Original Research Paper

Role Of Shallaki Niryas Ksharsutra In The Management Of Arsha (hemorrhoids): A Case Study

Abstract :

Hemorrhoids are abnormal mass of dilated engorged blood vessels occur internally in the anal canal or around the anus. Hemorrhoids can be internal or external or protruding from inside to outside of the canal and having symptoms which include bleeding, itching and pain. Guda region (~anus) is Sadyopranahar Marma (~vital areas) and it is well known for its chronicity and difficult management. Arsha (Hemorrhoids) is being described by all the classics of Ayurveda. Acharya Sushruta even placed this disorder in the Ashta Mahagada (~eight fatal conditions). Vitiated Dosha localize in Gudavali (~folds), Pradhana dhamani (~vein) and Mansdhara kala (~layers) vitiates Twak (~skin), Mansa (~muscle), Meda (~fats) and Rakta (~blood) resulting in the Annavaha sroto dushti (~obstruction of digestive system). Acharya Sushruta mentioned four types of treatments in Chikitsa sthana of Sushruta samhita as 1) Bheshaj 2) Kshar 3) Agni 4) Shastrakarma. Snuhi kshira Ksharsutra (~medicated Seton) is considered as the standard Ksharsutra although it has been a landmark success but has certain drawbacks like pain, burning sensation and itching associated during therapy. So through this study we find out a safe, simple, effective treatment without any complication. Present research work was planned to evaluate effect of Shallaki niryas Ksharsutra ligation in the management of Arsha. Study observed that Shallaki niryas Ksharasutra ligation gives relief in pain and burning sensation.

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