Ksharasutra Ligation in the management of Interno-external hemorrhoids (Arsha) – A case report

Abstract

Hemorrhoids is the dilated veins in anal canal. It can be compared withArsha in Ayurveda. Varies types of treatment for Arsha are described in Ayurveda text. Among them KsharasutraLigation is the simple, less time consuming and reliable procedure for the management of Arsha. Ksharsutra ligation for the Arsha is described in Bhaisajya Ratnavali in the chapter Arsa chikitsa. In the case, male patient of 35 years of age came in the OPD of Shalya Trantra Department presenting with complain of protrusion of mass per anum from 2 years. On the basis of history and clinical finding the case was diagnosed as Arsha (interno-external hemorrhoids) at 7 O’clock and 11 O’clock position. Ksharasutra ligation for the pile mass followed by daily dressing with Panchawalkal kwath and matra vasti with Jatyadi oil was done. Patient got cured in 16 days with no any complication. Since it’s an easiest procedure for both surgeon and patient and has less chance of reoccurrence it can be the best operative procedure for the Arsha (Hemorrhoids).