Comparative study of Apamarga Pratisaraniya Kshara and Palasha Pratisaraniya Kshara in the management of Ardra Arsha

Abstract

To compare the effect of Apamarga Pratisaraniya Kshara and Palasha Pratisaraniya Kshara in the management of Ardra Arsha. Cases presenting with classical signs and symptoms of Ardra Arsha were selected.  They were randomly allocated into two groups i.e. Group-AP and Group-PP.  In Group-AP Apamarga Pratisaraniya Kshara was applied and in Group-PP Palasha Pratisaraniya Kshara was applied. The signs and symptoms of Ardra Arsha i.e. bleeding per rectum, Pain, Burning sensation, and size of Arshas were assessed before and after the completion of treatment. The relief provided by the therapy in pain, bleeding, discharge and reduction in size of the pile mass was highly significant (P<001). After the 15 days of the Kshara application 100% relief in pain, bleeding, reduction in sloughing and total reduction in size of pile mass was recorded. On the basis of the comparison of the effects as mentioned above it can be said that the application of Apamarga Kshara provided better relief in pain, bleeding, slough and size of the pile mass of the patients in comparison to Palasha Kshara. Group-AP cases showed better improvement when compared to Group-PP.  However all 15 cases of Group-AP and 15 cases of Group-PP showed good results.