Kshara Sutra is a seton thread medicated with organic alkalis, such as Apamargakshara (Achyranthesaspera), Arkakshara (Caltropisgigantea) or Snuhikshara (Euphorbia lingularia). The alkali is repeatedly coated on the seton thread 15 – 21 times. Apart from this, natural antibiotic like haridra powder, guggulu, etc are also used to make Ksharasutra. The mechanical action of the threads and the chemical action of the drugs coated , collectively do the work of cutting, curetting, draining, and cleaning thus promoting healing of the tissues. This also acts both as the antiseptic and fibrotic agent to induce healing.
This can be applied and changed periodically till the thread cuts the pile mass. Ayurveda advises internal medication as well as topical ointment application in the treatment of anal fissures. To avoid further irritation to the damaged tissue, medicines which soften the stools and promote healing of the tissues are utilized. Ointments which are natural anti-bacterial and anti-septic are used for topical application.
Complications of Anal Fissure
Anal fissure that fails to heal. An anal fissure that doesn’t heal can become chronic, meaning it lasts for more than six weeks. Anal fissure that recurs. If you’ve experienced anal fissure once, you have an increased risk of another anal fissure. A tear that extends to surrounding muscles. An anal fissure may extend into the ring of muscle that holds your anus closed (internal anal sphincter). This makes it more difficult for your anal fissure to heal. An unhealed fissure may trigger a cycle of discomfort that may require medications or surgery to reduce the pain and repair or remove the fissure. Kshara Sutra is a seton thread medicated with organic alkalis,such as Apamargakshara(Achyranthesaspera), Arkakshara(Caltropisgigantea) or Snuhikshara (Euphorbia lingularia).
The alkali is repeatedly coated on the seton thread 15 – 21 times. Apart from this, natural antibiotic like haridra powder, guggulu, etc are also used to make Ksharasutra. The mechanical action of the threads and the chemical action of the drugs coated , collectively do the work of cutting, curetting, draining, and cleaning the fistulous track, thus promoting healing of the track/ wound. This also acts both as the antiseptic and fibrotic agent to induce healing. The process of healing starts from deeper tissues and moves towards the periphery. This can be applied and changed periodically till the thread cuts the fistulous tract. Since the sphincter heals by fibrosis, there is no incontinence.
Under local anaesthesia, the kshara sutra is inserted into the tract and the two ends of the thread are tied forming a loop. The alkalis coated on the thread are continuously released throughout the length of the track there by cutting, curetting, draining cleansing and healing the track. This therapeutic action of the thread lasts for seven days. The old thread is then replaced with a new thread following the same procedure. Depending on the length of the tract and the extent of damage, the kshara sutra may be changed up to 5 times. The changing of the thread is a simple procedure taking about 1 to 2 minutes and requires no anaesthesia.
Ayurveda is a natural system of healing and health maintenance. According to Ayurvedic medicine, healthy digestion plays an integral part in establishing good health and well-being. When the digestive system fails to function optimally, the body becomes congested, blocking circulation and inhibiting movement of toxins out of the body. Therefore, it is imperative that people work to establish good digestion. As per Ayurveda, Ulcerative colitis can be considered as ‘Pittaja Grahani’.
In Ayurveda, it is known that perfect health exists when the three fundamental energies (doshas: Vata, Pitta and Kapha) are in balance. Out of these three, when Pitta dosha gets imbalnced, vitiates intestines and causes Pittaja Grahani. Pitta energy fuels all the biochemical activities, including transformation, digestion, metabolism and assimilation. Pitta is responsible for all the enzymatic and endocrine activity, regulation of body temperature, pigmentation, vision, intelligence, vitality, ambition, courage and understanding. The key qualities of pitta are hot, quick, light, liquid, spreading, slightly oily and fleshy smelling.
Causes of Pittaja Grahani disease are Mandagi (poor appetite and poor digestion), irregular, improper and irrelevant diet habits, heavy to digest or indigestible foods, junk food, Pitta aggravating diets like excess of spicy, pungent, acidic, sour, alkaline nature foods, food items which produces burning sensation in the body, exposure to excess hot climate, alcohol, smoking, excess anger etc. Non-following of the healthy diet habits (Pathya) in certain digestive disorders, especially the conditions of post diarrhea and irritable bowels, are also one of the causes of this disease.
Pittaja Grahani produces the classical symptoms of Ulcerative colitis. Vitiation of Pitta, when reaches extreme will causes severe inflammation, ulceration and rectal bleeding (active phase or flare-up). At CHARAKA, we offer very effective treatment for Ulcerative colitis based on the classical principle of Ayurveda and our research. Our treatment of Ulcerative colitis is focused in healing the ulcers and restoring the normal function of colon and maintaining the overall health of the digestive system.
Treatment involves Shamana chikitsa (internal medicines), Shodana chikitsa (Panchakarma therapy), life style modifications and very strict diet regime. In more severe case Panchakarma therapy plays a vital role as it quickly detoxifies & rejuvenates the digestive system, controls the inflammation, rectal bleeding and heals the ulcerations. Usually results are very good with Ayurvedic line of treatment. Early cases tend to respond quickly than chronic. If patient can stick to all the guidelines as advised, even complete cure can also be achieved.
Low back ache is termed as ka?igraha (ka?i refers to the lower back area and graha refers to stiffness due to pain). The cause of low back ache is assigned mainly to intraneous and extraneous factors. An intraneous cause is where lower back ache is generated mainly by the effect of the improper food habits. An extraneous cause can be a range of factors, like strains, degeneration, improper posture etc. From a treatment perspective, the condition is divided into two aspects: pure limitation of the movement associated with pain and limitation of movement with associated complaints like swelling, etc.
Areas where the relief is not assured but still significant relief can be expected: These include congenital causes (like Spondylolysthesis), inflammatory causes (like Ankylosing Spondylitis) and Rheumatology disorders. Those with back ache caused by canal stenosis can also find some relief with treatment. Hormone therapy further depletes the already taxed Endocrinal system and puts it to sleep. The hormones that are meant to be naturally released by the body, now provided with artificial means pushes the body into lazy mode. The HRT treatment may provide excellent results period over a short but over time can lead to irreversible metabolic damage. For a good quality of life relief on following lines must be procured
Proper menstrual cycle, devoid of cramps, good menstrual flow. Cure from prolonged menses , scanty menses, prolonged menstrual flow are common symptom in such disorder. Alleviation of symptoms like pre-menstrual swelling, hair loss, acne. Good mental health with freedom from irritability, mood swings, indecisiveness’ Promotion of fertility with production of healthy eggs and good uterine health.Following are some useful Ayurveda tips in terms of diet, lifestyle and medicines which help in a major way to alleviate this disorder. There are both nonsurgical and surgical options available.
Varicocele embolization or catheter-directed embolization: Varicocele embolization (also called catheter-directed embolization) is a nonsurgical treatment performed by an interventional radiologist that is a highly effective, widely available technique to treat symptomatic varicoceles. With this nonsurgical treatment, an interventional radiologist uses catheters and other instruments to shut off blood flow to the dysfunctional vein. Throughout this treatment, the patient is relaxed and free of pain.
Specifically, the interventional radiologist makes a tiny nick in the skin at the groin using local anesthesia, through which a thin catheter (much like a piece of spaghetti) is passed into the femoral vein, directly to the testicular vein. The doctor then injects contrast dye to provide direct visualization of the veins to map out exactly where the problem is and where to embolize, or block, the vein. By using coils or sclerosants (medicine injected into blood vessels to make them shrink), an interventional radiologist blocks the abnormal veins, which reduces pressure on the varicocele. By embolizing the vein, blood flow is redirected through other pathways. Essentially blood flow to the incompetent vein is “shut off” internally, accomplishing what the urologist does without surgery.
If your urinary problems are caused by infection or enlargement of the prostate gland, treatment may include: A long course of antibacterial medication (for bacterial prostatitis) – because infection is difficult to get rid of, the antibacterial medication will need to be taken for many weeks.
Medications to improve urine flow and other symptoms (for obstruction caused by an enlarged prostate). Surgical procedures (for blockage caused by an enlarged prostate) such as transurethral resection of the prostate (TURP), transurethral incision of the prostate (TUIP), laser resection of the prostate, and for very large glands, open (enucleative) prostatectomy.
This last procedure involves removing the enlarged prostatic tissue around the urethra and leaving the remaining prostate behind. The type of surgery required depends on the size of the prostate and the condition of the urethra. A number of other procedures have been devised and promoted to reduce urinary symptoms. Talk to your doctor about your options. Paralysis is generally termed as pakshaghata in ayurveda. the treatment includes internal medications as well as external panchakarm therapies. such as abhyagangam, elakizhi, navarakizhi, vasti, and dhara depending upon the condition of the patient.