Abstract
This paper compared role of squatting posture (Indian system of defecation) with sitting posture (Western system of defecation) in anorectal disorder specially rectum bleeding along with Awagaha Swedana. Total 60 patients were selected for the same and divided into two groups (30 in each group). Group-A & Group-B patients were instructed to use squatting posture and sitting posture of defecation respectively along with treatment. All patients were suggested to follow Pathya-Apathya in terms of Dincharya. The relief in bleeding on 15th day was observed 51% & 69% in Group-A & Group-B respectively. Reduction in burning sensation and uneasy defecation was observed more in Group-B as compared to Group-A. Study showed remarkable healing (73%) in Group-B as compared to Group-A (57%). Study suggested that western system of defecation causes less harm in rectum bleeding as compared to Indian system of defecation.Â
Highlights
Ayurveda the science of traditional knowledge suggests various etiological factors for the Gudroga and Sarveroga Malayatanani is one of them
Study suggested that western system of toileting means sitting posture of defecation causes less harm in rectum bleeding as compared to Indian system of toileting due to less strain and pressure over intra abdomen
The present study suggests that use of sitting posture for defecation support medical treatment of anorectal bleeding while use of squatting posture does not offers significant relief symptomatically
Summary
Ayurveda the science of traditional knowledge suggests various etiological factors for the Gudroga (anorectal diseases) and Sarveroga Malayatanani is one of them. The medical science considers constipation as causative factor for the Gudroga such as rectal bleeding while defecation. Ayurveda described various factors for anorectal diseases like; Dincharya, Ritucharya, Dasaharavidha, Visheshayatana, Aaharopyogivarg, Sadavrita and Neendra. Ayurveda described that proper functioning of A gni along with complete body detoxification process help in the management of Gudroga. The seating position of defecation play significant role towards the disease prognosis and literature review suggests that the sitting positioning of defecation may offer more comfort in bleeding as compared to squatting posture. Looking towards the importance of this concept present investigation compared efficacy of A wagaha Swedana in anorectal bleeding along with different posture of defecation i.e; sitting positioning and squatting posture (1-5)
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