Abstract

COMPARATIVE STUDY OF ARKA KSHARA AND APAMARGA KSHARA PRATISARAN IN THE TREATMENT OF ARSHA – A RANDOMIZED CONTROLLED TRIAL

Dr. Yogesh Badwe* and Dr. Kiran V. Maindale

Abstract

Among the all available treatment modalities for Arsha (Haemorrhoides), the Kshara pratisaran is found to be more effective by considering its feasibility, adoptability, cost-effectiveness and curative results. Sushruta has mentioned many plants for Kshar Pratisarana. Under this parasurgical procedure, various Pratisarniya kshara(local application) are used in treating the Arsha. Methodology: In this present study, Apamarga (Achyranthus aspera Linn.) Kshara, which is one of the proven Kshar for treatment of Arsha was compared with easily available drug Arka (calotropus procera), by its local application directly on 1st and 2nd degrees of haemorrhoids, to find out its effectiveness. A total 30 patients were randomly selected and divided in two groups. Kshar pratisaran done for once and observations are noted on 1st 7th and 14th day and the result was assessed thoroughly on the basis of observation according to the specially designed proforma. Result: Arka kshar pratisaran was found to be more effective in all the three criterias low cost therapy and easily available throughout the year. Conclusion: it was concluded that Arka kshar pratisaran had shown significant improvement in 1st and 2nd degree of haemorrhoids without any side effect.

Keywords: Arka, Apamarga, Arsha, hemorrhoids, kshara, kshara pratisaran, Ksharasutra Ligation (KSL), parasurgical, pratisaraniya.