Authors : Dr. Anjana Kumari; Dr. Sumit Kumar; Dr. Deepali Sundari Verma

Volume/Issue : Volume 11 - 2026, Issue 5 - May

Google Scholar : https://tinyurl.com/yn23bvew

Scribd : https://tinyurl.com/nhawbmk

DOI : https://doi.org/10.38124/ijisrt/26May225

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Abstract : Ayurveda is one of the oldest systems of medicine that originated in India. It focuses on maintaining health by balancing the three fundamental doshas—Vata, Pitta, and Kapha. This traditional medical system emphasizes both preventive and curative approaches through the use of herbal medicines, proper diet, lifestyle regulation, and surgical interventions. Classical Ayurvedic knowledge is preserved in authoritative texts such as the Charaka Samhita and the Sushruta Samhita. Sushruta is widely recognized as the Father of Surgery because of his extraordinary contributions to surgical science. In the Sushruta Samhita, he described numerous surgical techniques, instruments, and therapeutic procedures for the treatment of various diseases, including hemorrhoids (Arsha). His pioneering work established the foundations of surgical practice in Ayurveda and continues to influence modern surgical concepts. Hemorrhoids are among the most frequently encountered anorectal disorders in clinical practice. In Ayurvedic management, Kshara Sutra therapy is commonly used for several anorectal diseases due to its minimally invasive nature and effective therapeutic outcomes. The present study was conducted to compare the clinical effectiveness of Apamarg Kshara Sutra ligation and Snuhi Kshara Sutra ligation in the treatment of hemorrhoids. Two patients diagnosed with internal hemorrhoids were included in the study. The first patient was treated with Apamarg Kshara Sutra ligation, while the second patient underwent Snuhi Kshara Sutra ligation. Clinical evaluation was carried out based on symptoms such as bleeding per rectum, pain, prolapse, discharge, and the size of the pile mass. Patients were followed up for a period of four weeks. The results indicated that both treatment methods were beneficial in managing hemorrhoids. However, Snuhi Kshara Sutra ligation showed comparatively better improvement in symptoms and lower recurrence rates than Apamarg Kshara Sutra ligation. These findings suggest that Kshara Sutra therapy, particularly Snuhi Kshara Sutra ligation, is a safe and effective treatment option for hemorrhoids.

Keywords : Hemorrhoids, Kshara Sutra, Apamarg Kshara, Snuhi Kshara, Ayurveda, Arsha.

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