ABSTRACT

According to Acharya Sushruta the treatment modality of Arsha are Bhesaja (use of medicines), Kshara (use of caustic alkalies) Agni (use of fire/branding) Shastra (use of sharp instruments/surgical). Arsha which are Mrudu(soft), Prasrita (broad), Avagada (deep), Uchritha (bulged) are treated with Kshara Karma. Aim: to see Effectiveness of Teekshna Palasha Pratisaraniya Kshara Karma in the management of Rakta- Arshas (Grade II internal haemorrhoids). Material and methods: under local anesthesia 2% lignocaine and adrenaline Teekshna Palasha Pratisaraniya Kshara Karma over the grade to internal haemorrhoids at 7 oclock position and wait for Shatamatra Kala (100 seconds) or pile mass getting Pakvajambuphalavarna, followed by normal saline wash and later neutralize with Nimboo Swarasa. Thereafter anal canal is packed with gauze piece soaked in Yesthimadhu Taila. Result: Grade II internal haemorrhoids was completely cured within 15 days after Teekshan Palasha Pratisaraniya Kshara Karma with no bleeding per rectum. Conclusion: Teekshan Palasha Pratisaraniya Kshara Karma is very effective, safe in management of the Rakta-Arshas (Grade I, II, III internal haemorrhoids) with least recurrence rate, minimal pain, less requirements of antibiotic and anti-inflammatory drugs, less hospital stay, no adverse effect during post operative period like altered bowel, anal stricture /anal stenosis. Keywords: Rakta-Arshas, Grade 11 Internal haemorrhoid, Kshara Karma, Teekshna Palasha Pratisaraniya Kshara
Publication date: 01/08/2024

https://ijbpas.com/pdf/2024/August/MS_IJBPAS_2024_8238.pdf

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https://doi.org/10.31032/IJBPAS/2024/13.8.8238