Abstract

JALOUKAVACHARAN IN THE MANAGEMENT OF THROMBOSED HAEMORRHOIDS – A CASE STUDY

Dr. Sharayu R. Bonde*, Dr. Manjusha S. Kalmegh, Dr. Saad A. Siddiqui, Dr. Shraddha R. Waghmare

ABSTRACT

Haemorrhoids, also known as Arsha, are classified as Mahagadas because they greatly disrupt the body's regular processes or activities, much like an adversary. It is a Gudagata mamsa vikara that has happened in three ano-rectal vallies. Internal and external haemorrhoids are the two types of haemorrhoids. A thrombosed hemorrhoid is a type of external haemorrhoid in which a clot in one or more of the tiny veins in the anal region causes a painful swelling in the anal tissues. Thrombosed hemorrhoid is a life-threatening disorder caused by excessive venous pressure, which is accompanied by acute anal pain and edoema. It's possible that it'll get worse after the pile mass has been strangulated. In such circumstances, immediate surgical intervention is essential. The venous return of a strangulated pile mass is severely reduced as a result of strangling, resulting in acute edoema and a painful condition. Because of the underlying clot, the enlarged tissues can have a distinctive bluish appearance. The use of leeches on thrombosed haemorrhoids is reported to be particularly helpful because it relieves venous pooling of blood in the area by dissolving the clot. A case study was conducted to assess the efficacy, in which a 46-year-old male patient with severe discomfort and swelling in the anal region was clinically diagnosed as having thrombosed hemorrhoid. The Jalaukavacharan application was used to treat this patient. Pain, edoema, and tenderness in the anal region were examined for prognosis. The therapy's overall effect has provided great relief from the signs and symptoms. And, thanks to its antibacterial, mucolytic, and thrombolytic properties, Jalaukavacharan therapy was found to be safe and beneficial in the treatment of thrombosed hemorrhoid in this observational case study.

Keywords: Thrombolytic property, Leech therapy, Jalaukavacharana, thrombosed hemorrhoid.