Efficacy of Shallaki Niryas Ksharsutra in the Management of Arsha (Hemorrhoids) -A Case Study

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Shailesh Dhenge, Pronab Haldar, K. Baslingappa


According to 2019 ICD-10-CM Diagnosis Code K64.9 hemorrhoids are dilated veins in thelower part of the rectum or anal canal.  Hemorrhoids can be internal or external, or protruding from inside to outside of the anal canal and having symptoms which include bleeding, itching, and pain. Guda (~anus) is undoubtedly a Marma (~vital points), and it is well known for its chronicity and difficult management and Arsha (~hemorrhoids) occurs in anal region. Vitiated Dosha (ailments) localizes in Gudavali (~folds), Pradhanadhamani (~vein) and Mansadhara kala (~layers) and vitiates Twak (~skin), Mansa (~muscle), Meda (~fats) and Rakta (~blood), resulting in theAnnavahasrotodushti (~obstruction of digestive system). Snuhikshiraksharsutra is considered as the standard Ksharsutra although this Ksharsutra has been a landmark success but it has certain drawbacks like pain, burning sensation and itching associated during therapy. So, through this study we find out a safe, simple, effective treatment without any complication. One patient was treated with Shallakiniryasksharasutra ligation. Study observed that Shallaki niryasksharasutra ligation gives relief in pain and burning sensation. Reduction in discharge was also observed with Shallakiniryasksharsutra. This study finally concluded that there is need of further study on large population to established result of current study.

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