slide1 n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
KSHARA KARMA - CAUSTIC THERAPY IN HAEMORRHOIDS PowerPoint Presentation
Download Presentation
KSHARA KARMA - CAUSTIC THERAPY IN HAEMORRHOIDS

Loading in 2 Seconds...

play fullscreen
1 / 29

KSHARA KARMA - CAUSTIC THERAPY IN HAEMORRHOIDS - PowerPoint PPT Presentation


  • 923 Views
  • Uploaded on

KSHARA KARMA - CAUSTIC THERAPY IN HAEMORRHOIDS. Dr. P. Hemantha Kumar M. S .(Ay) Dip.Yoga, (Phd) Prof. & HOD Dept. of Shalya Tantra in P.G. Studies S.D.M.College of Ayurveda & Hospital, Hassan, Karnataka, INDIA Mobile – 9448156362 Email –phk4uster@gmail.co phk4u@redifmail.co.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'KSHARA KARMA - CAUSTIC THERAPY IN HAEMORRHOIDS' - psyche


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide2

Dr. P. Hemantha Kumar

M. S .(Ay) Dip.Yoga, (Phd)

Prof. & HOD

Dept. of Shalya Tantra in P.G. Studies

S.D.M.College of Ayurveda & Hospital, Hassan, Karnataka, INDIA

Mobile – 9448156362

Email –phk4uster@gmail.co

phk4u@redifmail.co

slide3

Piles / Haemorrhoids can affect anyone,

anytime, anyplace and anywhere.

Commonest disease in Anorectal region.

Recent statistics reveals that irrespective

of age, sex, socio-economic status,

people suffer from piles.

Now a days every person suffered from

any one of the complaint of piles during

their life time.

slide4
Kshara is a caustic chemical, alkaline

in nature obtained from the ashes of

medicinal plants.

It is a milder procedure compared to surgery

and thermal cautery.

It is the superior most among the sharp and

subsidiary instruments because of

performing excision, incision and scraping.

Used safely on the patients who are afraid of

surgery.

classification of kshara
CLASSIFICATION OF KSHARA

On the basis of Administration

1. Pratisaaraneeya Kshara – External application

2. Paaneeya Kshara – Internal application

According to

Preparation

1. Uttama - Best

2. Madhyama - Moderate

3. Adhama - Poor

On the basis of Concentration

1. Mridu - Mild

2. Madhyama - Moderate

3. Teekshana - High

On the basis of Origin

1. Herbal 2. Mineral 3. Animal

ingredients of kshara
INGREDIENTS OF KSHARA

APAMARGA – Achyranthes aspera

slide10

METHOD OF PREPARATION OF PRATISARANEEYA TEEKSHANA KSHARA

(High concentration Kshara)

Dried Apamarga plant (Achyranthes aspera) (5 kg)

Burnt

500 gms of Achyranthes aspera Ash

Add 6 times of water (3 liters)

Filtered 21 times through cloth

To get clean and clear solution – Cow’s urine colour

(slight reddish)

slide11
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 (Achyranthes aspera) filtrate solution

Continuous mild heating

Liquid evaporates to 1/3rd of its original quantity

Add 1/10th (5gms) of Chitraka Kalka (Plumbago gelanica)

PRATISARANIYA TEEKSHANA KSHARA

(High concentration Kshara)

properties of kshara
PROPERTIES OF KSHARA

It is having pungent, hot, sharp and digestive property.

It does cauterizing, digesting and splitting actions.

Externally it has Cleansing, Heating, Absorbent and Scraping properties.

PH value of Teekshna Apamarga Kshara is 13.5.

slide14
INDICATIONS OF KSHARA IN PILES

Soft, spread out,

deep rooted &

elevated type of Piles

Internal Haemorrhoids – First degree, Second degree and Third degree.

slide15

APPLICATION OF KSHARA

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 soap water enema.

slide17

Operative

Patient is in lithotomy position

L. A. / S. A.

Part cleaned with aseptic solutions

Introduce lubricated slit Proctoscope

into the anus and pile masses bulges in

Pile mass should be scraped or rubbed with cloth or a cotton swab with warm water

slide18
Kshara applied on internal piles

Wait for 1- 2 min

Pile mass turns to the colour of Pakva

Jambhuphala (ripened black berry fruit) - Reddish black in colour

Pile mass washed with Lemon juice

Apply Yashtimadhu Ghrita &

Proctoscope is removed

Rectal pack with Anu taila or Mahanarayana taila

slide19

Post operative

Orally liquid diet after 4 to 6 hours

Packing removed after 6 hours

Sitz bath -Triphala decoction

10 ml Anu taila / Mahanarayana taila per

rectally twice daily

slide20

DURING

BEFORE

AFTER

BEFORE

slide26

H.P.E of slough material in blackish brown discharge revealed the

v

presence of necrosed haemorrhoidal tissue.

HISTOPATHOLOGICAL SLIDE OF SLOUGH COLLECTED AFTER KSHARA KARMA

slide27

ADVANTAGES

Mild postoperative pain

No bleeding

Minimum hospitalization

No scope for recurrence

No stricture formation

(if correct procedure is followed)

Kshara Karma - treating all the pile mass in one sitting.

complications
COMPLICATIONS

Bleeding - Negligible

Pain – Mild to moderate pain - relieved by hot sitz bath and oil enema.

Discharge – Blackish brown discharge will be occur 5 to 7 days postoperatively.

Anal stricture– Improper technique

Recurrence– Improper technique

slide29

Dr P. Hemantha Kumar

www.proctocure.com