A CRITICAL STUDY ON THE EFFICACY OF KADALI PRATIKṢHĀRAṆĪYA KṢHĀRA IN ARŚA (HEMORRHOIDS)- A CASE STUDY

Arsha is fleshy projection that pains like an enemy and creates obstruction in Guda Marga which can be compared with haemorrhoids and one among the Astamahagada. Arsha presents with clinical features as bleeding per rectum, prolapse, feeling of mass, pain, anaemia. Peak age is 4th to 6th decade while majority of patients report regarding onset of disease in 5th decade of life and increased prevalence in women compared with men. The prime etiopathogenic factor of Arshas is Mandagni, which in turn leads to constipation, prolonged contact of accumulated Mala or excretory material to Gudavali causes development of Arshas. As per the available treatment modalities of Arsha, the Kshara karma modality is the best one, taking into the consideration its convenience, easy adoptability, cost effectiveness and curative results. Under this para surgical procedure, various forms of external Kshara application are used in treating the Arsha. The Kshar application is described in Sushruta samhita in Chikitsa sthana. It is indicated for the treatment of Arsha as local application.[1] Hence it selected for the present study to access the effectiveness in management of 2nd degree Arsha.