Abstract

Amit Kumar Meena*, Lalit Mohan Tewari and Sunil Kumar Gupta

ABSTRACT

Ayurveda is a comprehensive system of holistic health care enhancing the quality of life and the prevention of ill health. In the present scenario, Susruta Samhita one of the most important branches of Ayurveda which shows their immense potential in the modern surgical technology of today. Poor hygiene, improper food consumption, prolonged standing, faulty habits of defecation and westernized life style enhance the prevalent rate of several gastrointestinal & anorectal disorders. Ano rectal disorders which are emerging out with fastest rate and involving persons of all age group is a subject of great worrying. As far as modern modalities are concerned the conservative treatment of anorectal disorders consists of use of laxatives and high residual diet as well as several surgical and non-surgical techniques with less effectiveness move the populations towards Kshar Karma. In Susruta Samhita the whole treatment is divided under four categories of treatment i.e. Bhesaj Chikitsa (palliative treatment), Kshar karma(potential cauterizing agent), Agnikarma (direct cauterization agent theraphy) & Shastra Karma (operation by sharp instruments). In Su.Su.11/3, Among Shastra and Anushastras, Kshar is said to be best. It performs many actions including Chedan(incising), Bhedana(excision) and helps to maintain the equilibrium of Doshas. Its benefits are appreciable because they can also be applied on the most difficult and inaccessible places of body. The contents used in the formation of Paniya and partisarniya Kshar have high bactericidal action with healing properties. Kshara Sutra is the way of drug delivery, cutting & simultaneously healing in ?fistula-in-ano?, pilonidal sinus etc. which start its action immediately after ligation in track. Kshar with their properties invades the cells of lesion and tissue destruction occurs or upto the removal of pile mass. The oozing blood is ceased by sclerosing effect and coagulating property of Kshar. Kshar Karma taking less time, easily performed without any complications, recurrence rate is very lesser and the patient can perform their daily routine work from next day after surgery which denotes its easy approach and benefits in present era.