Abstract

Dr. Narendra Singh Shekhawat*, Dr. Meenakshi, Dr. Rajesh Gupta and Dr. O. P. Dave

ABSTRACT

Arsha (hemorrhoids) is engorgement of the hemorrhoidal venous plexus, characterized by bleeding per rectum, constipation, pain in ano, prolapse and discharge per anum. In modern modalities, the conservative treatment consists use of laxative, high residual diet and prevailing treatment which are – Sclerotherapy, Rubber band ligation, Infra-red coagulation, Laser therapy, Lord’s dilatation, Cryosurgery, Haemorrhoidectomy, etc in practice. Ayurveda is well known for the treatment of Arsha with Kshara sutra for yielding negligible rate of recurrence, cost effective, less pain, no bleeding, no infection, no anal incontinence and requiring minimal hospitalization during treatment. In this present study, Vedanasthapana Mahakashaya coated thread was ligated to overcome post Kshara Sutra discomfort like pain, irritation, bleeding, etc. The present study was conducted on 30 patients of Arsha with an objective to compare the efficacy of Apamarga Kshara Sutra ligation and Vedanasthapana Mahakashaya coated thread ligation on Arsha patients. The patients were divided into two groups of 15 patients in each group. Patients of Group A were recommended Apamarga Kshara Sutra ligation, while patients of Group B were treated by Vedanasthapana Mahakashaya coated thread ligation. After observing the overall effect of therapy, it was found that Vedanasthapana Mahakashaya coated thread ligation shows better results than Apamarga Kshara Sutra ligation on all subjective(bleeding per anum & pain in ano) and objective parameters(swelling per anum & condition of anal sphincter tone). The effect of therapy of Vedanasthapana Mahakashaya coated thread ligation was comparatively very significant on pain in ano.