Abstract

EFFECT OF APAMARGA PRATISARANEEYA KSHAR ON SECOND DEGREE HAEMORRHOIDS: A SINGLE CASE STUDY

Ankit Kumar Nema*, Vishal Verma, Sheetal Verma, Sourmi and Ekta

ABSTRACT

Arsha is described as one of the "Eight Grave Diseases" (Ashta Mahagada) that produces agony and generates congestion in Guda Marga. It is one of the anorectal disorders mentioned in Ayurveda, with four treatment options based on severity, and contemporary science has linked it to piles. In Arsha with symptoms like Mrudu (soft), Prasruta, Acharya Sushruta has recommended Kshara - Pratisaran as a para-surgical technique (spreaded). Avagadh (deep rooted). Uchhrita (bulging out), which has been linked to internal haemorrhoids of the second degree. Arsha (internal haemorrhoids) is believed to be well treated by local application of Kshara, which causes a chemical burn to the pile mass and causes the pile bulk to diminish. Later it shades of after necrosis. The purpose of this case study was to determine the impact of Apamarga Pratisarneeya Kshara on Arsha (second degree internal haemorrhoids).One diagnosed case of Arsha (second degree internal haemorrhoids) was taken from the O.P.D. of the P.G. Department of Shalya Tantra, Rishikul Campus, U.A.U Haridwar, and treated with Apamarga Pratisarneeya Kshara applied locally. After the local application, patient was assessed for relief in sign and symptoms at weekly interval for 60 days as a follow up period. There was considerable relief in bleeding, pain and prolapse of pile masses. In Arsha, Apamarga Pratisaraneeya Kshara can be utilised successfully with less postoperative problems.

Keywords: Pratisaraneeeya Kshara, Arsha, Apamarga Kshara, Haemorrhoids.