Abstract

Vd. Aapsing G. Vasave* and Vd. Shankar V. Annapure

ABSTRACT

Arsha (Haemorrhoids) is included under the Asthamahagada. Arsha is an extremely common problem and it has been reported since thousands of years and its prevalence rate is highest among all anorectal disorders. The faulty dietary pattern and lifestyle, anatomical deformities and hereditary factors are the important etiological factors of this disease. Arsha is clinically an engorged condition of haemorrhoidal venous plexus along with abnormally displaced enlarged anal cushion. In modern medical science, many procedures are described for management of haemorrhoids, of which haemorrhoidectomy is commonly preferred by surgeons, but after sometime of excision there is great possibility of reappearance of the disease. But in Ayurveda management of Arsha has been indicated viz. Bheshaj, Kshara Karma, AgniKarma, Shastra Karma (Chedana) according to chronicity and presentation of the disease. Local application of Kshara is the best one treatment as per the available treatment modalities of Arsha. It is easy to adaptability, convenient, cost- effective and curative results. This parasurgical procedure, various forms of Kshara application are used in treating the Arsha i.e., Ksharasutra ligation, Ksharapatan etc. Ksharasutra ligation is the surgical procedure and Ksharapatan vidhi means the local application and seem to be effective with an easy procedure. In this present study, Ashwamar (Nerium Oleander) Kshara, one among the best qualitative Ksharas, was locally applied directly on the different sizes, shapes and degrees of Arsha, to find out its effectiveness with or without any untoward effect. A total of 5 patients were treated by local application of Ashwamar Kshara. The local application of Ashwamar Kshara was done alternates day, for 7 days, and the result was assessed thoroughly on the basis of observation according to the specially designed proforma. Ashwamar Kshara was prepared as per the standard method described in Ayurvedic texts books. Patients suffering from Arsha were selected by simple random sampling method, with the complaints of bleeding per rectum, Vedana, Srava and kandu. Lastly, it was concluded that the local application of Ashwamar Kshara had shown significant improvement in 1st and 2nd degree of pile masses without any side effect and complications.