Abstract

ROLE OF JALOUKAVACHARANA IN THE MANAGEMENT OF ACUTE THROMBOSIS OF EXTERNAL HEMORRHOIDS – A CASE REPORT

*Dr. Pooja Telangre, Dr. Usha Rana and Prof. Lakshman Singh

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Abstract

External hemorrhoids relate to venous channels of the inferior haemorrhoidal plexus deep in the skin surrounding the anal verge and are not true hemorrhoids; they are usually only recognized as a result of a complication, which is most typically a painful solitary acute thrombosis.[1] In modern science, if conservative treatment fails surgical enucleation of thrombus is done.[2] In Ayurveda, thrombosed external hemorrhoids can be correlated with bahya arsha. Jaloukavacharana is indicated in the treatment of Arshas by Acharya Vagbhata.[3] Leech’s saliva contains numerous bioactive constituent that possesses anti-inflammatory, analgesic, thrombolytic, anticoagulant, and blood circulation-enhancing properties. In this case report a 37-year-old female patient suffering from acute onset anal pain along with a hard lump in the perianal region was diagnosed as a case of Acute thrombosis of external hemorrhoid, based on clinical findings and treated by jaloukavacharan. After Ist sitting of jaloukavacharan there was a remarkable reduction anal pain, tenderness, swelling, and discoloration of hemorrhoids. After 2nd sitting symptoms were completely relieved. The patient has shown tremendous improvement in the VAS score. Even after 1 year of follow-up, the patient had relief in all symptoms. This case study demonstrates that the case of thrombosed external hemorrhoid can be successfully managed with jaloukavacharan - A minimally invasive nonsurgical therapeutic intervention.

Keywords: Jaloukavacharana, Thrombosed external hemorrhoids, bahya Arsha.