Abstract

“A CLINICAL STUDY TO EVALUATE THE EFFECT OF APAMARGA TIKSHNA PRATISARNIYA KSHARA AND DANTYARISHTA IN GUDA ARSHA (HAEMORRHOIDS)”

Dr. Preeti Pandey*, Dr. Sachin Gupta and Dr. Shruti Sarswat

Abstract

In Samhitas Acharyas Charak, Sushruta and Vagbhata have given great description about Arsha and their management but still there is need to evaluate an efficient therapy for management of Arsha. Haemorrhoids are caused by increased straining or intra-abdominal pressure or extended periods of sitting. Worldwide, the prevalence of symptomatic haemorrhoids is estimated at 4.4% in the general population. Its incidence increases with advancing age. In Ayurveda, Sushruta states four modalities i.e. Bhaishaja chikitsa, Kshara karma, Agnikarma and Shastra karma. Among these, Kshara Karma modality is the best one. Application of Pratisarniya Tikshna Kshara is a nonsurgical procedure of Ayurveda indicated for the management of Arshas. This study was conducted clinical evaluation of Apamarga Tikshna Pratisarniya Kshara and Dantyarishta in Guda Arsha(Haemorrhoids). This clinical study was performed on 30 patients in a single group with Apamarga Tikshna Pratisarniya Kshara and Dantyarishta on each patient selected from the OPD of the Department of Shalya Tantra, Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan, Haridwar. Assessment was done before and after treatment by the subjective and objective parameters. For statistical analysis, Wilcoxon signed rank test, Paired t test and Friedman’s Test were used. There are four Subjective criteria i.e. bleeding per rectum, prolapse of pile mass, pain in anal region and constipation on which highly significant relief of Apamarga Tikshna Pratisarniya Kshara and Dantyarishta has been found. Out of 30 patients, 25 patients i.e. 83.33 % were complete improvement followed by 05 patients i.e. 16.66% were marked improvement after the completion of the course as well as follow up period.

Keywords: Arsha, Constipation, Bleeding per rectum, Apamarga Tikshna Pratisarniya Kshara and Dantyarishta.