This study compares two treatments, Shodhita Kasisadrava Basti and Kasisadi Taila Basti, to manage second-degree internal hemorrhoids and evaluate their effectiveness.

Phase 2

Not yet recruiting

• Conditions: Other specified diseases of the digestive system. Ayurveda Condition: ARSAH,

• Registration Number: CTRI/2025/03/083136
• Lead Sponsor: Shree Swaminarayan Ayurvedic College, Kalol

Brief Summary

Arsha (Hemorrhoids) is one the lifestyle disorder caused due to sedentary lifestyle in today s world. These are the clumps of dilated veins in the anus and lower rectum. In Ayurveda the disease in which

Mamsa ankur(Fleshy masses) which occur at the opening of guda marg(anus), obstruct the pathway and trouble the person like an enemy is called Arsha. Modern surgeries which are in practice at present in modern surgery are

sclerotherapy, rubber band ligation etc. But not all of them are uniformly successful.so this study aims to explore ayurvedic interventions for managing Arsha. Focusing on the effectiveness of Kasisdrava basti. Which is mentioned in

Rastarangini 21/254.

The study will involve 40 patients with second degree internal haemorrhoids and Patients will be divided into two groups

Group A: 20 patients with 2nd degree internal haemorrhoids will be treated with Shodhita Kasisadrava Basti for

inconsecutive 3 days in a week.

Group B: 20 patients with 2nd degree internal haemorrhoids will be treated with Kasisadi taila basti for consecutive 3

days in a week.

Follow up after 45 days.

Patients will be assessed based on the presence of bleeding and Prolapse.

Detailed Description

Not available

Study Timeline

• Study Start: 2025-01-04
• Last Update Posted: 2025-03-20

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• 1.Male and Female between 18-60 years.
• 2.2nd degree Internal Hemorrhoids.

Exclusion Criteria

• 1.Third degree and fourth degree haemorrhoids.
• 2.Active bleeding piles.
• 3.Associated other painful condition like fistula in ano, Perianal Abscess, Malignancy, Rectal prolapse, Rectal polyp etc.
• 4.Patient contraindicated for basti as per classics.
• 5.Acute inflammatory diseases of GIT.
• 6.Pregnancy.
• 7.Systemic diseases like uncontrolled DM and HTN.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To assess the effect of Kasisadrava Basti in terms of controlling bleeding and prolapse in management of Arsha(second degree internal hemorrhoids)	3 Consecutive Basti in a Week. Total 9 basti in 21 days. | Follow up after 45 days.

Secondary Outcome Measures

Name	Time	Method
1.To promote the simple, traditional and cost effective treatment of management of Arsha	2.To promote the innovative treatment of second degree internal Haemorrhoids.

Trial Locations

Locations (1)

Premswarupswami Ayurvedic Multispeciality Hospital; 🇮🇳 Gandhinagar, GUJARAT, India

Premswarupswami Ayurvedic Multispeciality Hospital

🇮🇳Gandhinagar, GUJARAT, India

Dr Darshana Ramole

Principal investigator

9970728218

drdarshna@swaminarayanuniversity.ac.in