COMPARATIVE STUDY OF APAMARGA AND KUTAJA PRATISARANIYA KSHARA IN THE MANAGEMENT OF SECOND DEGREE HAEMORRHOIDS (ARSHA)

Arsha (haemorrhoid) is known to mankind as a common anorectal disease. According to Ayurveda Mithyaaaharvihara i.e., unhealthy lifestyle is one of the major aetiological factor of Arsha and it is unavoidable in this busy modern lifestyle due to junk food habits and lack of time. This habit causes vitiation of Doshas which affect digestive fire (Mandagni) and cause constipation. Hence constipation is one of the major causes for hemorrhoid. It is also known as “Mahagadas” which means difficult to cure. Acharya Sushruta has mentioned that Ksharakarma is one of the effective methods of treating Gudarsha. In these research article efforts has been made to treat II0 Haemorrhoids by Ksharakarma. Aim: To evaluate the effect of Apamarg and Kutaj Pratisaaraniya Kshar in the management of hemorrhoids. Materials and methods: An open Randomized comparative clinical study. The entire 40 patients were divided into two groups; Group-A: 20 patients- Application of Apamarg Pratisaaraniya Kshara, Group-B: 20 patients- Application of Kutaj Pratisaraniya Kshara. Observation and Results: According to the Chi-Square test the value obtained was 29.565 and p value was 0.0001 which is highly significantin group A. Conclusion: As per the complete analytical data and observation of the result found in the both group it has been revealed that patient to whom Apamarg Kshar was applied has the better result as compared to the application of Kutaja Kshara

PREVENTION AND MANAGEMENT OF GUDAGATA VIKARA (ANORECTAL DISORDERS)- AYURVEDIC PERSPECTIVE

Gudagata Vikara (Anorectal disorders) refers to ailments of the anus and/ or rectum. Gudagata Vikara includes; Arsha (Haemorrhoids), Bhagandara (Fistula in Ano), Parikartika (Fissure in Ano), Guda Kandu (Pruritus Ani), etc. These are some common disorders in human being. A study by Sharma et al. showed that Hemorrhoids (49%) and fistula-in-ano (27%) were commonest anorectal conditions, mostly affecting the age group 18-45 years. Apathya Ahara and Vihara leads to vitiation of Doshas causing Mandagni and vitiation of Apanavayu resulting in stagnation of Mala in Gudavali which leads to anorectal disorders. In present study a thorough and scientific review of Ahara (diet) and Vihara (lifestyle) has been carried out for the prevention and management of anorectal diseases. Materials and methods: Ayurvedic treaties, text books, Dissertation, Articles from PUBMED, SCOPUS, Google scholar, Mesh, Google search has been searched thoroughly related to the subject. Discussion: Gudagata Vikara, Anorectal Disorders, Ahara (Diet), Vihara (Lifestyle), Dinacharya, Ritucharya, Sadvritta has been discussed. Conclusions: Food articles mentioned in Ayurvedic text are effective in the management of Anorectal diseases. Lifestyle changes according to Dinacharya, Ritucharya and Sadavritta and following do’s and don’ts are effective in the management of Anorectal disease

4,7-Dichloro­quinoline

The two mol­ecules in the asymmetric unit of the title compound, C9H5Cl2N, are both essentially planar (r.m.s. deviations for all non-H atoms = 0.014 and 0.026 Å). There are no close C—H⋯Cl contacts