A Comparative Study of Snuhi Pratisaraneeya Kshara and Apamarga Pratisaraneeya Kshara for the management of Abhyantara Arsha (Internal Piles).
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.
Ambikadutt Shastri, editor. Sushruta Samhita. New Delhi:Chaukhambha Publications:2016. p. 163. Sutra Sthan, Adhyaya- 33, Sloka 4-5.
Harish Chandra Singh Kushwaha, editor. Charaka Samhita. Varanasi: Chaukhambha Sanskri Sansthan; 2009. p. 340. Chikitsa Sthana. Adhyaya-14, Shloka-5.
Brahmananda Triphathi. Astanghridyam. New Delhi: Chaukhamba Sanskrit Pratisthan;2015.p. 476. Nidan sthan, Adhyaya- 7, Sholaka- 1.
Harish Chandra Singh Kushwaha, editor. Charaka Samhita. Varanasi: Chaukhambha Sanskri Sansthan; 2009. p. 341. Chikitsasthana. Adhyaya- 14 , Shloka-6.
Brahmananda Triphathi. Astanghridyam. New Delhi: Chaukhamba Sanskrit Pratisthan;2015. p. 477. Nidan sthan, Adhyaya-7, Sholaka- 3.
Harish Chandra Singh Kushwaha, editor. Charaka Samhita. Varanasi: Chaukhambha Sanskri Sansthan; 2009.p. 351. Chikitsasthana, Adhyaya- 14, Shloka-38 .
Brahmananda Triphathi. Astanghridyam. New Delhi: Chaukhamba Sanskrit Pratisthan;2015. p. 477. Nidan sthan, Adhyaya-7, Sholaka-9.
Brahmananda Triphathi. Astanghridyam. New Delhi: Chaukhamba Sanskrit Pratisthan;2015.p. 477. Nidan sthan, Adhyaya- 7, Sholaka- 8.,
MORTENSEN N.Surgery of the Anus, Rectum, and ColonGut 2001;49:598..
Ambikadutt Shastri, editor. Sushruta Samhita. New Delhi; Chaukhambha Publications:2016. p. 46. ChikitshaSthan, 6th Adhyaya-6, Sloka- 3.
Loder PB, Kamm MA, Nicholls RJ, Phillips RK. Haemorrhoids: pathology, pathophysiology and aetiology. Br J Surg. 1994;81:946–954. [PubMed] [Google Scholar]
Pathak Avnish,Kumar P. Hemant. A Case discussion on Effect of Apamarga Pratisaraneeya Kshara in the management of Ardra Arshas w.s.r to Histopathological examination. International Journal of Ayurvedic Medicine.2012:3(4); 193-195.
Copyright (c) 2020 International Journal of Ayurveda and Traditional Medicine
This work is licensed under a Creative Commons Attribution 4.0 International License.
The articles approved by the Journal for the publication will contain copyright of IJATM. Article is not allowed to publish in other medium without prior permission of Journal.