A Comparative Study Of Yavakshar Pratisaran (Local Application) And Barron’s Band Ligation In Management Of Arsha With Special Reference To Internal Haemorrhoid

Research Article
Shubhangi Wankhedkar., Aparna Raut., Yogesh Surse and Ramesh Ahire
DOI: 
http://dx.doi.org/10.24327/ijrsr.2018.0909.2511
Subject: 
science
KeyWords: 
Arsha, Abhyantar Arsha, II0 Internal Haemorrhoid, YavaksharPratisaran, Barron’s Band Ligation
Abstract: 

Sushruta has described “Arsha” as one of prime important disease from 1 “Ashtamahagada”. .The percentage of patients of ‘Arsha’ is more than any other anorectal ailment. Hence, this problem was selected for clinical study. The progressive pathogenesis of the disease produces various discomforting symptoms like bleeding, prolapse, pain, pruritus etc. Prevention is always better than curebut if unfortunately, the ailment developed it is good practice to eradicate it in earlier stage. Thus II0 Internal Haemorrhoid (AbhyantarArsha) was proposed in this clinical study to prevent its progress towards III0 . Acomparative study between the two accepted modality i.e. ‘Yavaksharpratisaran’ (YKP) and ‘Barron’s Band ligation’ (BBL) is proposed. Well diagnosed and randomly selected total 52 patients of Abhyantar Arsha (Int. haemorrhoids of II 0 ) selected for this study irrespective of sex and divided into two groups. Group-A (Yavakshar Pratisaran/ YKP-30 patients) Group – B (Barron’s Band Ligation/BBL-22 patients). 1.Degree of Haemorrhoid,2.P/R bleeding, 3.Pruritus ani, and 4.Haemoglobin percentage these four parameters were selected for analyzing the effectiveness of treatment modality. After conducting clinical study, it was found that “Barron’s band ligation” was more effective than “Yavakshar-Pratisaran” for reducing ‘Degree of Haemorrhoid’ & ‘P/R Bleeding’ of II0 Internal Haemorrhoids. Both modalities were equally effective for ‘Pruritus Ani’ & ‘Haemoglobin percentage’.