ROLE OF NIMBA PRATISARANEEYA TEEKSHNA KSHARA IN THE MANAGEMENT OF ARDRA ARSHA (HAEMORRHOIDS) –A CASE STUDY

Abstract

Haemorrhoids (Haima- Blood + Rhoos- Flowing) are varicosities of the tributaries of the Haemorrhoidal vein. At least 5% of the general population suffers from Haemorrhoids and the incidence of Haemorrhoids apparently increases with age, at least 50-60% of people over the age of 50 have some degree of piles. Arsha is a disease which is very unkind towards mankind. Nimba Pratisaraneeya Kshara has been emphasized throughout the classical literature for Arsha, described as an Upakrama, substitute for surgical procedure. Nimba Pratisaraneeya Kshara which is a known modality having antibacterial, antiviral and antifungal properties and have specially been mentioned by Acharya Sushruta. Kshara is indicated in Arsha. Kshara Karma does the function of Chhedana, Bhedana and Lekhana whithout using Shashtra. A patient suffering from Ardra Arsha (Third degree Internal Haemorrhoids) was selected from the I.P.D. of P.G. Department of Shalya Tantra, N.I.A., Jaipur and was treated with Nimba Pratisaraneeya Teakshna Kshara application. No any major or minor complication was reported by the patient in a follow up period of one month. The patient was assessed on the parameters as per grading and it was seen that the patient was completely cured from the disease in terms of signs and symptoms with no post-operative discomfort. Hence Nimba Pratisaraneeya Teakshna Kshara can be successfully used in the management of Ardra Arsha with no post-operative complications.