pathadi Kwatha in managing Arsha, or hemorrhoids. Hemorrhoids have become increasingly prevalent due to modern lifestyle changes, including poor dietary habits, leading to altered bowel functions and, ultimately, constipation. These factors contribute to the progression of Arsha, recognized in Ayurvedic texts as related to weak digestive fire (Mandagni) and emphasizing that ano-rectal issues often arise from systemic imbalances. The study aims to assess the clinical parameters of Pathadi Kwatha in a conservative treatment strategy for early-stage hemorrhoids, intending to offer a low-cost and effective alternative to surgical interventions.

Effectiveness of Pathadi Kwatha in Treatment of Hemorrhoids

Pathadi Kwatha is a formulation comprising five medicinal herbs, which are recognized for their therapeutic properties that counteract the symptoms associated with Arsha. The study highlights that this kwatha demonstrates significant effectiveness in alleviating key symptoms such as Guda-shula (rectal pain) and Gudagata Raktastrava (per-anal bleeding). Over the course of the study, significant relief was noted: Guda-shula exhibited a relief percentage of 97.43% by the end of treatment, while Gudagata Raktastrava achieved complete relief in 100% of the patients evaluated by day 14. These results underline the kwatha's potential as a non-invasive management option for hemorrhoids.

Addressing Digestive Issues With Pathadi Kwatha

Another critical aspect of the study is the impact of Pathadi Kwatha on digestive concerns, particularly Agnimandya (reduced digestive capacity) and Malavastambha (difficulty in passing stools). The prepared kwatha not only provides symptomatic relief but also aids in enhancing digestive health by employing ingredients with warming, appetite-stimulating, and stool-softening properties. In patients suffering from Agnimandya, complete relief was achieved by the end of the treatment period, indicating the dual action of the formulation which addresses both local and systemic gastrointestinal issues contributing to the development of hemorrhoids.

Conclusion

In conclusion, the study validates the therapeutic efficacy of Pathadi Kwatha in the management of Arsha, classifying it as a valuable option for treating early-stage hemorrhoids. The combination of symptom relief and improved digestive health presents a holistic approach to this common ailment, reinforcing the principles of Ayurvedic medicine that emphasize the treatment of underlying causes rather than merely addressing local symptoms. Given the statistical analysis and patient outcomes observed, Pathadi Kwatha emerges as a credible and effective alternative for individuals seeking conservative treatment for hemorrhoids.

FAQ section (important questions/answers):

What is the primary focus of the study on Pathadi Kwatha?

The study primarily focuses on assessing the effectiveness of Pathadi Kwatha in managing early-stage Arsha (hemorrhoids) by evaluating clinical symptoms and providing a conservative, cost-effective treatment option.

What are the symptoms associated with Arsha addressed in the study?

The study addresses several symptoms of Arsha, including Guda-shula (anal pain), Gudagata-raktastrava (bleeding), Malavastambha (constipation), Asamadhankarak Malpravrutti (unsatisfactory bowel movements), and Agnimandya (weak digestive fire).

What was the conclusion regarding Pathadi Kwatha's effectiveness?

The conclusion indicates that Pathadi Kwatha is effective in treating all types of Arsha in the early stages, highlighting its roles in reducing symptoms and improving overall patient outcomes.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Study on Pathadi Kwatha for managing hemorrhoids (Arsha).”. 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 is the term used in Ayurveda to describe hemorrhoids, which are swollen blood vessels in the lower rectum or anus. It is linked to various symptoms like Guda-shula (rectal pain) and Gudagata-Raktastrava (bleeding), and can stem from factors such as Mandagni (weak digestive fire).

2) Guda:
Guda refers to the anal or rectal region in Ayurveda. Conditions like Guda-shula (rectal pain) and Gudagata-Raktastrava (rectal bleeding) are highlighted in the context of Arsha, or hemorrhoids.

3) Drug:
In Ayurveda, a drug like Pathadi Kwatha, which is composed of medicinal herbs such as Dusparsha and Patha, is used in the management of conditions like Arsha. These therapeutic substances are aimed at addressing underlying dosha imbalances.

4) Shula (Sula):
Shula refers to pain in Ayurveda. For instance, Guda-shula indicates anal or rectal pain, a common symptom of Arsha, managed effectively with treatments like Pathadi Kwatha that have Shulaghna (pain-relieving) properties.

5) Pathadi:
Pathadi Kwatha is an herbal decoction used in Ayurvedic medicine, particularly for the management of Arsha (hemorrhoids). It includes ingredients like Patha, Shunthi, and Dusparsha which have various pharmacological effects.

6) Disease:
Arsha is categorized as a disease in Ayurveda that results from the vitiation of doshas and is characterized by symptoms like Guda-shula and Gudagata-Raktastrava. Ayurvedic treatment approaches include managing agnimandya and providing pharmacological remedies like Pathadi Kwatha.

7) Agnimandya (Agni-mandya, Agnimamdya):
Agnimandya refers to a weak digestive fire in Ayurveda, often cited as a root cause of hemorrhoids (Arsha). Treatments aim to improve Agni (digestive fire) using herbs like Shunthi and Yawani, which are components of Pathadi Kwatha.

8) India:
India is the birthplace of Ayurveda, where traditional medicines and treatments like Pathadi Kwatha are used to manage conditions like Arsha. Various Ayurvedic colleges and hospitals across India, such as those in Pune and Karnataka, are involved in this practice.

9) Duhsparsha (Dusparsa, Duhsparsa, Dusparsha, Dushparsha, Duhshparsha):
Dusparsha is one of the ingredients of Pathadi Kwatha used in Ayurvedic medicine for the treatment of Arsha (hemorrhoids). It has Kashayarasatamak (astringent) and Sheetagunatamak (cooling) properties useful in Rakta-stambhan (stopping bleeding).

10) Mandagni (Manda-agni, Mamdagni):
Mandagni, meaning weak digestive fire, is recognized in Ayurveda as a causative factor for conditions like Arsha (hemorrhoids). Effective management includes treatments like Pathadi Kwatha which aims to rekindle the digestive fire.

11) Tantra (Tamtra, Tantrism):
[see source text or glossary: Tantra]

12) Dosha (Dosa):
Dosha refers to the fundamental bodily bio-elements in Ayurveda. An imbalance in doshas, such as Vata, Pitta, and Kapha, leads to diseases like Arsha. Treatments aim to restore the balance of doshas.

13) Samhita:
Samhita refers to classical Ayurvedic texts such as Charaka Samhita and Sushruta Samhita, which provide foundational knowledge and treatment guidelines for various diseases, including Arsha (hemorrhoids).

14) Patha:
Patha is one of the key herbs used in Pathadi Kwatha, which effectively treats Arsha (hemorrhoids). Known for its Vatashamak (Vata pacifying) properties, it helps in reducing Guda-shula (rectal pain) and promoting digestion.

15) Blood:
In the context of Arsha, blood is significant due to Gudagata-Raktastrava (bleeding per rectum). Ayurvedic treatments like Pathadi Kwatha incorporate hemostatic herbs like Dusparsha to arrest bleeding.

16) Food:
[see source text or glossary: Food]

17) Diet:
Diet plays a crucial role in the development and management of Arsha in Ayurveda. The study suggests that non-vegetarian diets, lacking in fiber, contribute to constipation, further aggravating hemorrhoids.

18) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
Shalyatantra, similar to Shalya-tantra, refers to the surgical branch of Ayurveda which includes treatments for Arsha (hemorrhoids) ranging from Bheshaja Chikitsa (medicinal treatment) to surgical interventions.

19) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian system of medicine that treats conditions like Arsha (hemorrhoids) with a holistic approach, using herbal remedies such as Pathadi Kwatha and addressing the root causes like Dosha imbalance and Agnimandya.

20) Medicine:
In Ayurveda, medicine refers to various herbal formulations like Pathadi Kwatha used for treating diseases such as Arsha. These medicines aim to balance doshas and improve overall health.

21) Shunthi (Sunthi, Sumthi, Shumthi):
Shunthi, also known as ginger (Zingiber officinale), is an ingredient in Pathadi Kwatha known for its digestive and Agnivardhak (digestive fire stimulating) properties, making it effective in treating Arsha.

22) Shalya (Salya):
[see source text or glossary: Shalya]

23) Rakta:
Rakta refers to blood. In the context of Arsha, Gudagata-Raktastrava (rectal bleeding) is a key symptom. Herbs like Dusparsha in Pathadi Kwatha have Rakta-stambhak (hemostatic) actions to manage this symptom.

24) Patil:
[see source text or glossary: Patil]

25) Pune:
Pune is a city in India where institutions like Dr. D.Y.Patil College of Ayurved conduct research and clinical studies, such as on the efficacy of Pathadi Kwatha in the management of Arsha.

26) Shalakyatantra (Salakyatantra, Shalakya-tantra, Shalakyatamtra):
Shalakya-tantra is a branch of Ayurveda focusing on the treatment of diseases above the clavicle, including ears, eyes, nose, mouth, and head. Researchers from this field participate in interdisciplinary studies like the treatment of Arsha.

27) Cauterisation (Cauterization):
Cauterization, including Agni karma (thermal cauterization) and Kshara karma (chemical cauterization), is one of the treatment approaches described in Sushruta Samhita for managing severe cases of Arsha.

28) Vitiation (Vitiated):
Vitiation, in Ayurveda, refers to the imbalance or disturbance of doshas. For example, vitiation of Vata and Pitta doshas can lead to conditions like Arsha (hemorrhoids), requiring treatments to restore balance.

29) Bheshaja (Bhesaja):
Bheshaja refers to the medicinal or therapeutic approach in Ayurveda. Bheshaja Chikitsa or medicinal treatment is the first line of treatment for conditions like Arsha before considering surgical options.

30) Atisara:
Atisara refers to diarrhea in Ayurveda. It is noted that conditions like Arsha, Grahani (sprue), and Atisara resulting from Mandagni can be interlinked and may exacerbate each other’s symptoms.

31) Grahani:
Grahani, often linked with conditions like sprue syndrome, can share a causative link with Arsha and Atisara due to Mandagni (weak digestive fire). Addressing Agni is crucial in managing these conditions.

32) Vedana:
Vedana refers to pain. In the treatment of Arsha, herbs with Vedana - Nashak (pain-relieving) properties like those in Pathadi Kwatha play a crucial role in providing symptomatic relief from Guda-shula.

33) Sutra:
Sutra in Ayurveda refers to formulas or aphorisms. The treatment sutra for Arsha involves a stepwise approach ranging from Bheshaja Chikitsa (medicinal therapy) to Shastrakarma (surgical intervention) as needed.

34) Karma (Karman):
Karma in a medical context refers to procedures. Various karmas like Agni karma (thermal cauterization) and Kshara karma (chemical cauterization) are used in treating severe cases of Arsha after the failure of medicinal treatments.

35) Ushna (Usna):
Ushna refers to heat. In Ayurveda, drugs like Shunthi with Ushna veerya (warming potency) are used to stimulate Agni (digestive fire) and improve symptoms of Arsha.

36) Aha (Ahan, Ahar):
Ahar, meaning diet, is emphasized in Ayurveda as a critical factor in managing health. Incorrect dietary habits against 'Ahar Vidhi Vishesh Ayatane' can lead to conditions like Arsha.

37) Kala:
[see source text or glossary: Kala]

38) Fire:
Fire, or Agni in Ayurveda, is a metaphor for digestive and metabolic functions. Weak Agni (Mandagni) is a root cause of conditions like Arsha, necessitating treatment to rekindle the digestive fire.

39) Zingiber officinale:
Zingiber officinale, known as Shunthi in Ayurveda, is an herb used in Pathadi Kwatha. It has potent digestive and Agni-stimulating properties, making it effective in managing Arsha.

40) Sushruta-samhita (Susruta-samhita):
Sushruta-samhita is one of the foundational texts of Ayurveda detailing surgical techniques and treatments including those for Arsha. It emphasizes both medicinal and surgical approaches to treatment.

41) Pharmacological:
[see source text or glossary: Pharmacological]

42) Aegle marmelos:
Aegle marmelos, known as Bilwa in Ayurveda, is an ingredient in Pathadi Kwatha. It has properties like Anulomak (facilitates bowel movement) and Mridu Rechak (mild laxative), useful in treating Arsha.

43) Pittadosha (Pittadosa, Pitta-dosha):
Pitta-dosha is one of the body humors in Ayurveda. In the case of Arsha, increased Pitta-dosha can lead to bleeding (Gudagata Raktastrava), addressed by cooling and astringent herbs in Pathadi Kwatha.

44) Agnikarma (Agni-karma):
Agni-karma refers to thermal cauterization used in Ayurvedic surgery for treating conditions like Arsha when medicinal treatments are insufficient. It is one of the treatments listed in the Sushruta Samhita.

45) Discussion:
[see source text or glossary: Discussion]

46) Samprapti:
Samprapti refers to the pathogenesis of a disease. In Ayurveda, the Samprapti of Arsha involves factors like Mandagni and dosha imbalances, guiding the selection of treatments like Pathadi Kwatha.

47) Shulaghna (Sulaghna, Shula-ghna):
Shulaghna refers to pain-relieving properties of an herb or formulation. Pathadi Kwatha has Shulaghna properties that help alleviate Guda-shula (rectal pain) in patients with Arsha.

48) Karnataka:
Karnataka is an Indian state where institutions like K.P.S.V.S. College of Ayurved engage in research and treatment using Ayurvedic methods for conditions like Arsha.

49) Vatadosha (Vatadosa, Vata-dosha):
Vatadosha refers to the Vata element in Ayurveda. In the case of Arsha, Vata vitiation can cause symptoms like dry stool and pain. Treatment focuses on pacifying Vata using herbs like Patha and Shunthi.

50) Shastra (Sastra):
Shastra refers to surgical instruments or interventions. In Ayurveda, Shastrakarma or surgical treatment is a method for treating severe cases of Arsha when medicinal treatments fail.

51) Prakopa:
[see source text or glossary: Prakopa]

52) Kalpana:
[see source text or glossary: Kalpana]

53) Dravya:
[see source text or glossary: Dravya]

54) Vyadhin (Vyadhi):
[see source text or glossary: Vyadhi]

55) Nature:
[see source text or glossary: Nature]

56) Manci (Mamci):
[see source text or glossary: Manchi]

57) Pitta:
[see source text or glossary: Pitta]

58) Vidhi:
[see source text or glossary: Vidhi]

59) Tikta:
[see source text or glossary: Tikta]

60) Mridu (Mrdu):
Mridu in Ayurveda refers to mild or gentle. Mridu recombined laxatives like those derived from Bilwa are used in Pathadi Kwatha to facilitate easier bowel movements, addressing constipation in Arsha.

61) Delhi:
Delhi is referenced in the text as the location of a demography study by C.C.R. & S. which revealed a high incidence of ano-rectal diseases such as Arsha among patients attending OPD services.

62) Nasik:
Nasik is a city in India with institutions like SMBT Ayurvedic Medical College where studies on the efficacy of treatments like Pathadi Kwatha in managing Arsha are conducted.

63) Nandi (Nandin, Namdi):
[see source text or glossary: Nandi]

64) Ayus (Ayush):
[see source text or glossary: Ayush]

65) Agni:
Agni represents the digestive fire in Ayurveda. Weak Agni or Mandagni is a primary cause of various conditions including Arsha. Ayurvedic treatments aim to strengthen Agni to manage and prevent disease.

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