Abstract

COMPARATIVE STUDY TO EVALUATE THE EFFICACY OF SHALLAKI NIRYAS KSHARASUTRA IN THE MANAGEMENT OF ARSHA: A STUDY PROTOCOL

Pronab Haldar* and Shailesh Dhenge

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Abstract

Background - Haemorrhoids or Piles are a common anorectal disease that arises from the congestion of the internal and external venous plexuses around the anal canal. Hemorrhoids are of two types, external and internal. The external hemorrhoids occur outside the anal verge and are often painful when accompanied by swelling and irritation. The internal hemorrhoids occur inside the rectum and are usually not painful but may bleed when irritated. Acharya Sushruta has described a fourfold method for treating Arsha, which are Bheshaja, Kshara, Agni, and Shastra. Ksharasutra therapy is a minimal invasive Ayurvedic para surgical procedure and time-tested Ayurvedic technique in managing anorectal disorders. It is a safe, sure, and cost-effective treatment method for fistula-in-ano, hemorrhoids, and other sinus diseases. Aims and Objectives: 1 - Assessment of the efficacy of Shallaki niryas Ksharasutra and Snuhi ksheer Ksharasutra in the Management of Arsha. 2 - To evaluate the effective measures for the management of Arsha. 3 - To compare the duration period for cutting and healing of Shallaki niryas Ksharasutra and Snuhi ksheer Ksharasutra in the Management of Arsha. Methodology - Eighty patients of Arsha are divided into two groups, group A and group B, each having 40 patients irrespective of age and gender. Shallaki niryas Ksharasutra ligation as Group A and Snuhi ksheer Ksharasutra ligation as a Group B. Conclusion - conclusions will be pointed out after data analysis.

Keywords: Arsha, Hemorrhoids, Ksharasutra, Shallaki.