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Masters Thesis | Ayurveda | India | Volume 12 Issue 12, December 2023
Evaluation of the Efficacy of Shigru Ksharasutra in the Management of Arshas
Dr. Debabrata Acharjee | Dr. Sukesh A
Abstract: A hemorrhoidal condition, which affects the ano - rectal area and is characterised by engorgement of the hemorrhoidal venous plexus, is relatively prevalent. Due to the difficulties in managing it, the condition is categorized under Ashtamahagadas in the Ayurvedic classics and termed as Arshas. The classical characteristics of Arshas are consistent with the prolapse, bleeding, itching, and discomfort associated with haemorrhoids as signs and symptoms. Although haemorrhoids are not life - threatening, they are humiliating to have. As for the aetiology, pathology, symptomatology, kinds, management, and prognosis of Arshas, our classics provide ample information. AcharyaSushruta mentioned four therapeutic approaches for the therapy of Arshas, Acharya Chakrapani has cited the Ksharasutra as a therapy method which have the ability to cut and heal. Because it combines Shastrakarma and Ksharakarma, the Ksharasutra therapy has recently gained standardization and popularity. As a result, we may state that it is a more potent treatment option for Arshas. In light ofKsharasutra's efficacy in controlling Arshas, research into new medications for Kshara preparation is urgently needed in order to replace Apamarga with something better. Therefore, the goal of the current study is to assess the effectiveness of ShigruKsharasutra in the treatment of Arshas.60 patients diagnosed with Arshas were selected. They were randomly allocated into two groups i. e. Group A (Standard group - ApamargaKsharasutra ligation) and Group B (Trial group - ShigruKsharasutra ligation). The effect of treatment was assessed on the basis parameters of like bleeding per rectum, pain, discharge, sloughing and falling of pile mass and tenderness of anus. The symptoms were completely relieved in all the 60 patients of both the groups within 21 days after the procedure. Those patients who underwent ApamargaKsharasutra ligation showed slight faster sloughing and falling of the pile mass than those who underwent ShigruKsharasutraligation. But both the Ksharasutras were having almost similar effect. There was no recurrence noticed till 60th post - operative day. This study established the effectiveness of Ksharasura in the control of Arshas and identified ShigruKsharasutra as a powerful and effective substitute for ApamargaKsharasutra.
Keywords: Arshas, Shigruksharasutra, Apamargaksharasutra, Hemorrhoids
Edition: Volume 12 Issue 12, December 2023,
Pages: 1090 - 1099