Abstract

Abstract

Gudaarsha (Haemorrhoids) is a common and displeasing troublesome anorectal condition affecting a significant large group of the population, mainly due to sedentary lifestyle and improper dietary habits, lack of fibre diet, excesses of fast food. Despite advancements in modern medicine, recurrence and complications remain great challenges to a surgeon in the management of haemorrhoids. In Ayurveda, Kshara Karma is considered a minimally invasive, potent parasurgical intervention foranorectal diseases. Aragvadha (Cassia fistula), known for its Shodhana, Ropana, and Tridoshaghna properties, was selected to prepare Pratisarniya Kshara for this study. This clinical case trial involved a study of a 46years male patient diagnosed with second to earl;y third degree piles. Aragvadha Pratisarniya Kshara along with Kankayan Vati, Abhayarishta, and sitz bath was selected as the treatment protocol. Assessment was done on 0th, 7th, and 15th days based on subjective (pain, itching, constipation, bleeding) and objective (pile size and number) criteria. The results demonstrated a statistically significant improvement across all parameters. The Kshara application showed faster reduction in pile size, pain relief, and bleeding cessation with minimal complications. This study concludes that Aragvadha Pratisarniya Kshara is an effective and safe treatment modality for Gudaarsha, offering a promising Ayurvedic parasurgical modality alternative to modern invasive procedures.