Management of Second-Degree Internal Haemorrhoids (Arsha) by Ksharkarma

The incidence of anorectal diseases is rising in society. Haemorrhoids (piles) is one of leading problem in them. Prevalence of haemorrhoids is 4.4% worldwide. Haemorrhoids are dilated veins within the anal canal in the sub-epithelial region formed by radicals of the superior, middle and inferior rectal veins. Acharya Sushruta described four therapeutic modalities for Arsha (haemorrhoids) depends on chronicity and presentation of disease, likewise- Aushadha, Ksharkarma, Agnikarma, and Shashtrakarma. Thus, when considering its affordability, ease of use, therapeutic effects, and ease of adoption, Ksharakarma (chemical cautery by alkali) is the finest modality. Material and method: In this case study, A male patient presented with complaints of bleeding P/R (dropwise), feeling of mass per Ano and constipation, diagnosed as Arsha (2nd degree haemorrhoids), interevent Apamarga Pratisarniya Ksharkarma after routine investigations. Result & Discussion: Kshara has properties of Chhedan, Bhedhan and Lekhana, and by virtue of these properties, Kshara produced shrinking (by coagulating proteins) effect on pile masses. This case study promises beneficial effect of Ksharkarma in the management of Arsha (haemorrhoids).