Non surgical treatment for hemorrhoid.

Phase 2/3

Not yet recruiting

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

Registration Number: CTRI/2023/08/057153

Lead Sponsor: Shri Krishna Govt Ayurvedic College and Hospital

Brief Summary: Arsha (Haemorrhoids) is a clinical condition involving ano-rectal region in which structural

derangement take place. During process of pathogenesis, theDoÅŸhas are vitiated due to indulgence

in etiological factors by the person that in turn leads toAgnimandya that further hampers the

functions of Apana vayu. These vitiatedDoshas get localized in the Mamsa and Meda of guda pradesha, which result intoappearance of Mamsa prarohas or Arsha. Acharya Sushruta placed thisdisorder in the â€œAshta Mahagadaâ€. A lepa is the initial treatment which iscommon to all inflammatory swellings. A lepa not only relives pain andswellings, it also alleviates dosha, causes shodhana and helps to in healing process.In my study there is two lepa i.e. Durnamhara lepa and Shigrumooladi lepa.Durnamhara lepa contains kadvi tumbi(Lagenaria Vulgaris) and guda(Jaggery).Whereas Shigrumooladi lepa contains Shigru(Moringa Olifera) andArka(Calotropis gigantea). These drugs possess Katu and Tikata Rasa, KatuVipaka, Ushana Virya, which may acts as Chedana on Arsha roga. Total60 patients will be randomly selected for the study, with ages ranging

from 16 years to 65 years, irrespective of gender, religion,occupation, socio- economic status etc. Duration of Treatment : Theduration of treatment for Group-1 and Group-2 patients istaken for 14 days. The therapeutic effects will be analyzed byusing the subjective parameters viz. pain and itching and objective paramaters viz, number&size of pile mass, BPR (bleeding per rectum), prolapse etc. Follow-up:-Patientswill be called, once after a week i.e. on 21st day. Then two times on monthly basis i.e. on 51th day and 81thday; in 3 sittings.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 60

Inclusion Criteria

1.Patients with age group of 16-65 yrs.
2.Patients with 2nd and 3rd degree internal piles.
3.Patients who are willing to give consent for treatment.

Exclusion Criteria

Patients with age group of less than 16yrs and more than 65 yrs.
Pregnant females.
Patients with malignancy.
Patients with rectal prolapsed.
Patients with 1st and 4th degree hemorrhoides.
Patients having hemorrhoides associated with fissure and fistula in ano.
Patients having hepatitis B , TB, HIV positive cases.
Acute and Chronic anal fissure.
9.Uncontrolled hypertension and DM.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To assess the comparative efficacy of Durnamahara Lepa & Shigrumooladi Lepa in Arsha Roga.	Duration of the treatment- It will be given for 14 days. \| Route of administration- Local application. \| Dose- according to pile mass. \| Follow up- it will be done after 7 days.

Secondary Outcome Measures

Name	Time	Method
1. To assess the role of Durnamahara Lepa in management of Arsha Roga.	2. To assess the role of Shigrumooladi Lepa in management of Arsha roga.

Trial Locations

Locations (1): Shri Krishna Govt Ayurvedic College and Hospital
🇮🇳
Kurukshetra, HARYANA, India
Shri Krishna Govt Ayurvedic College and Hospital
🇮🇳Kurukshetra, HARYANA, India
Baljit
Principal investigator
8053868118
baljeet.mahala@gmail.com