A CLINICAL STUDY TO EVALUATE THE EFFICACY OF DARUHARIDRA-NIMBA MALHAR (LOCALLY) ALONG WITH PANCHASAMCHURNA-VATI (INTERNALLY) IN THE MANAGEMENT OF ABHYANTAR GUDARSHA W.S.R. TO GRADE II INTERNAL HAEMORRHOIDS.
DOI:
https://doi.org/10.29121/shodhkosh.v5.i3.2024.2884Keywords:
Haemorrhoids, Gudarsha, Panchasam Churna, Daruharidra, NimbaAbstract [English]
Haemorrhoid is one of the prime important diseases of ano rectal disorder. In Ayurveda, it can be co- related with Gudarsha. In modern science, haemorrhoids are managed by lifestyle-diet modification, topical preparations, internal medicines and surgical procedures like Sclerotherapy, rubber band ligation, Laser therapy, Haemorrhoidectomy etc. with varied prognosis and complications. Acharya Sushruta has mentioned four different treatment modalities for management of Arsha (Haemorrhoids). Further, Bheshaja Chikitsa (Palliative medicine) is used for conservative management of Grade II Internal Haemorrhoids effectively. Hence, to establish a palliative treatment for Abhyantar Gudarsha, the open single arm clinical study had been carried on 50 patients. These patients were treated with specific regimen- Daruharidra-Nimba Malhar (Locally) at anal region twice daily for 15 days along with Panchasamchurna-Vati (Internally)) for 28 days. Therapeutic efficacy of the regimen was evaluated by assessing the parameters such as Pain, Bleeding per rectum, Constipation, Colour and Size of pile pedicle before, during and after the treatment.
The present clinical study revealed that, the prescribed combination therapy proved effective in reducing symptoms of Abhyantar Gudarsha such as pain, per rectal bleeding, constipation, colour and size of pile pedicle in desired 28 days.
References
Sushruta, Sushruta Samhita, Sutra sthana, Avraneeya adhyay, 33/4, edited by Shastri A, 12th edition, Chaukhamba Surabharati Sanshtan, Varanasi, 2001; p.163.
John Goligher. Surgery of Anus, Rectum & colon. 5th ed. vol 1. Ch 4, AITBS Publishers, Delhi; 2004; P 99-106.
A concise textbook of surgery by Somen Das, published by S. das. Calcutta- India, chapter 54, 4 th ed. 2006; p.1078-1082.
Dwivedi Amarprakash, Pathrikar Anaya, Amitabh Kumar and Shukla Mukesh “A Comprehensive review on management of Hemorrhoids (Gudarsha) - An Integrated Approach.” International Journal of Research - Granthalayah, 7(7), 2019; p. 310-320. DOI: https://doi.org/10.29121/granthaalayah.v7.i7.2019.769
Loder P B, Kamm M A, Nicholl R J, Phillips R K. Haemorrhoids: Pathology, pathophysiology and etiology. Br J Surg., vol.81, 1994; p.946-954. DOI: https://doi.org/10.1002/bjs.1800810707
Johanson JF Sonnenberg A. The prevalence of hemorrhoids and chronic constipation. An epidemiologic study. Gastroenterology. 98, 1990; p.380-386. DOI: https://doi.org/10.1016/0016-5085(90)90828-O
Le Clere FB, Moss AJ, Everhart JE, Roth HP. Prevalence of major digestive disorders and bowel symptoms, 1989. Adv Data. 1992; 24; p. 1-15.
John Goligher. Surgery of Anus Rectum & colon, chapter 4, A.I.T.B.S. Publishers, Delhi-India, 5th ed. vol.1, 2004; p. 99-106.
Somen Das. A concise textbook of surgery. Published by S. das. Calcutta- India, chapter 54, 4 th ed. 2006; p .1078-1082.
Sushruta, Sushruta Samhita, Nidan Sthan, Arshanidanam adhyay, 2/4, edited by Shastri A, Chaukhamba Surabharati Sanshtan, Varanasi, 12th ed. 2001; p. 271.
Sushruta, Sushruta Samhita, Chikitsasthan, Arshachikitsha adhyay, 6/3, edited by Shastri A,. Chaukhamba Surabharati Sanshtan, Varanasi, 12th ed. 2001; p. 46.
Sushruta, Sushruta Samhita, Chikitsasthan, Arshachikitsha adhyay, 6/16, edited by Shastri A, Chaukhamba Surabharati Sanshtan, Varanasi, 12th ed. 2001; p.50.
Dwivedi A. Scrupulous review on integrated proctology Journal of Ayurvedic herbal and integrative medicine. 1(1), 2020; p.13-32. DOI: https://doi.org/10.29121/j-ahim.v1.i1.2021.4
Dr. Bramhananda Tripathi. Charaka Samhita Hindi Commentary. Arsha Chikitsa, Ch.14, Vol-2, Chaukhamba Surbharti Prakashan, Varanasi; p. 544.
Dr. Anantram Sharma, Sushruta Samhita Hindi Commentary. Snehopyogik Chikitsa, Ch.31, Chikitsasthana, Vol-2, Chaukhamba Surbharti Prakashan, Varanasi, p. 407.
Aacharya siddhinandan Mishra, Bhaishajaya kalpana-Vidnyan, Vividha Kalpana, Ch.10, Chaukhamba Surbharti Prakashan, Varanasi, p.299.
Dr. Bramhananda Tripathi, Sharangdhara Samhita Hindi Commentary, Churna Kalpana, Ch.6, Madhayam Khanda, Chaukhamba Surbharti Prakashan, Varanasi, p.544.
Prof. P. V. Sharma, Dravyaguna-Vijnana, Arshoghanadi Varga, Ch.6, Chaukhamba Bharti Academy, Varanasi, Vol-2, p.537-539.
Prof P.V. Sharma, Dravyaguna-Vijnana, Chakshushyadi Varga, Ch.2, Chaukhamba Bharti Academy, Varanasi, Vol-2, p.149-152.
Prof. P. V. Sharma, Dravyaguna-Vijnana, Deepanadi Varga, Ch.5, Vol-2, Chaukhamba Bharti Academy, Varanasi, p.331-335
Prof. P. V. Sharma, Dravyaguna-Vijnana, Jwaraghanadi Varga, Ch.9, Chaukhamba Bharti Academy, Varanasi, Vol-2, p.753-758.
Prof. P. V. Sharma, Dravyaguna-Vijnana, Chedanadi Varga, Ch.4, Chaukhamba Bharti Academy, Varanasi, Vol-4, p.275-279.
Prof. P. V. Sharma, Dravyaguna-Vijnana, Deepanadi Varga, Ch.5, Chaukhamba Bharti Academy, Varanasi, Vol-2, p.419-422.
Dr. Anantram Sharma, Sushruta Samhita Hindi Commentary, Annapanvidhiradhaya, Sutrasthana, Ch.46, Chaukhamba Sur Bharti Prakashan, Varanasi, Vol-1, p. 425.
Pandey Gyanendra, Dravyaguna vijana, Chaukhamba krishnadas Academy, Varanasi, Vol-3, 2015; 550-3.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Ujwala Patil, Dwivedi Amarprakash
This work is licensed under a Creative Commons Attribution 4.0 International License.
With the licence CC-BY, authors retain the copyright, allowing anyone to download, reuse, re-print, modify, distribute, and/or copy their contribution. The work must be properly attributed to its author.
It is not necessary to ask for further permission from the author or journal board.
This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge.
