EFFECT OF APAMARG KSHAR AS A SCLEROSANT IN THE MANAGEMENT OF GRADE I & GRADE II HAEMORRHOIDS

Abstract

Conventionally, numerous non operative treatments have been proposed and are being extensively used for the management of hemorrhoids, as IRC, RBL, RFA, Ultroid and cryoablation, Acharya Sushruta explained Pratisaraneeya kshara as one of the treatment modalities for Arshas. So the present study was planned to study the effect of ‘EFFECT OF APAMARG KSHAR AS A SCLEROSANT IN THE MANAGEMENT OF GRADE I & GRADE II HAEMORRHOIDS’. A pilot study was conducted on total 15 subjects, selected randomly, with ages ranging from 20 years to 60 years, irrespective of gender, religion etc. from OPD/IPD of Shalya tantra, National Institute of Ayurveda, Jaipur, Rajasthan. The subjects were treated with sclerotherapy in which apamarg kshar was used as a sclerosant. Duration of the trial was 4 weeks including follow-ups. Results were analyzed statistically and highly significant improvement was observed in Bleeding per anum (SD- 0.8452, SE- 0.2182, p <0.0001) and significant result in Prolapse (SD-0.5164, SE-0.1333, p<0.05). Sclerotherapy is a parasurgical procedure which requires minimum hospital stay. The wound created by sclerosant heals within two weeks. No adverse effects were reported by any of the patients during the course of treatment. In this way apamarg kshar in the form of sclerosant is considered efficient in the treatment of grade I & grade II haemorrhoids.