A Clinical study to evaluate the efficacy of Mochras ksharsutra in the management of Arsha ( IInd & IIIrd degree internal haemorrhoids)

(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 MAHAGADAâ€,  (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 “Arshaâ€, 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