Evaluation of encircling anal canal by Kshara sutra therapy in rectal prolapse (Gudabhramsa)

Varsha Saxena
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Abstract

Background and Aim: The anorectal diseases have been known from thousands of years. In Ayurveda, Acharya Sushruta has described Gudabhramsa (rectal prolapse) under the heading of Kshudra roga. Kshara sutra (medicated thread) has been proved to be a big revolution in the treatment of Anorectal diseases. Encircling of anal canal by Kshara sutra therapy is Kshara sutra therapy used in a rectal prolapse. Materials and Methods: A total of 33 patients of both genders of prolapse rectum have been selected randomly after taking written consent and treated with three different types of Kshara sutra followed in the “Anorectal clinic” of S. S. Hospital, Institute of Medical Sciences, Banaras Hindu University. Results: Udumber Kshara sutra (81.8%) was significantly equally effective in terms of pain reduction as compared to Guggulu Kshara sutra (81.8%), but Snuhi Kshara sutra (63.6%) was less effective. Udumber Kshara sutra (81.8%) is more effective in terms of discharge reduction as compared to Snuhi Kshara sutra (72.7%) and Guggulu Kshara sutra (72.7%) which was equally significant. Udumber Kshara sutra (90.9%) was significantly more effective in terms of tenderness reduction as compared to Guggulu Kshara sutra and Snuhi Kshara sutra. Discussion and Conclusion: Pain and tenderness were comparatively lower in group treated with Udumber Kshara sutra as compared to Guggulu Kshara sutra and Snuhi Kshara sutra. Udumber Kshara sutra is equally effective in terms of reduction in discharge observed during the treatment as Guggulu Kshara sutra and least by Snuhi Kshara sutra. Udumber Kshara sutra is equally effective as Guggulu Kshara sutra in terms of wound healing.
经环肛治疗直肠脱垂的疗效评价
背景与目的:肛肠疾病的认识已有几千年的历史。在阿育吠陀中,阿查里亚·苏斯鲁塔在Kshudra roga的标题下描述了Gudabhramsa(直肠脱垂)。Kshara sutra(药线)已被证明是肛肠疾病治疗的一大革命。经围肛法是经法治疗直肠脱垂的一种方法。材料与方法:在印度巴纳拉斯印度教大学医学研究所S. S.医院“肛肠门诊”随机选取33例男女均有的直肠脱垂患者,经书面同意后,采用三种不同类型的经经进行治疗。结果:乌杜伯经(81.8%)与古古鲁经(81.8%)在镇痛方面的效果相同,但Snuhi经(63.6%)的效果较差。Udumber Kshara经(81.8%)比Snuhi Kshara经(72.7%)和Guggulu Kshara经(72.7%)更有效,两者同样显著。Udumber Kshara经(90.9%)与Guggulu Kshara经和Snuhi Kshara经相比,在减轻压痛方面显着更有效。讨论与结论:乌杜伯经治疗组疼痛和压痛较古古鲁经和Snuhi经治疗组明显减轻。Udumber Kshara经在治疗期间观察到的减少排放方面与Guggulu Kshara经同样有效,而与Snuhi Kshara经相比效果最差。在伤口愈合方面,乌杜伯Kshara经与古古鲁Kshara经同样有效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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