World Journal of
Pharmaceutical and Life Sciences

AN OPEN LABEL DOUBLE ARM CLINICAL STUDY TO COMPARE THE EFFECT OF GOMUTRA SIDDHA APAMARGA PRATISARANIYA KSHARAKARMA AND UDAKA SIDDHA APAMARGA PRATISRANIYA KSHARAKARMA IN ABHYANTARA ARSHAS

Patel Vishva R.* and Duragappa H

ABSTRACT

Arshas is mentioned in ashta mahagada by Acharya sushruta. Arshas can be considered as haemorrhoids in modern medicine which needs surgical intervention. These Surgical procedures have their own complications. Acharya sushruta mentioned that Ksharakarma is indicated in management of arshas. In ksharapaka vidhi adhyay two solvent media i.e., udaka and gomutra are memtioned for preparation of kshara. Presence of urea, creatinine, aurum hydroxide, carbolic acid, phenols, calcium, and manganese has strongly explained the antimicrobial and germicidal properties of cow urine. So this study has been conducted to evaluate the efficacy of gomutra siddha Apamarga pratisaraniya kshara karma in management of abhyantara arsha. Udaka siddha Apamarga pratisaraniya kshara karma taken as standard group to compare its effect since it’s an established study.40 patients fulfilling the inclusion criteria of abhyantara arsha w.s.r internal haemorrhoids were randomly selected from OPD and IPD of Shalya tantra, Government Ayurveda Medical College, Bengaluru and divided into two groups i.e. Group A and Group B comprising of 20 patients in each group. In Group A: Gomutra siddha Apamarga pratisaraniya kshara karma, In Group B: Udaka siddha Apamarga pratisaraniya kshara karma was done. The parameters were observed based on the assessment criteria and recorded. The p-value of 0.64 is greater than the common significance level of 0.05, indicating that there is no statistically significant difference between Group A and Group B in terms of their overall effect.Gomutra Siddha Apamarga Pratisaraniya Ksharakarma is as effective as Udaka Siddha Apamarga Pratisraniya Ksharakarma in the management of Abhyantara Arshas.

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