Local application of arka kshara for the treatment of internal hemorrhoids: an alternative to hemorrhoidectomy

Author: 
Sudesh Gupta and Diksha Sharma

Background: Kshara is a plant alkali derived from various herbs that is applied to pile mass using slit proctoscope. This process of application of kshara is known as pratisaarniye kshara. Hemorrhoids are the varicosity of superior, middle and inferior rectal veins within anal canal.
Methods: 30 patients attended OPD of Jammu Institute of Ayurveda and Research with complaints of prolapsed mass and bleeding while passing stool. The cases were of 3oclock, 7oclock and 11oclock position with 2nd and 3rd degrees hemorrhoids. Under local anesthesia using 2%lignocaine hydrochloride, kshara karma was performed using Arka kshara. Then yashtimadhu ghrita was applied post operatively and dressing was done. Laxatives and diet regime was advised. No known complications were reported by any patient.
Result: After 21 days major complaints ie. Mass protrusion, pain, bleeding were relieved and on proctoscopic examination no evidence of any pile mass.
Conclusion: The results are satisfactory and manifests that kshara karma has good role in treating internal hemorrhoids with negligible recurrence rate.

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DOI: 
http://dx.doi.org/10.24327/ijcar.2019.18695.3580
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