JALAUKAVACHARANA (HIRUDO MEDICINALIS) IN THE MANAGEMENT OF SHOPHA YUKTA BAHYA ARSHAS (EXTERNAL THROMBOSED HAEMORRHOIDS) - A CASE STUDY

Dr. Naveen*, Dr. Mahesh Kumar E. S. and Dr. Vishal Krishnamurthy

ABSTRACT

Arshas or haemorrhoids is included under the category of Mahagadas as it significantly disturbs the normal activities of the body like an enemy, affects all economical groups of population. A thrombosed haemorrhoids is a variety of external haemorrhoid in which there is a painful swelling in the anal tissues caused by a clot in one or more of the small veins in the anal skin. It becomes worse after strangulation of the pile mass. Venous return of strangulated pile mass decreases and severe oedema takes place along with severe pain. Acharya Sushruta had advocated to carryout Raktamokshana in shopha chikitsa (inflammatory swelling), so here Shopha Yukta Shushkarshas is taken for Jalaukavacharana. Jalaukavacharana is known to be effective in thrombosed haemorrhoids as it relieves venous pooling of blood in that area by dissolving the clotted blood (thrombolytic action) which contributes in re-establishment of circulation. In present case study, a patient aged 30 years of external thrombosed haemorrhoids was successfully treated with Jalaukavacharana with no recurrence or any complication.

Keywords: Arshas, haemorrhoids, Jalaukavacharana, thrombosed piles.