Diese Präsentation wurde erfolgreich gemeldet.
Die SlideShare-Präsentation wird heruntergeladen. ×

Kshara Karma in Anorectal Diseases

Anzeige
Anzeige
Anzeige
Anzeige
Anzeige
Anzeige
Anzeige
Anzeige
Anzeige
Anzeige
Anzeige
Anzeige
Nächste SlideShare
Agnikarma1
Agnikarma1
Wird geladen in …3
×

Hier ansehen

1 von 24 Anzeige
Anzeige

Weitere Verwandte Inhalte

Diashows für Sie (20)

Ähnlich wie Kshara Karma in Anorectal Diseases (18)

Anzeige

Weitere von Ayurveda Network, BHU (20)

Aktuellste (20)

Anzeige

Kshara Karma in Anorectal Diseases

  1. 1. KSHARA KARMA CAUSTIC THERAPY Dr. P. Hemantha Kumar Professor & HOD PG Dept. of Shalya Tantra, NATIONAL INSTITUTE OF AYURVEDA Rajasthan, INDIA
  2. 2. • Minimal Invasive Ayurvedic Parasurgical Procedure. • Kshara - Caustic Chemical obtained from the ashes of medicinal plants. • Excision, Incision & Curettage. • Used safely on the patients who are afraid of surgery. Kshara Karma/ Caustic Therapy 2
  3. 3. Preparation Of Kshara /Caustic Alkali 3
  4. 4. Prepared Kshara PH value - 13.8 APAMARGA Achyranthes aspera CHITRAKA –Plumbago zeylanica SUKTI Oyster shell /Ostreaedulis
  5. 5. Dried Apamarga Plant (5 kg) Burnt 500 gms of Apamarga Ash Add 6 times of water (3 liters) Filtered 21 times through cloth To get clean and clear solution – Gomutra Varna (slight reddish) Filtrate Solution was boiled and evaporated Heating up to 2/3 remains Add Red-hot Lime stone 1/10th (50 gms) into the boiled Apamarga filtrate solution Continuous mild heating Liquid evaporates to 1/3rd of its original quantity Add 1/10th (5gms) of Chitraka Kalka PRATISARANIYA TEEKSHANA KSHARA 5 Method Of Preparation Of Pratisaraneeya Teekshana Kshara
  6. 6.  Soft, spread out, deep rooted & elevated type of Arshas  INTERNAL HAEMORRHOIDS 6 Indications Of Kshara In Arshas/ Haemorrhoids
  7. 7. Pre-operative • Required instruments - Proctoscopes, Prepared Kshara, Lemon juice, Allis tissue forceps, Artery forceps etc. • Night prior to procedure, the patient is advised to have light diet afterwards nil orally. • Part preparation and enema 2 to 4 hours prior to procedure. • Inj Tetanus Toxoid – I.M. 7 Application Of Kshara
  8. 8. Instruments 8
  9. 9. Patient is in lithotomy position L. A. / S. A. Part cleaned with aseptic solutions Introduce the Arsho Yantra / Proctoscope into the anus and assess pile masses Pile mass should be scraped or rubbed 9 Operative
  10. 10. Kshara applied on internal piles (1- 2 min) Pile mass turns to the colour of Pakva Jambhuphala (reddish black) Pile mass washed with Lemon juice Apply Yashtimadhu Ghrita & Arsho Yantra is removed Rectal pack with Anu Taila or Mahanarayana Taila 10 Wait for hundred Matrakala
  11. 11. Post Operative 11 • Orally liquid diet after 4 to 6 hours • Packing removed after 6 hours • Sitz bath –Triphala Kwatha twice daily • Triphala Guggulu – 2 TDS • Gandaka Rasayana – 2 TDS • Satsakara Churna – 5gms HS • 10 ml Yastimadhu Taila per rectally twice daily
  12. 12. Figure No. 12 – Before application of KsharaFigure No. 12 – Before application of Kshara Figure No. 13 – During application of KsharaFigure No. 13 – During application of Kshara Figure No. 14 – After application of KsharaFigure No. 14 – After application of Kshara BEFORE DURING AFTER 12
  13. 13. PROBABLE MODE OF ACTION OF KSHARA KARMA/CAUSTIC THERAPY IN ARSHAS Coagulates protein in Haemorrhoidal plexus Cauterises pile mass Disintegration of haemoglogin Haem & globin Blackish brown discharge Decreases size of pile mass Necrosis oftissue with obliteration of Haemorrhoidal radicles Necrosed tissue sloughed out Fibrosis & scar formation Obliteration of haemorrhoidal vein Complete wound healing (21 days) (5 -7 DAYS)
  14. 14. ADVANTAGES • Simple procedure • Mild postoperative pain • No bleeding • Minimum hospitalization • No stricture formation (if correct procedure is followed) • Cost effective with encouraging results • Kshara Karma - treating all the pile mass in one sitting, reducing the total duration of treatment.
  15. 15. Complications • Bleeding • Pain • Stricture formation • Recurrence Improper application of kshara in Piles leads to
  16. 16. 16 KSHARA KARMA IN FISTULA-IN-ANO
  17. 17. Parisravi Bhagandara - Intersphincteric Fistula Fistulectomy + kshara karma
  18. 18. 18 Blind Internal Fistula-in-Ano - Kshara Karma
  19. 19. 19 Phk Technique Low Anal Fistula - Kshara Karma
  20. 20. Bhagandara Pidika - I & D with Kshara Karma
  21. 21. Pilonidal Sinus – Excision with Kshara Karma
  22. 22. Gudabhramsha – Pratisaraneeya Kshara 108 rd BEFORE DURING AFTER ONE DAY AFTER 3 MONTHS
  23. 23. Hemantha Kumar Modified Sphincter meter
  24. 24. THANK YOU

×