A COMPARATIVE CLINICAL STUDY OF EFFICACY OF PIPPALYADILEPA AND TEEKSHNA APAMARGA KSHARA PRATISARANA IN THE MANAGEMENT OF ARSHA VIS-A’-VIS HAEMORRHOIDS

Dr. Heramb Pundalik Hattikar, Dr. Gururaja D Tantry

Abstract


Arsha is one of the lifestyle disorders, common among anorectal diseases. As the treatment is concerned, modern management of Arsha is mainly surgical approach but the result was found to be less satisfactory. In Ayurveda, management involves Bheshaja Chikitsa, Kshara Karma, Agnikarma and Shastrakarma. Among these Bheshaja and Kshara karma have shown significant results.Hence the present study includes a comparative study of efficacy of Pippalyadi Lepa and Teekshna Apamarga Kshara Pratisarana in Arsha.

Objectives: To compare the efficacy of Pippalyadi lepa and Teekshna Apamarga Kshara Pratisarana in the management of Arsha.

Methods: Randomized open labelled comparative clinical study. 40 diagnosed patients of Arshas were randomly selected from OPD, Muniyal Institute of Ayurveda medical Sciences, Manipal. Further divided into two groups consisting of 20 patients each and subjected to clinical trial

Group – A (Study Group): Treated with Pippalyadi lepa.

Group – B (Standard Group): Treated withTeekshna Apamarga ksharaPratisarana.In both the groups’ avipattikara churna/triphala hurna (for K/C/O DM) was given as a concomitant oral medication.Duration of the study - 36 days, including follow-ups. The data collected was graded based on the assessment criteria and were analyzed statistically.

Results-The outcome of treatment after 36 days was statistically significant based on the assessment criteria.

Discussion& Conclusion-Teekshna apamrga kshara pratisarana (Group B) showed good result in constipation, reduction of degree and size of pile mass compared to Pippalyadi lepa Group (Group A). Pippalyadi Lepa Group (Group A) showed good result in bleeding P/R as compared to Group A

Key words: Arsha; Pippalyadi Lepa; Teekshna Apamarga Kshara Pratisarana

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