Abstract
ABSTRACT: Prolapsed hemorrhoid is an emergency condition. The condition becomes worse after thrombosis and strangulation of the pile mass. Urgent surgical intervention is required in all the cases. Venous return of strangulated pile mass become very low and severe edema takes place along with serious painful condition. Hemorrhoidal mass is not able to reduce further in anal canal. Patient struck in serious woe and seeks urgent surgical attention. Leeches can be used as a successful tool in this situation by relieving venous pooling of blood and also by liquefying the clotted blood in pile mass. In present case study, a patient of grade IV hemorrhoid was cured by leech application.                            Key Words: Leech therapy, Prolapsed hemorrhoid, jalaukavacharana, Arsha Chikitsa.
Highlights
Hemorrhoid or A rsha is considered as Mahagada in A yurveda (1). It is a common disease of anal canal
Vagbhata has advised bloodletting in sanchit dushta rudhira (Thombosed), shoon and kathin Arsha (8)
Jwarnashak Chikitsa was given with Sanjeevani vati and Sudarshan ghan vati for first two days along with the Ayurvedic management for A rsha
Summary
Hemorrhoid or A rsha is considered as Mahagada in A yurveda (1). It is a common disease of anal canal. The present study is a case report of a grade IV Hemorrhoid patient, which was treated successfully with leech application. Her face was in agony and she was seeking medical attention in urgent need She had the following complains since 2 days: Severe pain and burning sensation in anal region Big mass coming out from anal verge Bleeding per rectum Difficulty in passing stool Constipation. She had not taken any medical advice and she directly came here for treatment. It was tried to reduce the mass after applying jatyadi taila, but it could not be possible It was diagnosed as a case of Grade IV Hemorrhoid.
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