Role of Mochras coated ksharsutra in the management of Arsha i.e internal haemorrhoids.
- Conditions
- Hemorrhage of anus and rectum. Ayurveda Condition: ARSAH,
- Registration Number
- CTRI/2022/10/046374
- Lead Sponsor
- University Post Graduate Institute of Ayurved Studies and Research DSRRAU
- Brief Summary
*(*Ano-rectal region).Symptoms of *Aabhyantara Arsha* closely resemble to the clinical features of Internal Haemorrhoids. *Arsha* is being described by all the classical texts of *Ayurveda*. *Acharya* Sushrutaand Vagbhataeven placed this disorder in the “*ASHTA MAHAGADA*â€, (Eight grave diseases). It gives trouble to the person like as an enemy which was explained by *Acharyas.*
National Center for Health Statistics Johanson and Sonnenberg found that 10 million people in United States complained of Haemorrhoids, Prevalence rate of 4.4 %. In both sexes, a peak inprevalence was noted from age 45–65 yr, with a subsequent decrease after age 65 yr. The development of haemorrhoids before age 20 yr was unusual. A recent prospective study of screening colonoscopy patients revealed the presence of haemorrhoids in 38.9%, with 44.7% of those patients suffering from haemorrhoidal symptoms.
*Acharya* Sushruta has *Arsha* (Haemorrhoids) is one of the commonest ailments occurring in *Guda Pradesha* described four principle therapeutic measures in treating the *Arsha*. They are *Aushadhi* (Medicinal), *Ksharkarma* (Chemical cauterization), *Agnikarma* (Thermal cauterization) and *Shastrakarma* (Surgical excision). Sushruta speaks much more about *Kshara Karma* while going through the chapter for treatment of “*Arsha*â€, it becomes quite evident that *Kshara Karma* has been considered as the most successful, simple and non-invasive para-surgical measure.
Here I am evaluating the efficacy and advantages of *Mochras ksharsutra Ligation* in the Management of *Arsha* (2nd& 3rd degree internal Haemorrhoids)*.*
• Ayurveda is well known for the treatment of Arsha with Ksharsutra Ligation, due to yielding negligible rate of recurrence, cost effective, lesser pain, no bleeding, no infection, no anal incontinence and requiring minimal hospitalization during treatment with better recovery. Mochras i.e gum of salmalia Malabarica is easily available drug, can keep for longer period ,very safe to use and used to reduces the side effect of kshar karm i.e pain, Bleeding, Prolapse of the pile mass, burning sensation,,discharge ect. while snuhi sheer is difficult to available, can’t keep for longer period, unsafe and many side effects.
Hence to check the quality of MOCHRAS explained by Charak, Sushruta, Bhavprakash ect. Mochras ksharsutra is made for treatment of Arsha (haemorrhoids). Thus present study has been planned.
The aim of the present study is to develop more simplified and ideal therapy with addition of more healing effect and to reduce early & late post operative complication with less discomfort to the patient regarding Bleeding, pain, Prolapse of the pile mass, burning sensation, discharge ect. and Premature sloughing of pile mass. Mochras is safe and easily available drug .Hence Mochras ksharasutra will be prepared for ligation
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Not Yet Recruiting
- Sex
- All
- Target Recruitment
- 100
- 1 Patient will be selected randomly, irrespective of sex, economical status and education.
- 2 Patients attended with the classical signs and symptoms of Arsha ( IInd & IIIrd degree internal Haemorrhoids).
- 3 Patients who will be ready to give written informed consent.
- 1 Patients with other systemic illness like uncontrolled Diabetes mellitus, malignancy etc.
- 2 HBsAg and Retrovirus positive patients.
- 3 Secondary internal haemorrhoids because of other systemic disorders.
- 4 Internal hemorrhoids with other associated Ano-rectal diseases / Colon diseases.
- 5 Infective and Neoplastic conditions of rectum/Anus.
- 6 Rectal prolapse, Pelvic pathology and Pregnancy.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 1 Raktasrava (Bleeding per rectum) 1 Raktasrava (Bleeding per rectum) | 2 Prolapse of the pile mass. | 3 Pain (Anal Discomfort) | 4 Mucoid Discharge. | 5 Rate of sloughing of pile mass. 2 Prolapse of the pile mass. 1 Raktasrava (Bleeding per rectum) | 2 Prolapse of the pile mass. | 3 Pain (Anal Discomfort) | 4 Mucoid Discharge. | 5 Rate of sloughing of pile mass. 3 Pain (Anal Discomfort) 1 Raktasrava (Bleeding per rectum) | 2 Prolapse of the pile mass. | 3 Pain (Anal Discomfort) | 4 Mucoid Discharge. | 5 Rate of sloughing of pile mass. 4 Mucoid Discharge. 1 Raktasrava (Bleeding per rectum) | 2 Prolapse of the pile mass. | 3 Pain (Anal Discomfort) | 4 Mucoid Discharge. | 5 Rate of sloughing of pile mass. 5 Rate of sloughing of pile mass. 1 Raktasrava (Bleeding per rectum) | 2 Prolapse of the pile mass. | 3 Pain (Anal Discomfort) | 4 Mucoid Discharge. | 5 Rate of sloughing of pile mass.
- Secondary Outcome Measures
Name Time Method 1 Recovery time. 2 Time to return to work.
Trial Locations
- Locations (1)
University Post Graduate Institute of Ayurved Studies and Research Jodhpur
🇮🇳Jodhpur, RAJASTHAN, India
University Post Graduate Institute of Ayurved Studies and Research Jodhpur🇮🇳Jodhpur, RAJASTHAN, IndiaDr Rajiv SoniPrincipal investigator8209643872rajivsoni10@gmail.com