Abstract
A CONCEPTUAL STUDY ON THE EFFECT OF SHIGRU PRATISARANIYA KSHARA KARMA IN THE MANAGEMENT OF ABHYANTARA ARSHAS
*Dr. Sinchana R., Dr. Shilpa P. N.
ABSTRACT
Arshas is a condition which is characterized by abnormal protrusion of mamsa which obstructs gudamarga, causing discomfort to the patient like an enemy. In contemporary science Arshas can be correlated to Haemorrhoids,which is characterized by downward sliding of anal cushion that includes aggregated blood vessels, smooth muscles and elastic connective tissue in the submucosa that normally reside in left lateral, right posterolateral and right anterolateral aspect of the anal canal abnormally due to straining or other causes. Haemorrhoids constitutes about 50% of colorectal investigations. The incidence of haemorrhoids ranges from 50-85% around the world and in India it affects around 75% of population.[1] Its incidence can be seen at any age but predominantly seen among the age group 45-65 years affecting both the genders equally. Acharya sushruta has mentioned four treatment modalities for arshas. Kshara karma is one such modality which is considered to be best among all surgical and parasurgical procedures.[5] It is a simple and effective treatment measure with least chances of recurrence rate,causing minimal post-operative pain,discomfort and other complications,which requires minimal hospitilization and easily affordable and acceptable by the patients. The present study aims to explore the effect of shigru pratisaraniya kshara in the management of abhyantara arshas.
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