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GYNAECOLOGY AND OBSTETRICS IMAGING
Year : 2009  |  Volume : 30  |  Issue : 2  |  Page : 142-146

The Importance of Ksharasutra in the Management of Arsha (A study of 3586 Cases)


1 Professor & Head, Department of Shalya Tantra, I.P.G.T.& R.A., Gujarat Ayurved University, Jamnagar, India
2 Reader, Department of ShalyaTantra, Gopbandhu Ayurved College, Puri (Orissa) & Institute for Post Graduate Teaching and Research in Ayurveda, Gujarat Ayurved University, Jamnagar, India
3 Lecturer, Department of ShalyaTantra, Gopbandhu Ayurved College, Puri (Orissa) & Institute for Post Graduate Teaching and Research in Ayurveda, Gujarat Ayurved University, Jamnagar, India

Correspondence Address:
C Bhuyan
Professor & Head, Department of Shalya Tantra, I.P.G.T.& R.A., Gujarat Ayurved University, Jamnagar
India
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Source of Support: None, Conflict of Interest: None


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To treat the cases of Arsha, there are many treatment modalities in medical science, but the question is of recurrence and complications. There are prevailing successful methods described to cure the piles in Ayurveda. Four types of treatment are available like Bheshaja, Ksharakarma, Agnikarma & Shastrakarma. Sushruta gives more emphasis on Ksharakarma. Ksharasutra therapy, is one of the most potentiated effort of ksharakarma for curing Arsha. It is a minimal invasive operative technique and requires fewer instruments. The procedure may be performed even under local anesthesia with minimal stay. In this research study, randomly selected 3586 cases suffering from Arsha of either sex were treated with Ksharasutra ligation (KSL) method under suitable anesthesia.Post operative management was carried out on usual line of management. The Apamarga (Achyranthus Aspera) Ksharasutra was prepared by standard scientific method. As per observations of the study maximum advantages were found like minimum hospital stay, no post operative hemorrhage, no adverse bowel effect and no post operative anal stenosis. Patients were able to return their normal works after one week. Recurrence rate was negligible and it had been found overall low cost effective procedure. Hence it is recommended for the management of piles to such a dense populated, poor socio-economic and developing country like India, where cost effect remains a matter for treatment.


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