Ksharasutra and Ksharakarma in the Management of Common Anorectal Diseases: A Review
DOI:
https://doi.org/10.48165/Keywords:
Ksharasutra, Ksharakarma, KsharaAbstract
Ksharasutra is a special medicated thread made up of coatings of alkaline ayurvedic drugs on linen thread. Ksharakarma is a procedure in which the kshara is applied over the diseased area for certain time and then it is wiped out. Both the procedures are the boon to ayurvedic surgery. Hemorrhoids, Fistula in ano, Perianal sinus, Pilonidal sinus are the very common anorectal diseases in the present era. Ksharasutra and Ksharakarma are the two vital procedure for the treatment of anorectal diseases which is simple yet efficacious, affordable, ambulatory, with much less recurrence rate and with almost no post-operative complications
Downloads
References
Aditya Nema et al. Transrectal Ultra Sonography based evidence of Ksharasutra therapy for Fistula-in-ano: a case series. Journal of Ayurveda and Integrative Medicine. 2017; Vol. 8, 113-121.
Vijaya K, Nishteswar K. Management of Ano-Rectal disorders by Kṣārasūtra: A clinical report. Ancient Science of Life. 2014;Vol. 34(2): 89–95
Yadav ji Trikamji. Sushruta Samhita of Maharishi Sushruta. SutraSthan, Chapter11 verse 3. Varanasi: Chaukhamba Orientalia, Reprint; 2014.
Yadav ji Trikamji. Sushruta Samhita of Maharishi Sushruta. SutraSthan, Chapter11 verse 11. Varanasi: Chaukhamba Orientalia, Reprint; 2014.
Yadav ji Trikamji. Sushruta Samhita of Maharishi Sushruta. SutraSthan, Chapter11 verse 3&5. Varanasi: Chaukhamba Orientalia, Reprint; 2014.
Das S.Textbook of Surgery.11th edition.Calcutta: Dr. S. Das; 2020. p.1074.
Brunicardi F et al. Schwartz’s Principles of Surgery. 10th edition. New York: Mc Graw Hill; 2015. p.1223. 8. Tawnsend C et al. Sabiston Textbook of Surgery. 19th edition. Philadelphia: Elsevier Saunders; 2012. p. 1388. 9. Russel RC et al. Bailey’s & Love’s Short Practice of Surgery. 24th edition. London: Hodder Arnold; 2004. p. 1261.
Tripathi B. Ashtanga hridaya. Chikitsasthana, Chapter 8 verse 7. Varanai: Chaukhamba orientalia, Reprint; 2014. 11. Tripathi B. Ashtanga hridaya. Nidanasthana, Chapter 7 verse 1. Varanai: Chaukhamba orientalia, Reprint; 2014.
Lohsiriwat V. Hemorrhoids: From basic pathophysiology to clinical management. World Journal of Gastroenterology; 2012, 18(17): 2009-2017.
Acharya YT. Sushruta Samhita of Maharishi Sushruta. Nidanasthana, Chapter 2 verse 3. Varanasi: Chaukhamba Orientalia, Reprint; 2014.
Acharya Vagbhatta. Ashtanga sangraha. Chikitsasthana, Chapter 10 verse 3. Varanai: Chaukhamba orientalia, Reprint; 2014.
Gupta ML et al. Comparative clinical evaluation of Ksharasutra ligation and hemorrhoidectom in Arsha (hemorrhoids). AYU; 2011, 23:225-9.
Anita et al. Management of internal hemorrhoids by Kshara karma: An educational case report. J Ayurveda Integr Med. 2012 Jul-Sep; 3(3): 115–118.
Sudarmi K, Dudhamal TS. Comparative clinical study of Apamarga Kshara application, infrared coagulation and Arshoghni vati in the management of Arsha (1st & 2nd degree). AYU; 2017, 38:122-6.
Das S. Textbook of Surgery. 11th edition. Calcutta: Dr. S. Das; 2020. p.1071.
Russel RC et al. Bailey’s & Love’s Short Practice of Surgery. 24th edition. London: Hodder Arnold; 2004. p. 1265.
Brunicardi F et al. Schwartz’s Principles of Surgery. 10th edition. New York: Mc Graw Hill; 2015. p.1229. 21. Sasank K. Fistula in Ano- Recent Advances in Management. Journal of General Practice. 2016; Vol 4, issue 1, p.1.
Tripathi B. Madhavanidana of Acharya Madhavakara. Chapter 46 verse 1. Varanasi: Chaukhamba Surabharati, Reprint 2011.
Acharya YT. Charaka samhita. Chikitsasthana, Chapter 12 verse 97. Varanai: Chaukhamba orientalia, Reprint; 2014.
Tripathi B. Ashtanga hridaya. Uttarasthana, Chapter 28 verse 27. Varanai: Chaukhamba orientalia, Reprint; 2014. 25. Monica S. et al. Efficacy of Chedana and Ksharkarma for Management of Fistula in Ano. Int. Jour. of Ayu. Medicine. 2018; Vol. 9(2), 133-135.
Acharya YT. Sushruta Samhita of Maharishi Sushruta. Nidanasthan, Chapter 10 verse 8-10. Varanasi: Chaukhamba Orientalia, Reprint; 2014.
Acharya YT. Sushruta Samhita of Maharishi Sushruta. Chikitsasthana, Chapter 17 verse 29. Varanasi: Chaukhamba Orientalia, Reprint; 2014.
Yogeshwar S, Rashmi K. Ksharasutra Application in Pilonidal Sinus – A Case Study. Int. J. Adv. Res. 2017; 5(10), 545-550.
Dwivedi A, Archana K. Management of Shalyaj nadivran by modified ksharasutra w.s.r. to pilonidal sinus.AYUSHDHARA.2020; vol.7, issue 3, 2771-2775.
Praveen et al. Management of Pilonidal sinus with ksharasutra: a case study. European Journal of Biomedical and Pharmaceutical sciences. 2021; vol.8, issue 6, 477-480.
Chaturbhuja B, Tukaram D. Clinical Effect of Kshara Karma in the Management of Nadivrana with Special Reference to Pilonidal Sinus (PNS) and Review of Literature. Indian Journal of Ancient Medicine and Yoga. 2017; Vol. 10, issue 1; p. 13-18.