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

Abstract

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.