A Comparative Study between Apamarga Pratisaraniya Kshara and Shireesha Beejadi Lepa in the management of Arsha

Abstract

Background: Arsha is fleshy projection that pains like an enemy and creates obstruction in Guda Marga which can be compared with haemorrhoids and one among the Astamahagada. Arsha presents with clinical features as bleeding per rectum, prolapse, feeling of mass, pain, anaemia. Peak age is 4rd to 6th decade while majority of patients report regarding onset of disease in 5th decade of life and increased prevalence in women compared with men. Objectives of the Study: To compare the efficacy of Shireesha Beejadi Lepa over Apamarga Pratisaraniya Kshara in the management of Arsha with special refence to Internal Haemorrhoids. Methods: 30 patients were selected on the basis of inclusion criteria and divided into 2 groups with 15 patients in each group by computerized random technique. Group A was treated with Apamarga Pratisaraniya Kshara, while Group B was treated with Shireesha Beejadi Lepa. Results: It was found that the main clinical features like Pain were reduced 84.09% in Group A and 90.90% in Group B, Bleeding per Rectum were 68.18% in Group A and 86.36% in Group B. Colour of Pile mass changes of 75% in Group A and 81.81% in Group B. Size of Pilemass reduced 70.45% in Group A and 68.18% in group B after 7th day of treatment. Conclusion: Apamarga Pratisaraniya Kshara had significant result over Shireesha Beejadi Lepa Yoga in both subjective and objective parameters with P value <0.0001.