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Efficacy of Kshara Application in the Management of Internal Haemorrhoids—A Pilot Study



Author(s)

Bijendra Shah, Tukaram Sambhaji Dudhamal and Shivmangal Prasad

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DOI:10.17265/1548-6648/2016.03.009

BACKGROUND: Ksharakarma (application of plant alkali) is a process of kshara (plant alkali) application called as pratisaraneeya kshara. It is a non-surgical procedure of Ayurveda indicated for the management of haemorrhoids. Kshara is alkaline in nature derived from a combination of various herbs that is applied to the pile mass with the help of a special slit proctoscope. Haemorrhoids are dilated veins within the anal canal in the sub-epithelial region formed by radicals of the superior, middle and inferior rectal veins. METHOD: 33 patients having haemorrhoids with complaints of mass protrusion, pain and bleeding per rectal of different grade (1st, 2nd, 3rd degree), irrespective of age, sex, religion and occupational status. Under local anaesthesia with 2% lignocaine hydrochloride Ksharakarma was done plant alkali of having strong potency of Achyaranthes aspera. Post procedure dressing was done with Jatyadi oil (Medicated Ayurved oil) and ayurvedic laxative was prescribed. RESULT: After 15 days, all major complaints i.e. mass protrusion got reduced, total score of pain before treatment was as visual analogue scale and after treatment was 0 and bleeding was also reduced. CONCLUSION: The result manifests that internal haemorrhoids can be treated with Ksharakarma having negligible recurrence rate. 

Achyaranthes aspera, Jatyadi oil, kshara, ksharakarma, haemorrhoid.