A A CASE REPORT (PILOT STUDY) ON EFFECT OF PRANDAYOG (INTERNALLY ) AND ARSHAHAR TAIL (EXTERNALLY) IN ARSHA

Abstract

Arsha is a most common disorder of the anoreactal system. It is a painful condition caused due to suppression of natural urges, improper eating habits and modernization of lifestyle which causes vitiation of Agni(agnimandhya) which eventually leads to vitiation of dosha. The vitiated doshas finds its seats in twak, mamsa and meda in guda region causing gudankura in the guda region which are called as Arsha.  Vagbhatacharya defines arshaas the entity in which muscular projection troubles the patient like as an enemy and causes anal obstruction.AsArsha is localised lesion of systemic derangement of Dosha, both Sthanika and SarvadaihikaChikitsa are to be adopted. The current management of arsha in modern science includes use of laxatives, antibiotics and surgery as the final resort. All these have unavoidable sideeffects.  Arsha is described as vyadhi of manasvahastrotas in various ayurvedic texts  including sushrutasamhita , charaksamhita  and astanghridayetc which describes the causes , pathology , symptoms (pain in anal region ,constipation etc   ) , and treatment(bheshaj ,kshar , agni, shastra ) . The study is an effort to evaluate the bheshajchikitsa of pranadayog with takraanupana and local application of arshahar tail in management of arsha  An attempt has been made to evaluate the probable mode of action of the compounds on the sampraptivighatan of arshavyadhi.