Abstract

Arsha comes under the heading of Maharogas due to its Dirghakaalanubandhi, Dushchikitsya nature and involvement of marma. Arsha is included in Ashta – mahagada Arsha occurs in gudabhaaga, which is undoubtedly a marma and it is well known for its chronicity and difficulty to treat. While working in OPD, it was observed that percentage of patients having Abhyantar gudarsha was increased. Hence, this problem was selected for scientific study.hence assessment of kshar sutra karma and rubber band ligation in arsha w.s.r to internal haemorrhoids.two groups were selected.in group 1, 15 patients were treated with ksharasutra karma mentioned in rasakamadhenu.in group 2, 15 patients were treated with rubber band ligation. Total effect of therapy in group-1 was higher than group-2. Intergroup comparison also showed that group-1 had better effect on total effect of therapy compared to group-2 and the difference was found statistically significant (p<0.05). Maximum drugs were Laghu, Ruksha and Teekshna in properties. was having Vranaropaka and Strotoshodhaka qualities (Laghu guna). Reduction in discharge per anum was due to its Sthambhana action (Ruksha guna). Microvascular structures (Strotas) gets purified (Teekshna guna). Ushna veerya predominance might have caused early falling out of pile masses. Krimighna & Lekhana qualities were due to Katu rasa. Tikta rasa enhances Kandughna, Krimighna, Lekhana and Kledapuyanashana quality. Kashaya rasa causes astringent function. Due to this quality Ksharsutra was having vranaropaka function as well, Which allows healing of wound after falling out of pile mass.Hence ksharsutra karma showed better results than rubber band ligation.

Authors and Affiliations