Abstract

EFFICACY OF JALAUKAVACHARANA IN THE MANAGEMENT OF ARSHA W.S.R TO PROLAPSED THROMBOSED EXTERNO INTERNAL HAEMORRHOIDS – A CASE STUDY

*Dr. Akshada V. Kadam and Dr. Shankar V. Annapure

Abstract

In the present era, we are blessed with many improved life aids. Besides this, todays life style has given us many ailments. Arsha (haemorrhoids) is one of it which affects all economical group of population. Arsha is gudagata mamsa vikar and as “Guda” is one of the vital marma, Acharya Vagbhata advised Raktamokshana in various ways in Arsha vyadhi. Jalaukavacharana -simple, minimally invasive procedure and can be carried out easily. thrombosed haemorrhoids are clot forming engorgement of blood vessels at anal orifice. it is a very painful and uncomfortable condition. The present case study was done to evaluate the efficacy of Jalaukavacharana in the management of prolapsed thrombosed externo-internal haemorrhoids followed by Awagaha sweda (medicated sitz bath) and laxative. The inflammation and pain gets reduced by leech application which is less commonly achieved by other conventional management. Though it is not the radical treatment for the disease, but it gives early symptomatic relief to the patient. the saliva of leeches contain more than 100 bioactive substances which have bacteriostatic, analgesic, anti oedematous properties. It provides local analgesic, anti inflammatory action and reduction in size of pile mass. The observation may help in further study as “jalaukavacharana” A best parasurgical procedure in management of prolapsed thrombosed externo-internal haemorrhoids.

Keywords: Arsha, haemorrhoids, jalaukavacharana.