Effect of Moolaka Ksharasutra in the Management of Arsha: A Case Report


Authors : Dr. Sukesh; Dr. Nisha jain

Volume/Issue : Volume 9 - 2024, Issue 6 - June


Google Scholar : https://tinyurl.com/2s4x3fh8

Scribd : https://tinyurl.com/2puf2smx

DOI : https://doi.org/10.38124/ijisrt/IJISRT24JUN303

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Abstract : Background: A haemorrhoids condtion, which affects the a no rectal area and is characterised by engorgement of haemorrhoids venus plexus.it is one among Ashtamahagadha. Prevalence -Hemorrhoids are the most common benign anorectal disorder diagnosed in clinical practice and constitute about 50% of colorectal investigations. Its incidence can be seen at any age and in both genders equally. It is estimated that 50-85% of people around the world had hemorrhoids. In India 75% of the population was affected.  Aim: To evaluate the effect of ligation of Moolaka kshara sutra at 3,7 o clock position under local anesthesia.  Result and Conclusion: The effect of treatment was assessed on the basis parameter of like bleeding per rectum, pain, Sloughing and falling of pile mass and wound healing of anus .there was no reccurence noticed till 60th post operative day .This study established the effectiveness of Ksharasutra in the Arshas and identified Moolaka ksharasutra as a effective Substitute for Apamarga ksharasutra.

Keywords : Moolaka Ksharasutra, Arshas, Haemorrhoids.

References :

  1. www.ncbi.nlm.nih.gov/pmc/articles/PMC4755769
  2. Zhifei Sun and John Migaly, Clin Colon Rectal Surg.2016 Mar; 29(1): 22-29.doi: 10.1055/s-0035-1568144, Thieme Medical Publishers.
  3. Malviya V.K, Diwan S, Sainia T.K, Apte A. Demographic study of Haemorrhoid with analysis of risk factors. Surgical update: Int J surg Orthopaedics.2019;5(1):7-13.doi:10.17511/ijoso.2019.i1.02
  4. www.ijsurgery.com
  5. Ali SA, Shoeb MFR. Study of risk factors and clinical features of haemorrhoids. Int Surg J 2017; 4:1936-9
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  8. Acharya Sushruta, SushrutaSamhita with ‘Nibandhasangraha’;Commentary of Dalhanacharya edited by Priya Vrat Sharma, Chaukhamba Visvabharati,Varanasi, 9th  edition, Suthrasthana –chapter no 6,Shloka no 3, page no 328.
  9. Chakradatta, Sri Chakrapani Datta with Vaidyaprabha hindi commentary by Dr. Indradeva Tripati, Chauhambha Sanskrit Sansthan, reprint edition 2005, Chapter-5, Sloka 148-150, page no- 66
  10. Sri Narahari Pandit, Raja Nighantu, English translation and critical commentary by Dr. Sathish Chandra Sankhyadhar,1st edition 2012, Chaukhambha Orientalia, Chapter 22, Shloka no.57  Page no.1077-1078
  11. Sri Narahari Pandit, Raja Nighantu, English translation and critical commentary by Dr. Sathish Chandra Sankhyadhar,1st edition 2012, Chaukhambha Orientalia, Chapter 9, Shloka no.7-10, Page no.412
  12. Sri Bhavamisisra , Bhavaprakasa Nighantu, Hindi commentary by Dr Prof.K.C. Chunekar,edited by Dr. G.S.Pandey, reprint 2006 edition, Chaukhambha Bharati Academy, Chapter 9, Shloka no.- 99-103, Page no.666-667 .

Background: A haemorrhoids condtion, which affects the a no rectal area and is characterised by engorgement of haemorrhoids venus plexus.it is one among Ashtamahagadha. Prevalence -Hemorrhoids are the most common benign anorectal disorder diagnosed in clinical practice and constitute about 50% of colorectal investigations. Its incidence can be seen at any age and in both genders equally. It is estimated that 50-85% of people around the world had hemorrhoids. In India 75% of the population was affected.  Aim: To evaluate the effect of ligation of Moolaka kshara sutra at 3,7 o clock position under local anesthesia.  Result and Conclusion: The effect of treatment was assessed on the basis parameter of like bleeding per rectum, pain, Sloughing and falling of pile mass and wound healing of anus .there was no reccurence noticed till 60th post operative day .This study established the effectiveness of Ksharasutra in the Arshas and identified Moolaka ksharasutra as a effective Substitute for Apamarga ksharasutra.

Keywords : Moolaka Ksharasutra, Arshas, Haemorrhoids.

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