Evaluation of therapeutic efficacy of Surana Modaka in Arshas

Abstract

Arshas (haemorrhoids) is the commonest condition among the anorectal diseases in our day-to-day practice in terms of incidence. It is a very disagreeable condition for the patient and often creates restlessness. This disease has no particular sectorial affinity and is equally distributed throughout the world. Modern Science has very little to offer in terms of medicinal treatments of haemorrhoids. Prevalent modern para-surgical measures have been enumerated. Surgical techniques of performing haemorrhoidectomy are many and their complications such as pain, anal incontinence, stricture etc. are well known. Management of Arshas only on Ayurvedic lines seems to be more appropriate. Sushruta, basically a surgeon described four principal therapeutic measures in the management of Arshas, viz. medicinal, chemical cauterization, thermal cauterization and surgical excision. It may be pointed out here that enumeration of these measures in a definite order is suggestive of similar methods to be preferred first. By keeping all these principles in mind, a herbal formulation by name Surana Modaka is prepared to see its efficacy in Arshas.