A study on the efficacy of Karanja Pratisaraneeya Kshara in the management of Arshas w.s.r. to Internal Haemorrhoids

Abstract

Arshas is by far the most common ano-rectal disease that comes across in the out-patient departments. Despite having various treatment modalities in case of Arshas, even today many lacunas are still existing. To overcome the lacunas, this study namely “A study on the efficacy of Karanja Pratisaraneeya Kshara in the management of Arshas” has been taken up. To evaluate the efficacy of Karanja Pratisaraneeya Kshara, another group comprising of Apamarga Pratisaraneeya Kshara, an established study was taken up. Materials and Methods: The study was conducted within the facilities available in the OPD and IPD of S.J.I.I.M. Hospital, Bengaluru. 40 cases of Abhyantara Arshas were selected from the OPD and IPD of the aforesaid institution and randomly assigned into two groups namely A and B. Subjects under Group A were treated with Karanja Pratisaraneeya Kshara, while subjects under Group B were treated by Apamarga Pratisaraneeya Kshara. Results: The treatment modalities of Karanja Pratisaraneeya Kshara and Apamarga Pratisaraneeya Kshara are equally efficacious in treating Arshas. Clinically there is no difference in the overall effect between the two groups but in minimizing the pain, bleeding per rectum and regression of pile mass after Kshara Karma was found earlier in Apamarga Teekshna Pratisaraneeya Kshara compared to Karanja Teekshna Pratisaraneeya Kshara. Conclusion: The study showed that group A and group B are equally effective.