International Research Journal of Ayurveda & Yoga

Alternates of the Medicinal and Aromatic Plants for Future Industrial Demand, Development, and Conceivable Conservation

C. S. Rana — 2023-08-31

Introduction: Natural habitats of the medicinal and aromatic plants (MAPs) are declining due to unsustainable collection, high demand, and high volume and continuous supply of the raw materials, and most recently due to global and regional climatic changes. Hence, there is a high need to alternate the original species in terms of plants and plant part use.

Materials and Methods: Alternatives/substitution of an Ayurvedic, genuine, and grantha based, as per Ayurvedic Pharmacopoeia of India species are studied and analyzed with taxonomical and phytochemicals points of view such as Rasa, Guna, Veerya, Vipaka, and Prabhava versus species, genus, family, and order along with bioactive chemical markers.

Results and Discussion: Some of the RET, MAPs are belong to monotypic genus and some are also belong to IUCN red list category: Aconitum chasmanthum Stapf. ex Holmes, Aegle marmelos L., Aquilaria agallocha Roxb., Berberis aristata DC., Cissampelos pareira L., Commiphora wightii (Arnott) Bhandari, Embelia ribes (Burm.) F., Gmelina arborea Roxb., Hemidesmus indicus (L.) R. Br., Hydnocarpus kurzii (King) Warb, Nardostachys grandiflora Wall. ex DC., Oroxylum indicum (L.) Kurz, Picrorhiza kurrooa Royle, Pterocarpus santalinus L. f., Saraca asoca (Roxb.) Wild, Stereospermum suaveolens (Roxb.) DC, Swertia chirayita (Roxb. ex Flem.) Karst and Tecomella undulata (Sm.) Seems has been suggested for possible alternates with the plants and plant part use. Selection of substitution may be regional or disease-wise in particular but in general whole plants substitution required comprehensive study on botanical aspects, active phytoconstituents, biological active markers, and pharmacological activity

Physiological Effects of Yoga and Pranayama on Serum Adipokines, Lipoprotein (a), Thyrotropin Levels, and Blood Pressure among Obese Hypothyroid Patients with Hypertension

Smitha R. Varne — 2023-08-31

Background: The trio of obesity, hypothyroidism, and hypertension can act as a strong synergistic risk factor through parameters, like elevated serum leptin and lipoprotein (a) and decreased adiponectin levels, for the development of atherosclerotic diseases. Very few studies have focused on the effects of yoga/pranayama on these parameters among obese hypothyroid patients with hypertension. Hence, the present research work was carried out to evaluate the effects of 6 months of yoga and pranayama practices on these parameters.

Materials and Methods: The present interventional study was conducted involving 20 obese hypothyroid patients with hypertension, their baseline values of serum adipokines, lipoprotein (a), thyrotropin-releasing hormone (TRH) levels, blood pressure (BP), and body mass index (BMI) were recorded and they were subjected to 6 months of yoga/ pranayama and the same were recorded at the end of 6 months, and data were statistically analyzed.

Results: There was a statistically significant reduction (P < 0.01) between baseline versus after 6 months in parameters such as serum leptin (23.94 ± 12.96 vs. 11.88 ± 10.32 ng/mL); serum lipoprotein (a) (28.45 ± 3.12 vs. 12.98 ± 3.56 mg/dL); BMI (29.42 ± 3.01vs. 25.36 ± 2.41 kg/m2 ); and significant improvement (P < 0.01) in serum adiponectin (3.44 ± 2.32 vs. 8.86 ± 4.88 ug/mL); systolic BP (147.24 ± 7.39 vs. 126.88 ± 6.34 mmHg); diastolic BP (95.76 ± 6.32 vs. 82.04 ± 4.56 mmHg); and TSH (13.41 ± 3.34 vs. 2.83± 2.62 mIU/L).

Conclusion: Yoga and pranayama practice for 6 months resulted in beneficial effects such as reduction of serum leptin, lipoprotein (a) levels, BMI, BP, and improved adiponectin levels and thyroid functions among obese hypothyroid patients with hypertension.

Clinical Study to Evaluate the Efficacy of Vasadi Syrup and A Yoga Intervention Program in the management of Tamaka Shwasa W.S.R to Childhood Asthma

Nandini Gupta — 2023-08-31

Ayurveda is the major systems of indigenous medicines and treatment. Bronchial Asthma occurs due to many causes, for example, environmental, racial, and behavior. Tamaka shwasa is a disease according to Ayurvedic texts that shows close resemblance with bronchial asthma on the basis of clinical manifestations. In this clinical study, we include yoga which is Pranayam, Tadasana, Parvatasana, Paschimottasana, Bhujanagasana, and Shavasana. Moreover, drug is used is Vasadi Syrup which is act as bronchodilator, anti-inflammatory, antihistamine, and immunomodulator. There is no cure for asthma as per the conventional medical science. In this study, patients selected as randomized. The present study was a review on the management of Tamaka-shwasa (bronchial asthma) through Ayurvedic approach that includes a combination of Ayurvedic drugs in Shodhana and Shamana chikitsa and lifestyle management. Thus, a study concluded that the Shodhana, Shamana, herbal, and herbominerals compound.

Efficacy of Triphala Rasayana – A Review

Akanksha Gangwar — 2023-08-31

Introduction: Even after increasing urbanization, Ayurveda remains the classical and comprehensive part of ancient medicine system for well-being promotive diseases, preventive, and revival approach for human body. Conventionally, rasayana-based formulation is utilized in different types of diseases as well as to restore the health of an individual. Triphala Rasayana as mentioned in Ayurvedic classics comprised of Amalaki, Vibhitaki, and Haritaki with variable proportions. It is classified as “Tridoshika Rasayana” and is one of the most well-studied Ayurvedic drugs which show its various pharmacological activities. Reason behind being called as Rasayana is that it acts as the rejuvenator and immunomodulator, which provides numerous health benefits to any individual.

Materials and Methods: Various references regarding the triphala, rasayana, and triphala rasayana have been gone through verse by verse, especially in chikitsasthana of Charak Samhita and Dravya Guna along with other significant material from relevant resources to get the detailed information regarding them.

Results: Various medicinal attributes of Triphala rasayana include antioxidant, anti-cancerous, antidiabetic, antimicrobial, and immunomodulator. Many clinical studies found Triphala Rasayana to be effective against diabetes, constipation, and obesity also. Because of the in numerous health benefits of Triphala rasayana, Acarya Caraka has mentioned that is any individual practices this recipe continuously for 1 year, he/she would be able to cherish a long life of 100 years, free from ageing and diseases.

Conclusion: Triphala Rasayana is recognized as one of the most well-studied Ayurvedic Rasayanas. It has been utilized in various traditional medicine systems. Conventionally, rasayana-based drugs are utilized in different kinds of diseases. Many clinical studies found Triphala Rasayana to be effective against diabetes, constipation, and obesity also. Hence, it can be inferred that Triphala Rasayana is a pack of wonders with numerous health benefits which helps in the restoration of all the age groups.

Conceptual Analysis of Vicharchika W.S.R. to Eczema: An Overview

Narayan Sahu — 2023-08-31

Introduction: In the Ayurvedic texts, all the skin disorders are included under the Kushtaroga. Which is further classified into two divisions, that is, Mahakushta and Kshudrakushta, Vicharchika is one among them. Vicharchika is stated as a Kshudra-Kushtha and Sadhya Kushtha by all acharya, but Kushtha is one among Ashta Mahagada. ence, it is difficult to cure. Vicharchika can be seen at any age but frequently seen in young age due to exposure to occupational, environmental factors, and mental stress. Junk food, irregular eating, repressing natural desires, using cosmetics and other chemicals, a polluted environment, a demanding existence, and emotional disorders all unquestionably play a significant role in the emergence of Vicharchika nowadays.

Materials and Methods: From the Brihattrayi and its commentaries, the Laghutrayi, and other Ayurvedic texts, information regarding the Vicharchika (Eczema) was obtained.

Results: According to all Acharyas, kustha is tridoshaja and Rakta pradoshaja vikara. In all kustharoga, the vitiation of Rakta and pitta is mentioned; hence, it is called Raktapradoshaja vikara. Vicharchika is one of the chronic skin diseases that have been mentioned in all Ayurvedic texts under Kshudra kustha.

Conclusion: In the contemporary view of Vicharchika, it can be included as eczema. Long period of treatment in the form of suppressive and symptomatic (topical and systemic) is necessary in both therapies. In Ayurved kustha and Kshudra Kustha are broad concepts with pointed principle of management.

Role of Ayurveda in the Management of Mukhapaka WSR to Oral Cancer – A Review

Armaan Pariksha — 2023-08-31

Background: Mouth ulcers known as “Mukhpak” or “Sarvasar Rog” frequently occur. Its signs and symptoms are comparable to those of oral cancer. The term “oral cancer” refers to cancer that affects the lips, tongue, palate, gingiva, alveolar mucosa, buccal mucosa, and oropharynx. In India, oral cancer is distinct from oral cancer in Western countries because it is more likely to be caused by tobacco use (70%) and is more likely to be discovered in its third or fourth stages. The habit of chewing betel nuts and tobacco, consuming large amounts of chiles and other spices, having a weak immune system, smoking, drinking alcohol, and having dietary deficits are all likely to contribute to the disease.

Materials and Methods: Both primary and secondary sources were used to gather the data for the current analysis, with literary studies of key Ayurvedic texts and Samhitas as well as commonly read research articles serving as particular examples.

Results: The Ayurvedic analysis of the disease situation suggests that it is more closely related to chronic Sarvasara mukharoga, a Vata-pitta dominant syndrome. This trait of mouth cancer, according to Ayurveda, is present in Vatapaitik people.

Discussion: To cure this condition, some medication that is described in the Ayurvedic classics has been collected.

A Critical Review of Nidra and Nidranasha – Ayurveda Perspective

Manasi Pradhan — 2023-08-31

Ayuveda is a complete science of life that emphasizes physical and mental wellness and it also includes preventive strategies. Ayurveda incorporates several principles to sustain health and cure disease. The body of a human being is supported by three pillars that are Ahara, Nidra, and Brahmacharya; these three elements are regarded as the Trayopastabmha of life. Nidra is considered as the second pillar of life next to Ahara. If any of these three pillars is disturbed from its usual healthy state, it produces a number of disorders in the human body. Nidranasha is one among them. Nowadays, Nidranasha is a major lifestyle disorder, since people are not following the codes and conducts of life, such as Dinacharya and Ritucharya, and as a consequence, they are suffering from a variety of issues and psychological disorders. In today’s world, numerous sleep disorders are becoming more common as a result of working at night, transmeridian travel, exposure to various electronic devices, and so on. In contrast with modern science, Ayurveda clearly explains Nidra and Nidranasha, and different treatment principles are used to deal with the Nidranasha condition. Because there is no fruitful management in modern science drugs have also created several complications. This article provides a thorough review of the causes, consequences, and management of Nidranasha from an Ayurvedic perspective. In this study, an attempt of critical review on Nidra and Nidranasha is done.

Role of Agnikarma and Viddha Karma in Avabahuk W.S.R to Frozen Shoulder – A Conceptual Study

Upendra Bhardwaj — 2023-08-31

According to Sushruta’s definition of Avabahuk, this condition occurs when vitiated vata dosha enters the veins of the shoulder joint, causing the joint to be immobile and the arm muscles to atrophy. In the contemporary text, Avabahuk is comparable to Frozen Shoulder. Joints play a role in all bodily movements, but when they are damaged, it not only results in physical limitations but also has psychological effects including anxiety, impatience, and melancholy. The shoulder joint has the widest range of motion, and when it is injured, it restricts everyday tasks and worsens psychological conditions due to excruciating pain. The recovery from a frozen shoulder often takes 1–3 years, although this time frame is very challenging to achieve. Consequently, its treatment is important. Various measures are described in Ayurveda for its treatment. A parasurgical method called Viddha Karma uses pricking to remove the accumulated Doshas from the human body. Agnikarma, also known as a therapeutic heat burn, instantly relieves pain by balancing the local Vata and Kapha Dosha without causing any negative side effects. In addition, this treatment improves the patient’s quality of life by reducing the need for analgesics and other drugs.

A Literary Study on Paradiguna (Samskara) and its Utility in Clinical Practice

Susmita Biswas — 2023-08-31

The foundation of Ayurveda is its fundamental principles, which are applicable at any time and in any condition. In Ayurveda, one of the Siddhanta that serves as the basis for Dhatusatmya is Sadpadartha. Among the Shatpadhartha, Guna is the most important and basic theory which is useful in clinical practice as well as in research. Among the 41 numbers of Guna, Acharya Charaka has given principle importance of Paradi gunas and these Paradiguna can also be termed as Sidhyupaya chikitsa,” that is, successful management of disease. Paradi gunas play a significant role in the selection, adaptation, and manifestation of drug as per condition of the diseases and the patient, in particular Desha and Kala. There are ten numbers of Paradi guna. Out of these, Samskara Guna is one of them. By utilizing various techniques such as Toya-sannikarsa (adding water), Agni-Sanyoga (lighting a fire), Sodhana (purification), Manthana (churning), Desa (area), Kala (time/season), Vasana (fragrance), and Bhavana (trituration), among others. Physicians and pharmacists use this Samskaraguna to enhance the properties of the drugs.

Effect of Amalaki in Shweta Pradara W. S. R. to Female Reproductive Health

Sujata Kumari — 2023-08-31

Health and happiness of a society can only be achieved if the women of the society are healthy and happy. Vaginal discharge also known as leucorrhea is one of the most common complaints of the females of all age groups who are attending the outpatient department. There are several factors affecting the vaginal discharges, which could be; according to age (prepubertal, pubertal, and perimenopausal), according to physiological condition (pre-menstrual, ovulation, postmenstrual, and postpartum), pathological condition (pelvic inflammatory disease, fungal infections, cervicitis, anemia, diabetes, etc.), and personal hygiene. Shweta Pradara is a symptom and not a disease; hence, etiopathogenesis of the principal disease would be the etiopathogenesis of Shweta Pradar also, considering the clinical feature of Shweta Pradar, it can be said that it is a kaphaj disorder in the region of apana vayu. Shweta Pradara causes mental stress, problems of sexual anxiety, and even failure to conceive. Apart from this, it also causes local inconvenience, discomfort, general debility, lower backache-like symptoms, and thereby causing a decline in the quality of the life of the affected person.

Literary Review on the Concept of Agni and Kosthavadhata in Brihattrayee

Krisan Kumar Sandha — 2023-08-31

Ayurveda is the ancient Indian system of life sciences and Medicine, its historicity going back to the Vedas. Ayurveda has described an important factor of digestion and metabolism in our body as Agni. In Ayurveda, the Agni is also called as “Kaya” means Shareera. The Ayurvedic principle of treating the disease is based on Agni. Agni is responsible for strength, health, longevity, and vital breath and it determines the quantity of food to be consumed. Ingested food is to be digested absorbed and assimilated, which is unavoidable for the maintenance of life and is performed by Agni that mentioned in Ayurveda. The term “Agni” is used in the sense of digestion of food and metabolic products. According to the functions and sites of action, Agni has been divided into 13 types, that is, one Jatharagni, five Bhutagni, and seven Dhatvagni. These 13 types of Agni are further divided into four types on the basis of bal, that
is, tikhnagni, mandagni, visamagni, and samagni. About the importance of Agni, Acharya charak has mentioned that after stoppage of the function of Agni, the individual dies, and when the Agni of an individual is sama, then that person would be absolutely healthy and would lead a long, happy, and healthy life. however, if the Agni of a person is vitiated, the whole metabolism in his body would be disturbed, resulting in ill health and disease. This deranged (vikrita) leads to different type of diseases. Out of that Kosthavadhata, one of them Kosthavadhata means defecation of hard stool with strain, it occurs due to excess vatavriddhi that Acharya charaka mention in grahani Dosha adhikar that is included in vatajagrahani. Hence, Agni is said to be the base (mool) of life.

A Critical Literary Review on Role of Rakthamokshana and Arka Taila in Vicharchika

Shipra Yadav — 2023-08-31

Vicharchika is a type of Kshudra Kushtha often encountered by Ayurvedic Dermatologists characterized with symptoms, namely, kandu, srava, pidika, and shyava varna. Based on clinical manifestations, vicharchika is frequently linked to eczema. Modern dermatology compares the clinical appearance of Vicharchika to eczema. The most typical kind of dermatitis is eczema. It is believed that the pathogenesis is influenced by both genetic and environmental factors. Despite being present in adults, eczema is more frequently encountered in youngsters. Dry, itchy skin that has poorly defined regions of erythema and scale is a hallmark of eczema, also known as atopic dermatitis. Eczema can be vesicular and ooze when it is acute, but it can also become hyperpigmented and lichenified (thickened) when it is chronic. Scratches or excoriations are commonly observed. Eczema is a symptom that Ayurveda treats, as it holds that all doshas must be in balance for health to exist. However, it does not address the basis of the problem. Recurrence is thus highly common. By balancing the Dosha and Dhatus and purging vitiated Dosha, Ayurveda treats the underlying cause of eczema.

A Literary Study on the Applied Aspects of Udvartana on Medo Vikara

Subhrakanta Pradhan — 2023-08-31

Ayurveda is the first medical science on earth. Ayurvedic medicine is an illustration of a traditional health-care system that is well-organized and widely used in several parts of Asia. It offers both preventive and therapeutic care. There are seven types of tissues in the human body known as Dhatus which holds our body structure. When all the Dhatus in the body are in their optimum levels, each of them contributes toward the health of the body. However, when there is vikriti in any of the Dhatus then it surely affects body nutrition, health, and mind. Medo vikaras are one of the best examples of the diseases caused due to vikriti in Medodhatu. Medodushti includes several types of Medo vikara, which are collectively known as Medoroga. Medoroga can be included in Santarpanjanya vyadhi.
Medo Vikaras are mainly due to imbalance of energy of the body. It is a condition produced by derangement of Agni, which leads to Amarasa. There is Medo Dhatwagni Mandya, leading to improper formation of Medo dhatu. The concept of Udvartana is described as a daily regimen and also in Medavikara is widely found in different literatures in Ayurveda. It is one of the Panchakarma therapies which differ from Abhyanga in its direction of application and pressure during the procedure. It is a simple and affordable procedure with no harmful effects. In this review article, a detailed assessment of the Udvartana including its importance and benefits is explained.

Role of Ayurveda in the Management of Ardhav bhedak W.S.R to Migraine – A Review

Meenakshi Gautam — 2023-08-31

Background: The most frequent neurological condition for which patients seek medical care is headache, which globally causes more disability than any other neurological condition. Migraine, commonly referred to as “Hemicrania,” which means “half of the head,” is the second most frequent primary headache. Vomiting, nausea, and sensitivity to scent, light, or sound are all associated symptoms. Although it is not a fatal condition, it can seriously disrupt the patient’s life, necessitating greater care and attention throughout therapy. Unfortunately, only symptomatic drugs, many of which have significant side effects and can lead to dependence, have been stabilized for migraine prevention to date.

Materials and Methods: The information employed in the current analysis came from both primary and secondary sources, specifically literature studies of important ayurvedic scriptures and Samhitas as well as frequently read research articles.

Results: Some medication that is mentioned in the ayurvedic classics has been gathered to treat this disease. Discussion: In Ayurvedic texts there are several types of Shiro Rogas (head disorders) described by Acharyas. Amongst them the clinical features of Ardhavabhedaka are very much similar to Migraine. This review demonstrates how effective ayurveda is in treating migraines without a lot of negative effects.

Contemporary and Ayurveda Perspective of Asrigdara WSR to Dysfuctional Uterine Bleeding – A Review

Megha Mittal — 2023-08-31

The interaction of endometrial elements causes regular cyclic menstruation. A change in one of these causes
abnormal bleeding, which affects a woman’s quality of life physically, socially, and emotionally. Excessive,
protracted menstrual, or intermenstrual bleeding is a hallmark of Asrigdara. In modern medicine, abnormal uterine
bleeding or dysfunctional uterine bleeding is referred to as anomalies in the menstrual cycle concerning frequency, regularity, duration, and volume of flow outside of pregnancy. This condition is similar to Asrigdara. It significantly lowers the quality of life for women by having an impact on their personal, social, familial, and work lives. The psychological well-being of fertile women is impacted by allopathic treatment modalities such as hormone therapy, prostaglandin inhibitors, and anti-fibrinolytic drugs, which are known to have a variety of negative effects. In light of the foregoing information, this article aims to examine various research to provide straightforward, safe, and nonhormonal medications for Asrigdara patients as well as to examine the literature on Asrigdara that is available in classical texts and abnormal uterine bleeding that is available in contemporary texts

Comprehensive Study of Gokshura (Tribulus terrestris Linn.) in Ayurvedic Literature with Special Reference to Mutrakricchra

Priyanka Gautam — 2023-08-31

Ayurveda, the science of life has many principles, which are universally applicable and have potential to help humanity to live healthy and happy life. We have always preferred Ayurvedic lexicons for detailed knowledge of any medicinal plants or health ailments and different disorders. The Mutrakricchra word comes under the diseases of Mutravaha Strotas. Mutrakricchra – “Dukhen mutra pravritti” means difficulty while micturition or dysuria is the main symptom of Mutrakricchra roga. There are so many medicinal plants and formulations which are used for the treatment of Mutrakricchra roga (urinary tract infection). Gokshura (Tribulus terrestris Linn.) is one of the importantmedicinal plants that have been used single or in combined form, effectively used by many Ayurvedic practitioners from very beginning. In this present study, we are making efforts to arrange chronologically ayurvedic literature review of Gokshura (Tribulus terrestris Linn.) in reference to treat mutrakricchra roga (urinary tract infection). In this comprehensive study, we found that Gokshura (Tribulus terrestris Linn.) has been defined single or in various pharmacological compound preparations in reference to mutrakricchra roga. This detailed review of Gokshura (Tribulus terrestris Linn.) will be helpful for researcher in future

Mutraghata: A Conceptual Review

Sushree Susmita Bhuyan — 2023-08-31

Introduction: The term Mutraghata comprises two words, namely “Mutra” and “Aghata,” which means obstruction of urinary passage. Mutraghata is a condition in consequence of some kind of Obstructive Uropathy either mechanical or functional; related either to the upper or lower urinary tract resulting in either partial or complete retention of urine as well as Oliguria or Anuria. Basti is one of the Trimarma which means three vital organs in the body, the other two are Hridaya and Nabhi. It is the most important organ maintaining homeostasis by regulating the excretion of metabolites and waste products. Renal diseases are the leading cause of comorbidity in the country owing to the late onset of alarming symptoms. The delay in diagnosing causes difficulty in framing effective treatment protocols for the disease.

Materials and Methods: In Ayurvedic classics, no specific entity is present explaining the symptomatology of Acute Kidney Injury and Chronic Kidney Disease. Relevant Ayurveda and modern literature available information on web sources searched to fulfill the aim.

Discussion: For an easier understanding of the subject, it is an attempt to compile the various concepts of Mutraghata scattered in Brihattrayi and correlate them with urinary disorders described in contemporary science.

The Soothing Effects of Shirodhara: Alleviating Stress through an Ancient Ayurvedic Technique

Sujata Rajan — 2023-08-31

Introduction: Shirodhara therapy, an ancient Ayurvedic practice, is gaining recognition as a potential stress management tool. This therapy involves the gentle pouring of warm herbal oil or other soothing liquids onto the forehead, inducing deep relaxation. As stress-related disorders continue to rise, exploring effective and alternative approaches like Shirodhara is crucial.

Methods: This article reviews existing scientific literature and clinical studies to evaluate the effectiveness of Shirodhara therapy in stress reduction. Research papers, systematic reviews, and meta-analyses were examined to gather relevant data on the physiological and psychological effects of Shirodhara in stress management.

Results: The findings from the reviewed studies suggest that Shirodhara therapy exhibits a significant promise in alleviating stress and its associated symptoms. It has been shown to balance stress hormones, activate the body’s relaxation response, and induce a profound sense of calmness. Moreover, Shirodhara has demonstrated positive outcomes in reducing anxiety levels, improving sleep quality, and lowering blood pressure.

Conclusion: Shirodhara therapy offers a holistic and natural alternative for stress management, with promising results seen in various studies. Its potential integration into mainstream practices is promising. However, further research is needed to understand mechanisms, optimize protocols, and assess long-term efficacy. This emerging field provides exciting opportunities to explore Shirodhara’s therapeutic potential in addressing stress-related disorders.

A Case Report: Ksharsutra Ligation Treatment for Arsha

Sonu Swami — 2023-08-31

Ksharasutra treatment is in practice since ancient time as Sushruta has mentioned its application in Nadivrana, Arbuda, and Arsha in Sushruta Samhita. It is safe, effective, and economical for the treatment of piles with the least side effect. In this study, a patient was suffering from 3rd° interno-external pile masses at 3, 7, and 11 o’clock with one secondary pile mass at 5 o’clock position of anal canal. All pile masses were treated with Ksharasutra ligation (KSL) under spinal anesthesia. Post-operative assessment was done daily by recording the relief observed in signs and symptoms. The ligated pile masses were cut through by 6th/7th post-operative day and resultant wounds were healed latest by 25 days uneventfully. There were some advantages observed in KSL.