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Abstract

EVALUATION OF THE EFFICACY OF NIMBA KSHARASUTRA IN THE MANAGEMENT OF ARSHAS

Dr. Akhila Sundar* and Dr. Sukesh A.

Abstract

Background: Haemorrhoid is a quite common health problem pertaining to the ano-rectal region characterized by engorgement of haemorrhoidal venous plexus. In Ayurvedic classics, the disease can be correlated to Arshas and is included under Ashtamahagadas owing to the difficulty in its management. Even though the disease is not life threatening, suffering from haemorrhoids is embarrassing. In contemporary medicine, the common treatment procedures adopted are Haemorrhoidectomy, Haemorrhoidopexy, Banding & Cauterization. The four therapeutic measures explained by Acharya Sushruta for the management of Arshas are Bheshaja chikitsa, Shastrakarma, Ksharakarma and Agnikarma. Acharya Chakrapani has mentioned Ksharasutra as treatment modality in the context of management of Arshas, which possess cutting and healing properties. Ksharasutra treatment has become standardized & popular nowadays and exploration of new drugs for Kshara preparation, as a better substitute for Apamarga is the need of the hour. Objective: To evaluate the efficacy of Nimba Ksharasutra in comparison wih standard Apamarga Ksharasutra the management of Arshas. Methodology: 40 patients diagnosed with Arshas were selected and were randomly allocated into two groups i.e. Group A (Standard group-Apamarga Ksharasutra ligation) and Group B (Trial group-Nimba Ksharasutra ligation). The effect of treatment was assessed on the basis parameters of like bleeding per rectum, pain, sloughing and falling of pile mass and spasticity of anal sphincter. Results: The symptoms of bleeding per rectum, pain, spasticity of anal sphincter and pile mass were completely relieved in all the 40 patients of both the groups within 21 days after the procedure. Those patients who underwent Apamarga Ksharasutra ligation showed slight faster sloughing and falling of the pile mass than those who underwent Nimba Ksharasutra ligation. But both the Ksharasutras were having almost similar effect. Conclusion: This study proved the efficacy of Ksharasura in the management of Arshas and found that Nimba Ksharasutra as an effective and potent alternative for Apamarga Ksharasutra.

Keywords: Haemorrhoids, Arshas, Apamarga Ksharasutra, Nimba Ksharasutra.


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