MANAGEMENT OF SHOPHA YUKTA BAHYA ARSHAS (INFLAMED THROMBOSED EXTERNAL HEMORRHOIDS) THROUGH PARA- SURGICAL PROCEDURE - A CASE REPORT Authors: Shivnesh S , MAHESH KUMAR E S AND RAHUL DOGRA
ABSTRACT
A case of 21 years old male, presented with mass over anal verge associated with severe pain
and difficulty in sitting since 3days, during per rectal examination diagnosed as Inflamed
Thrombosed external hemorrhoids.
Arshas is a disease of great clinical relevance in the modern era because of improper food
habits and sedentary lifestyle, these causes interfere with digestive system which leads to many
ailments amongst them ano rectal diseases constitute a major group. Arshas which is compared
to haemorrhoids in the contemporary science is the commonest ano-rectal condition seen in the
practice of proctology.
External hemorrhoids arise from inferior hemorrhoidal plexus and are covered by squamous
epithelium which occur below the pectinate line and may become thrombotic and ulcerate.
According to Acharyas Bahya Arshas which is hard, bluish red in colour with severe pain which
can be co-related to thrombosed external hemorrhoids.
Method: Jalaukavacharana which is one among the Anushastra / parasurgical procedure is
selected as treatment modality for current case study.
Results: Patient got symptomatic relief by 5th day of Jalaukavacharana and Complete cured of
Inflamed thrombosed external hemorrhoids within 15 days without surgical intervention using
Jalaukavacharana.
Conclusion: Jalaukavacharana as a Anushastra better treatment rather than surgical
interventation in Bahya Arshas and in patient who are afraid of surgery.
Keywords: Shopha Yukta Bahya Arshas, External Thrombosed Hemorrhoids,
Jalaukavacharana Publication date: 01/11/2024 https://ijbpas.com/pdf/2024/November/MS_IJBPAS_2024_8416.pdfDownload PDFhttps://doi.org/10.31032/IJBPAS/2024/13.11.8416