A Comparative Study of Snuhi Pratisaraneeya Kshara and Apamarga Pratisaraneeya Kshara for the management of Abhyantara Arsha (Internal Piles).

  • Dr. Netra Bahadur Basnet Ayurveda Medical Officer, Ministry of Social Development, Province 1.
  • Prof. P. Hemantha Kumar Professor‌ ‌&‌ ‌Head‌ ‌,‌ ‌PG‌ ‌Department‌ ‌of‌ ‌Shalya‌ ‌Tantra,‌ ‌National‌ ‌Institute‌ ‌of‌ ‌Ayurveda,‌ ‌Jaipur-302002,‌ ‌Rajasthan,‌
Keywords: Arsha, Snuhi Pratisaraneeya Kshara, Apamarga Pratisaraneeya Kshara, Piles

Abstract

Introduction: Abnormal fleshy growths or sprouts in anorectal region like haemorrhoids, polyp, warts, sentinel tags and neoplasia either benign or malignant or other fleshy growth of different regions are included under nomenclature of Arsha. The incidence rate of this disease is high among people with old age. At least fifty percent of the people over the age fifty years have some degree of symptoms related to piles. Various research works have been carried on the efficacy of Apamarga, Chitraka, Aragbadha, Saptachhada, Arka, Palasha, Kadali, Patala and Nimba Kshara in the management of Arsha Roga. These Kshara preparations though, are efficient but can still cause post-operative discomfort and pain. Hence, comparison of  Snuhi Pratisaraneeya Kshara  with  Apamarga Pratisaraneeya Kshara has been selected.  

Methods:  Total 30 subjects were randomly selected for the study, with ages ranging from 20 yrs to 60 yrs, irrespective of sex, religion etc. and allocated into 15 patients in two groups. Time frame was one month including follow-up. Follow-up was done on the second, third and fourth week.

Results:  In Group A (control group), 15 Patients with Abhyantara Arsha (first degree, second degree and third degree haemorrhoids)  Apamarga Pratisaraneeya Kshara was applied and in Group B, Snuhi Pratisaraneeya Kshara  was applied. In checking the bleeding, Apamarga Kshara showed better results than Snuhi Pratisaraneeya Kshara. There  is the reduction of pile mass, Apamarga Kshara has more reduction in mass size than Snuhi Pratisaraneeya Kshara. But in case of postoperative pain in the first week, Snuhi Pratisaraneeya Kshara caused less pain than Apamarga Kshara

Conclusions:  Apamarga Pratisaraneeya Kshara application is better to manage Abhyantara Arsha in compared to the Snuhi Pratisaraneeya Kshara.  The result obtained is an outcome of small sample size, therefore, for a more reliable and comprehensive evaluation it should be conducted in a larger sample size.

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Published
2020-12-25
How to Cite
1.
Basnet NB, Kumar PH. A Comparative Study of Snuhi Pratisaraneeya Kshara and Apamarga Pratisaraneeya Kshara for the management of Abhyantara Arsha (Internal Piles). IJATM [Internet]. 2020Dec.25 [cited 2021Jul.24];2(3):6-11. Available from: https://ijatm.org/index.php/ijatm/article/view/74
Section
ORIGINAL ARTICLE