A Conceptual and clinical application of Kshara Karma in Anorectal Diseases
Abstract
In Ayurveda, Shastra and Anushstra Karma are described in detail. Kshara is best among Shastra and Anushastras. Two types of Kshara are there - Paneeya and Pratisarneeya. Pratisarneeya Kshara is of three types- Mridu, Madhyama and Teekshana. Kshara Karma include - Pratisarneeya Kshara application, Kshara Sutra therapy and Kshara Varti. Pratisaraniya Kshara is mainly used in wound management, various anorectal disorders such as Arsha (Haemorrhoids), kushtha, Arbuda, Dushta Nadivrana, Guda Bhramsha (Rectal prolapse). Kshara is a caustic material. It causes chemical burn on the area where it is applied. It helps in sloughing of necrosed and infected tissues. Kshara Sutra therapy is used specially in Bhagandara (Fistula in Ano), Nadivrana (Pilonidal sinus) and various benign growth of skin such as papilloma, warts etc. Kshara Varti is used in chronic non healing wounds for debridement and in sinuses or fistula in ano. Ksahra Karma has been very much effective non surgical means in the management of various disorders especially in anorectal disorders.
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References
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