Management of internal hemorrhoids by Kshara karma: An educational case report

Mahapatra, Anita; Srinivasan, Arathy; Sujithra, R; Bhat, Ramesh P

doi:10.4103/0975-9476.100169

Cited by 6 publications

(3 citation statements)

References 1 publication

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“…This achievement was possible only because these Vaidyas had access to patients. Application of Kshara , another procedure that is gaining popularity in the management of haemorrhoids is also developed by Shalya Tantra specialists who have access to patients [ 14 ]. Application of leeches (hirudotherapy), another popular intervention being practised by many surgeons also can be traced back to Sushruta Samhita [ 15 ].…”

Section: Should All Ayurveda Shalya Tantra (Surgery)/shalakya Tantra mentioning

confidence: 99%

Surgical practice and Ayurveda: A realistic analysis of the current debate

Patwardhan

Kumar

2021

Journal of Ayurveda and Integrative Medicine

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The recent notification issued by the Central Council of Indian Medicine making it compulsory for the postgraduate students of two streams of Ayurveda (Shalya Tantra and Shalakya Tantra) to be trained in different kinds of modern surgical procedures as a part of their curricula has led to a nation-wide debate. While practitioners from biomedical sciences are voicing their concerns against the decision, Ayurveda professionals are seen defending the same. In this article we try to look at this issue from a dispassionate and realistic point of view. We recount the historical milestones that paved way for the incorporation of the modern surgical practices in to Ayurveda curricula. Currently though there are many skilful Ayurveda surgeons who practice surgery in India, the standard of education in many Ayurveda colleges is very poor because of a low patient turn-out which is a matter of serious concern. We argue that, however, by citing these varying standards in education, imposing deliberate restrictions on Shalya-Shalakya students and not giving them access to treat patients too is unwarranted. Such a move can affect the research potential in these fields. We cite the history of the evolution of Kshara-Sutra therapy to justify our argument. Further, we delve into the issue of prospective and retrospective applicability of the said notification and suggest a few options that the Ministry of AYUSH may consider to resolve this issue. We conclude by saying that well-trained Ayurveda surgeons must be allowed to practice surgery, but at the same time, a blanket license to all Shalya-Shalakya postgraduate degree holders to practice surgery without ensuring their actual clinical training would be unreasonable.

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Section: Should All Ayurveda Shalya Tantra (Surgery)/shalakya Tantra mentioning

confidence: 99%

Surgical practice and Ayurveda: A realistic analysis of the current debate

Patwardhan

Kumar

2021

Journal of Ayurveda and Integrative Medicine

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“…Furthermore, recovery periods following alkaline cautery are typically shorter, entailing minimal scarring or tissue damage. [27] Nevertheless, it is imperative to acknowledge the limitations of alkaline cautery. Not all types of lesions or deeper tissue involvement are suitable for this procedure.…”

Section: Introductionmentioning

confidence: 99%

A Novel Ayurvedic treatment - Arthrothermia® for Osteoarthritis

Shah,

Kagrana

2024

J Ayurveda Integr Med Sci

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Purpose: The purpose of this study was to report promising data revealed by a novel Ayurvedic treatment; Arthothermia® for patients with knee osteoarthritis (OA). Method: We enrolled 30 patients with OA who received Arthothermia® treatment. The Knee injury and Osteoarthritis Outcome Score (KOOS) was used to evaluate the treatment outcome. The five subscales of KOOS: Pain, Other Symptoms, Function in daily living (ADL), Function in Sport and Recreation (Sport/Rec), and knee-related Quality of Life (QOL) were scored separately. The KOOS data was calculated for the 30 patients before and after Arthothermia® treatment. Results: The KOOS before Arthothermia® ranged from 3.37 to 31.3. The KOOS was significantly improved after Arthothermia® and it ranged from 83.67 to 98.53. The difference in KOOS between before and after Arthothermia® treatment was calculated for the 30 patients as a group (unpaired t-test) as well as for each patient individually (paired t-test). The difference in KOOS was highly significant (p<0.0001) for both; unpaired and paired t-test analysis. Conclusion: The present study documented that the “Arthothermia®” – a unique Ayurveda treatment approach (combination of alkaline cautery and indirect micro thermal cautery) brought significant changes in KOOS in the OA patients in very short time duration. The promising data hold a ray of hope for better management of OA and needs wide explorations to bring magnificent outcome for patients suffering with OA.

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“…6 Pratisaraniya Kshara is prepared from the ashes of medicinal plants by a special technique of preparation with addition of marine shells 7 and, on application, brings about necrosis in the pile mass resulting into an ulcer which heals by fibrosis. 8 Local application of Pratisaraniya Kshara is one of the most widely practiced outpatient treatment for internal haemorrhoids by the Ayurveda surgeons in India.…”

Section: Introductionmentioning

confidence: 99%

Role of Kshara Karma in Management of Internal Hemorrhoids: A Case Report

Singh,

Ji Gupta

2023

IAMJ

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Nowadays prevalence of Anorectal disorders is progressively increasing in society, Arsha (Haemorrhoids) is one of them. There are many responsible factors for disease like sedentary lifestyle, irregular and inappropriate diet, prolonged sitting or standing and certain psychological disturbances. It generates symptoms dominated by rectal bleeding, mass per anum, anal discomfort and pruritus. Many conservative, surgical and non-surgical methods are available to cure the disease, but demand for Ayurvedic and herbal remedies has increased in society nowadays. Material and Methods: In this study 36-year-old male patient having complain of bleeding per rectum and mas coming out during defecation was selected. The case was diagnosed as a case of “Raktarsha” Grade II internal hemorrhoids having mass at 7 and 11 ‘O’ clock position. The final diagnosis was made on the basis of DRE findings, symptoms of patient and proctoscopic examination. Classically prepared Apamarga Pratisarniya kshara was applied on hemorrhoidal masses following SOPs. The findings were noted on Day 7, Day 14, Day 21 and Day 30. Result: Obtained results were analyzed and there was Significant relief in symptoms. Improvement in complain of Bleeding and prolapse of pile mass during defecation was noticed. Conclusion: Ayurvedic parasurgical procedure (Pratisarniya Kshara patan vidhi) has proven to be an effective non-surgical management alternative for the diagnosed patients of Grade II internal Haemorrhoids.

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Management of internal hemorrhoids by Kshara karma: An educational case report

Cited by 6 publications

References 1 publication

Surgical practice and Ayurveda: A realistic analysis of the current debate

Surgical practice and Ayurveda: A realistic analysis of the current debate

A Novel Ayurvedic treatment - Arthrothermia® for Osteoarthritis

Role of Kshara Karma in Management of Internal Hemorrhoids: A Case Report

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