Comparitive study of clinical effect of Apamarga Kshara Sutra prepared by 7 and 21 coatings in Bhagandara

Background: Bhagandara is a 2nd highest prevalent disease among the anorectal diseases. It can be correlated to Fistula-In-Ano. For the management of fistula in ano various surgical, parasurgical and minimally invasive surgical procedures have been mentioned. But all these procedures carry a disadvantage of high rates of recurrence and also have a great chance of creation of serious complications like anal incontinence and anal stenosis. Hence the search for a newer, safer and scientific treatment for the management of this disease continues. Objectives: A new Kshara Sutra with fewer coatings has been tried to see if results are the same with an advantage of early and easy preparation. Materials and Methods: Total 30 patients were randomly selected in the study and divided into 2 groups fulfilling the inclusion criteria which were designed for the study. Results: Study showed significant results in reducing the discharge, pain, itching and burning sensation and induration within the group and insignificant result obtained between the groups statistically. Conclusion: The study revealed that Kshara Sutra prepared with 7 coating is more economical, easy to prepare and equally efficient in the management of Bhagandara

Review of Arsha as per Sushruta Samhita - Classification and principles of management

Haemorrhoid is one of the most common diseases which has significant impact on the quality of the life. There are varieties of the treatment options available from conservative management, para surgical to surgical treatment. General notion of the common public is that the treatment for haemorrhoids is not complete. With the great development in the field of surgery, still the outcomes of the treatment are not satisfactory. People prefer ayurved in such conditions. They strongly believe that ayurveda can give better solutions for haemorrhoids. Hence it seems necessary to go through the details of Ayurvedic view about haemorrhoids. In this article Ayurvedic view of the haemorrhoid disease in terms of etiological factors, classification and the principles of management is discussed