THE ROLE OF KSHARASUTRA LIGATION IN TREATING INTERNO-EXTERNAL HAEMORRHOIDS (ARSHA) - A CASE STUDY

Abstract

Kshar Sutra is a traditional Ayurvedic treatment used for various conditions, particularly in the management of Bhagandar (fistulas), Arsha (Haemorrhoid) and other anorectal disorders. The treatment is well-documented in the ancient Ayurvedic texts, especially the Sushruta Samhita, an important classical text of surgery written by Sushruta, often referred to as the father of surgery in Ayurveda. Ksharasutra ligation for the Arsha is described in Bhaisajyaratnavali in the chapter Arsachikitsa prakaranam. Arsha refers to piles or hemorrhoids in Ayurveda, and it is a common anorectal disorder that affects many individuals, particularly those over the age of 40. Kshar Sutra Ligation was performed on a patient aged 56 years suffering from Arsha (Interno -External Pile Mass) on 5’ & 7’ o clock position of anal canal. Ksharasutra ligation for the pile mass followed by daily sitz bath wih Triphala Kwath and dressing with Jatyadi Oil was done. Ksharsutra has been found to be effective, economic, easy to prepare and use. More over the daily routine of the patient is not disturbed.