A Clinical Comparative Study of Apamarga Kshara Sutra and Kadali Kshara Sutra in the Management of Arsha

Abstract

Background: Arshas is the most common condition among the anorectal diseases in our day-to-day practice in terms  of incidence. The disease arshas troubles the patient like an enemy. Because of adoption of western life style, lack of  physical exercise, excessive travelling lead to disease arshas. Arshas is of two types-Bahya and Abhyantara. Bhesaja  chikitsa is recommended as the primary line of treatment, apamarga kshara sutra and kadali kshara on Arshas. Aim: Present study is aimed to clinically compare the effect of Apamarga kshara sutra and kadali kshara on arshas. Result and Conclusion: The application of Apamarga kshara sutra causes cutting by its alkaline characteristics  and tension of tying and there is continuous cutting and healing tissue, formation of healthy granulation tissue, thus  causes healing. Apamarga and haridra encourage the healing by new granulation tissue formation with base as well  as maintain continuous aseptic condition after kshara sutra ligation. Haemorrhoid is a disease which is very specific to human race only  due to its erect posture. In this era of fast running life, the chance of  occurrence of hemorrhoid is very high and is found more in persons  who are prone to the usage of incompatible foods and low roughage  diet, suppression of natural urges, sedentary life-style, alcoholism,  worry, tension, and in table-top professionals. Other contributing  factors include pregnancy, ageing, chronic constipation or diarrhea,  and some other ano-rectal diseases.