To evaluate efficacy of Suranpindi (internally) along with Kasisadi Malahara (locally) in the management of Gudarsha w.s.r. to Grade 1 and 2 internal haemorrhoid

Abstract

Gudarsha or haemorrhoid has been known to mankind for longer time and one of the commonest disease to affect human being, in today’s time consumption of fast foods, sedentary life style and mental stress are factors that disturbed bowel habit and constipation. Haemorrhoid is clinically engorged condition of haemorrhoidal venous plexus with abnormally displaced enlarged anal cushion. The prevalence rate of this disease is 4.4% in ten million people. Arsha is mentioned in Ashtamhagad by Acharya Sushruta and occurs mainly due to Agnimandya (low digestive fire). Modern medical science has treatment alternatives such as diet-lifestyle modification, sclerotherpy, banding, LASER ablation etc. and various surgical procedure such as hemorrhoidectomy, MIPH etc. in advanced stage. Sushruta has described various modalities in the management of Arsha such as Bheshaja, Ksharkarma, Agnikarma and Shastra Karma. The Arsha in early stages with less sign and symptoms can be treated with medicinal treatment. Hence, to establish a palliative treatment for Arsha, Suranpindi (internally) along with Kasisadi Malhara (locally) was prescribed and to evaluate its therapeutic efficacy in early internal (Grade 1 and 2) haemorrhoid. In this clinical study, an open randomized controlled clinical trial has been conducted on 50 patient. The study revealed that, the combination treatment proved effective in reducing symptoms of Gudarsha i.e. internal (Grade 1 and 2) haemorrhoid such as per rectal bleeding, size and colour of pile pedicle, and further regression in stages of haemorrhoid.