Abstract

“A CONTROLLED CLINICAL STUDY OF HERBAL SCLEROSANT INJECTION OF APAMARGA KSHAR ON INTERNAL HAEMORRHOIDS (I0 & II0)”.

*Dr. More Pankaj Krishna, Dr. Ghodake Anita Sureshrao, Dr. Mache Saigeeta Babasaheb

Abstract

There are many herbal preparations described in ancient scriptures to cure haemorrhoids. Most of these are to be taken by oral route while some are for local application. Out of these modalities Kshara karma is taken in study for Io & IIo haemorrhoid as the signs mentioned by Sushruta for Arsha that can be treated by Kshara karma resemble that of Io & IIo haemorrhoids. Previous works has been done on Kshara pratisaran in internal haemorrhoid using different Kshara. Apamarga Kshara pratisaran (applying directly on pile mass) has also been done, but this procedure shows some difficulties and adverse effects. So same Apamarga Kshara is choosen for study and it is administrated by sub mucous route to overcome the difficulties which occurs in local application. In modern surgical practice sclerosant injection is used for treatment of Io & IIo degree internal haemorrhoid. These days Inj. Polidocanol 3% is used as sclerosant as having better result than other sclerosant and having minimal side effects, henceforth Inj. Polidocanol 3% is taken as control group for the study. This work may help to give a better treatment for Io & IIo Internal haemorrhoid. In this study we would like to establish the exact mode of action of Apamarga Kshara. Patients were observed for a period of one month. Their history, investigation & progress were noted in standard proforma. Observations were noted and conclusions were drawn. This Era is known as Era of Technology & Information. No one can deny that Ayurvedic approach towards the disease is holistic. Numerous therapies modalities have been advocated by our Aacharya in the management of each & every diseases, but their efficacy needs reestablishment by means of thorough & intensive researches. Thus herbal sclerosant injection is taken with a view to evaluate its properties & efficacy clinically in Io & IIo haemorrhoids. This research work is a sincere effort for bringing herbal sclerosant injection in limelight with the goal of introducing better, safer & cost effective treatment under guidance of my guide.

Keywords: Haemorrhoids, injection therapy, scerosant, apamarg kshar.