Abstract

MANAGEMENT OF SECOND AND THIRD DEGREE HAEMORRHOIDS WITH KSHARSUTRA -A PILOT STUDY

Dr. Samata Ramdas Semaskar* and Dr. Jyoti Shinde

.

Abstract

Innovations in the field of Arsha treatment have centred on modifying the traditional methods to achieve a minimally invasive, less painful procedure and yet with a more sustainable result. Ksharsutra ligation in arsha is one of the traditional procedures described in Ayurveda for the management of Arsha. Lifestyle related factors are mainly thought to be cause of increasing prevalence of haemorrhoids (Arsha)[1] In modern management Haemorrhoidectomy is most commonly employed technique which is a painful, aggressive and more invasive procedure with less satisfaction and high risk of recurrence. Aacharya charaka has advised ksharkarma for the management of Arsha2. Chakradatta, the commentator of Sushrut samhita also mentioned indication of ksharsutra ligation in arsha. Keeping these aspects in mind present pilot study was conducted in Dept. of Shalyatantra, Shri Ayurveda College, Nagpur to find the clinical efficacy of ksharsutra in the management of Arsha. Methodology: Total 15 patients diagnosed as Arsha were subjected for this study. Kshara sutra was ligated in Arsha (second and third degree haemorrhoid) as per the standard protocol and follow up was taken weekly upto 3 weeks to access the efficacy of the treatment. Results: This study revealed significant result of the kshara sutra ligation in Arsha in terms of reduction of pain, per rectal bleeding, haemorrhoidal mass and mucous discharge. Conclusion: It can be concluded that ksharsutra ligation is an effective, less invasive, less expensive and better option for the management of Arsha.

Keywords: Arsha, ksharsutra ligation, Ayurveda, Haemorrhoids, Haemorrhoidectomy.