Apamarga Kshara Application in the Management of 2nd degree Internal Haemorrhoids - A procedural Video presentation

Abstract

In Ayurveda Ksharakarma is a process of Kshara application that is also termed called as Pratisaraneeya Kshara. It is a non-surgical procedure of Ayurveda indicated for the management of haemorrhoids. Kshara is alkaline in nature derived from a combination of various herbs that is applied to the pile mass with the help of a special slit proctoscope. A patient has internal 2^nd degree haemorrhoids with complaints of protrusion of piles, discomfort in ano and bleeding per rectal. Under local anaesthesia (2% lignocaine hydrochloride infiltration) Ksharakarma was done with plant alkali of having strong potency (Tikshna Kshara) of Achyaranthesa spera. Post procedure dressing was done with Jatyadi oil and Ayurvedic laxative was prescribed. After 21 days, complaints i.e. piles protrusion got reduced, VAS pain score after treatment was 0 and bleeding was stopped. The result manifests that Ksharakarma is useful modality in treatment of 2^nd degree internal haemorrhoids without recurrence. Standard procedure of Ksharkarma is main moto to publish this procedural video clip.