Paper Details

Arsha is as old as mankind being an abnormal to routine life. Arsha does not cause any threat to life but troubles a lot, so it is included in one of the Astha Maharogas by Sushruta. This disease is largely confined to the Guda but also in Nasa, Netra, Karna, Twacha, etc., regions. Etiological factors are vitiation of doshas in Guda valis, injury due to thorn, stone, nail, riding on horse, vehicles, sitting on irregular surfaces, regular contact of cold water etc., Haemorrhoids are the varicosity of hemorrhoidal veins. Depending on the site these are 3 types viz, Internal, External & Intero-external Haemorrhoids. Depending upon bleeding these is of 2 types which are, bleeding & non-bleeding piles. The presently available treatment measures are oushadha, shastra, kshara & agni karmas. Local external application is described by Sushruta. Hence a controlled clinical study is planned to evaluate the efficacy of “Nishadi lepa” in the management of arshas. In this study sample size of 30 patients were selected by simple random sampling, 15 in trial and 15 in control groups. In trial group “Nishadi lepa” was used where as in the control group sclerotherapy was carried out. The therapeutic effects are analyzed by using the subjective parameters viz. Pain and discomfort during sitting and objective parameters viz. Size, healing index. The duration of treatment was 10 days and clinical assessments were done in 5 days interval

Ayurveda; Arshas; Haemorrhoids; Nishadi lepa; Sclerotherapy