“An Open Label Randomised Comparative Clinical Study to Evaluate the Efficacy of Palasha Kshara Sutra and Hemorrhoidectomy in Arshas”
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Abstract
Arshas (Hemorrhoids) is the dilated veins within the anal canal and characterized by bleeding per rectum, constipation, pain, itching and discharge. Acharya Sushrutha narrated 4 types of treatment modalities in Arshas1,2,3. As a contributory development later Acharyas have formulated Ksharasutra making use of drugs. Palasha is one such drug which is having the properties like Arshoghna, Krimighna and also said to be Ksharasresta which helps in treating Arshas, this work was undertaken to study and prepare an effective Ksharasutra out of Palasha and explore its efficacy in Arshas
Materials and Methods: Subjects suffering from 2nd, 3rd & 4th degree Haemorrhoids attending the OPD and IPD of JSS Ayurveda Medical Hospital and JSS Hospital, were selected for this clinical study. A total number of 40 Subjects were selected for the study & were randomly allotted into two groups namely Group-A and Group-B with 20 in each group. Subjects with Group-A was treated with Palasha Ksharasutra procedure and Subjects of Group-B were treated with Hemorrhoidectomy procedure.
Results: After completion of the treatment schedule it is found that procedure is the best line of treatment for Arshas Ksharasutra . on overall assessment in Group A has better effects on the whereas Group-B has moderate effects in the same. Group-A Subjects were comfortable with Ksharasutra procedure on compare to Group-B.
Conclusion: In this study On comparing the results of Group-A and Group-B it was found that Statistical Analysis for parameters were observed that Group-A has better effect as Palasha has properties like Arshoghna, Krimighna and also said to be Ksharasresta which helps in healing Arshas. Palasha By these results we can conclude that the Ksharasutra procedure done with Palasha overruled Hemorrhoidectomy in treating Arshars.