Case Study of Tikshna Palasha Pratisarniya Kshara Along with Drakshasava in Management of Gudaarsha (2nd Degree Haemorrhoids)

Abstract

Guda Arsha (haemorrhoids or piles) is a distressing anorectal condition described in Ayurvedic classical texts, continues to pose a significant therapeutic challenge due to its recurrent nature and impact on daily life. This case study aims to evaluate the effectiveness of Ayurvedic management of Guda Arsha (second degree haemorrhoids) using Kṣhara Karma, specifically Tikṣhṇa Palasha Pratisarniya Kṣhara, following well-defined inclusion and exclusion criteria. A 32-year-old male patient presented with complaints of constipation, some mass from the anal region during defecation associated with pain and bleeding per annum on and off for the past two years. The patient was treated at Patanjali Ayurveda Hospital, Haridwar. Purva, Pradhan and Paschat karma was carried out in accordance with classical Ayurvedic surgical principles as described in Sushruta Samhita. Not any significant updravas (complications) were observed during the procedure. Gradual reduction in the size of the Guda Arsha was noted, leading to complete resolution. Postoperative care included Drakshasava orally and Jatyadi Taila administered as Matra Basti and Avagaha Sveda (sitz baths). This case demonstrates the potential of Kṣhara Karma as a minimally invasive parasurgical procedure, cost effectiveness, lower recurrence rates and minimal blood loss for the management of Guda Arsha (haemorrhoids). The treatment resulted in short hospital stay, and no updravas were noted, suggesting it to be a viable alternative to conventional surgical interventions.