Comparative clinical study to evaluate the effect of Apamarga Kshara Sutra and Agnikarma in Arsha w.s.r. to Interno-external Haemorrhoids

Abstract

One of the illnesses that is very unkind to mankind is haemorrhoids. The most widespread and troublesome ailment of the gastrointestinal system since the evolution of its species is haemorrhoids. The management of Haemorrhoids in this era has been of many folds i.e., latest technique has been evolved and still researchers are going in forgetting satisfactory procedures. By studying history, one can learn that illustrious figures like Adishankara and Napoleon suffered from this illness. Adishankara pleaded to God in one of his hymns for relief from this ailment. If he had not had a severe haemorrhoids, it is stated that King Napoleon would have won the Battle of Waterloo. In Ayurvedic treaties i.e., Chakradutta and Bhavprakash, Kshara Sutra is directed to be used in haemorrhoids and fistula.  Agnikarma is another safe and effective parasurgical method mentioned in the treatment of Arsha. Since Acharya Sushruta has not described the procedure of Agnikarma in Arsha Roga, Agnikarma procedure was done with the aid of Bipolar diathermy. Keeping in view the above-mentioned procedures, Apamarga Kshara Sutra ligation that has been used conventionally for the treatment of Arsha and Agnikarma (Electric cauterization with Bipolar Diathermy) were selected for the treatment of Interno- external Haemorrhoids in the research work.