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भगन्दर (Fistula) and Kshar Sutra

भगन्दर (Fistula) 

मात्रा और मात्रा ‘क्षार-सूत्र’ आयुर्वेदिक शल्य चिकित्सा ही भगन्दर (Fistula) मेें 100 प्रतिशत परिणाम देने वाली है जो कि सुश्रुत  (Father of Surgery) ,  आयुष विभाग ;स्वास्थ्य एवं परिवार कल्याण मंत्रालय, भारत सरकार दिल्लीद्ध द्वारा प्रमाणित हैं एवं अब रिसर्च के बाद आध्ुनितक पद्वति द्वारा भी प्रमाणित हो चुकी है।

क्षार सूत्रा क्या है व कैसे काम करता है, जानेः-

धगे पर क्षार (Alkaline-PH9.5) सहित तीन आयुर्वेदिक औषध् िकी 21 कोटिंग की जाती है पहली 11 कोटिंग स्नुही अर्क से ;काटने का कार्यद्ध दूसरी 7 कोटिंग अपामार्ग क्षार से ;इंपफेक्शन को खत्म करने काद्ध तथा तीसरी 3 कोटिंग हरिद्रा से जो कि जख्म भरने का कार्य करती है अत क्षार सूत्रा द्वारा किये गये भगंदर की चिकित्सा में तीनों ही कार्य एक साथ चलते रहते है इसलिए भगन्दर दुबारा नही होता जबकि अन्य पेथी में पहले काटते हैं तथा बाद में दवा खिलाकर इंपफेक्शन रोकने व जख्म भरने की कोशिश की जाती है जो कि कभी सपफल होती भी है और अध्कितर नहंीं भी।

इसलिए अन्य पेथियों में भगंदर 50 प्रतिशत दुबारा हो जाते हैं। भगन्दर (Fistula) के लक्षणः- गुदा के पास पफंुसी का बार बार उभरना उसमें से पानी, पस या खून आना, दर्द, दवा खाने से आराम तथा बाद में पिफर वैसे ही हो जाना आदि।

 

अन्य पैथी

  • 1- आॅपरेशन बेहोशी में होता है।
  • 2- 5-7 दिन ;ठमक त्मेजद्ध या हास्पिटल में भर्ती रहना पडता है।
  • 3-रोजाना पट्टी के लिए हास्पिटल जाना पड सकता है।
  • 4- ;भ्पही ।तपजप.ठपवजपब द्ध खानी पडती है।
  • 5- खून चढाना पड सकता है।
  • 6- अगर भगन्दर बहुत गहारा ;भ्पही ।दंसद्ध है जो कि गुदा रिंग

(Sphinter) मल त्याग की क्रिया को नियंत्रित करने वालाद्ध के पार चला गया है तो आॅपरेशन के दौरान

ंिरंग कटने से मल रोकने की नियंत्राण शक्ति खत्म हो जाती है तथा मल अपने आप कपडों में निकल जाता है।

क्षार-सूत्र

  • 1- केवल सुन्न करके होता है।
  • 2- कोई आवश्यकता नहीं।
  • 3- कोई आवश्यकता नहीं।
  • 4- कोई आवश्यकता नहीं।
  • 5- कोई आश्यकता नहीं।
  • 6- क्षार सूत्रा को भगन्दर में डाल दिया जाता है तथा वह हर हफ्रते बदला जाता है
fistula treatment ksharsutra

भगन्दर (Fistula) and Kshar Sutra

जिससे हर हफ्रते (1cm average) की दर से रास्ता काटता जाता है तथा पीछे का कटा रास्ता भरता रहता है जिससे ंिरग के एक दम के कट जाने का खतरा नहीे होता और न ही मल नियंत्रात को क्रिया में कोई बाध आती।

E-mail: info@msarogyam.com  Ph:+91 – 9219434343,      Mo:+91 – 9412637645,  

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Bleeding and Pain in rectum hemorrhoids

Pain in rectum, which surgery  is best for hemorrhoids.

Pain persist. How to get relief?

hemorrhoids is the most common problem now a days due to uncontrolled and bad eating habits people have constipations which is the main cause for developing the hemorrhoids.

The main problem comes when it bleeds from rectum and sometime it may bleed so vigorously that the patient may become anemic due to loss of enormous blood loss.

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what are surgery for hemorrhoids :–

  • for hemorrhoids many types of the surgery available in the current modern methods and in ayurveda .
  • Internal hemorrhoids
  • Surgical removal of hemorrhoids (hemorrhoidectomy)

what is the difference between the modern and Ayurveda (kshar-sutra ) surgery

Modern (hemorrhoidectomy)

Ayurveda Kshar-Sutra Ligation

  • in modern most common process is to remove the complete hemorrhoids at once.
  • in kshar-sutra the hemorroisa is ligated with the kshar-sutra medicated thread , and the hemorroids will cut out within 2-3 day
  • in modern their are a need of blood as in the process the blood loss is possible.
  • in kshar-sutra no need of extra blood because their is no or mini blood loss as compaired to modern way.
  • patient may have to rest for 2-5 day hospitalized.
  • no need for hospitalised patient may go to home within 2-4 hr after the surgery.
  • patient may have to stope food and motion for 2-4 days
  • no need to stop motion or food, patient can live normal life and diet.
  • pain may persist for many days after the surgery
  • no pain or a slight pain after the surgery for 1-2 day and after that no pain at all .
  • about 50% cases may have problem of recurrence
  • 99.96% accuracy without any recurrence

 

these are the main differences as in modern process and in kshar-sutra ayurveda surgery.

I hope it will help you to choose the right process for your hemorrhoids .

if you wants kshar-sutra then get an appointment at our clinic or just contact us.

PILES/ HEMORRHOIDS

PILES/ HEMORRHOIDS : Kshara-sutra treatment

PILES/ HEMORRHOIDS Causes

  • Secondary causes
  • Primary causes
  •  Anatomical factors
  •  Dietary habits
  •  Pregnancy
  •  Faulty habits of defecation
  •  Diarrhea and dysentery
  •  Abdominal tumors
  •  Constipation
  •  Carcinoma of rectum
  •  Portal obstruction
  •  Heriditary

PILES/ HEMORRHOIDS CLASSIFICATION:

  • A. In relation to site of origin
    • 1. Internal hemorrhoids
    • 2. External hemorrhoids
    • 3. Interno-external hemorrhoids
  • B. In relation to pathophysiologically
      • 1. Mucosal
      • 2. Vascular
  • C. In relation to pathological anatomy
      • 1. Primary hemorrhoids
      • 2. Secondary hemorrhoids
  • D. In relation to facilitate the line of management
    • 1. 1st degree hemorrhoids
    • 2. 2nd degree hemorrhoids
    • 3. 3rd degree hemorrhoids
    • 4. 4th degree hemorrhoids

internal piles

  • In case of internal piles due to hare stools, rectal veins are stretched and ruptured and bleeding occurs through them. After passing stool 10 ml – 30 ml blood flows out through anus. After few days, some fleshy part descends down which is reddish in colour and it goes in automatically.

External piles

  • External piles have different symptoms. In this bleeding is not seen but fleshy out growth is seen in the periphery of the anus which is of skin colour or black. After sitting for long time or having non veg diet, this growth swells and pains and itching occurs. The person cannot walk properly. These piles can be one or more in number.

Merits Of Kshar-sutra : 

  • * No recurrence.
  • * No incontinence.
  • * No post-operative complications.
  • * No daily dressings.
  • * Low treatment cost.
  • * No prolong hospitalization.
  • * Patient can walk freely after an hour of treatment.

Fistula in ano common Questions and Answers

Fistula in Ano Question? and their Answers ::

What is an anal fistula?

  • A fistula in ano is a tunnel like- pipe like track, developed in the perennial region, usually having one or more external openings around the anus leading to an internal opening in the mucosa of the anal canal or the rectum.
  • Anal fistula is termed “Bhagandara” in Ayurveda. In Ayurveda fistulas, like other diseases have been classified according to the vitiation of one per more of the three doshas i.e. the vata, the Pitta & the kapha. They have been classified also according to the shape & site of the track of the fistula. Special treatment for such different kinds of fistulas is mention in detail. It is worth noting that the complex & most challenging horse shoe fistula ( complex Ischio-rectal fistula) has been dealt with in detail in Sushruta a classical Ayurveda text) even as early as 300 ad.
  • The Ksharsutra treatment was probably first advised per this type of fistula named Parikshepi Bhagandara by Sushurta. This Ksharsootra treatment, with a little modification has proved its worth even in modern times.
  • Anal fistula, a rare condition, is a chronically inflamed, abnormal tunnel between the anal canal and the outer skin of the anus. It often drains watery pus, which can irritate the outer tissues and cause itching and discomfort.

Fistula In Ano an AyurvedicTreatment1

How does it occur?

  • An anal fistula usually results from an infection that forms in the tissue lining the anal canal. The infection may be caused by spread of bacteria that normally exist in the rectum. Occasionally, it may occur as a result of :
    A healed sore in the rectal area
    Ulcerative colitis, a disease associated with ongoing breakdown of tissues that causes a sore in the lining of the colon
    Diverticulitis, inflammation of harmless growths in the wall of the intestines
    Crohn’s disease, a chronic inflammation of the intestines
    Tuberculosis
    Gonorrhea
    Cancer of the large intestine.

What are the symptoms?

  • Symptoms of anal fistula may include :
    A patient of fistula in ano often suffers from a recurrent, small or large boil/boils/abscess surrounding the anus, accompanied with pain, discomfort & pus/blood discharge.
    The symptoms subside when the boil / abscess burst spontaneously causing some more discharge for a couple of days.
    The boil / abscess “heals up” temporarily but almost always reappears after some times.
  • Itching, discharge of watery pus, irritation of tissue around the anus, discomfort & pain these are the main symptoms of the fistula in ano

How is it diagnosed?

  • To diagnose an anal fistula, the doctor will review your symptoms, give you a physical exam, and may use the following procedures:
    Anoscopy / Proctoscopy , a procedure in which the doctor inserts an instrument called an anoscope into the rectum to inspect the anus and lower part of the rectum
    Probing examination: a procedure in which the surgeon insert an instrument called anal probe it to the external fistulous opening to internal fistulous opening.
    Sigmoidoscopy , a procedure in which a doctor uses a flexible or rigid scope to inspect the lower part of the intestine for inflammation and/or disease
    A biopsy to evaluate for inflammation or cancer
    Lower gastrointestinal (gi) series, a procedure that uses a special fluid to show the intestines better on x-ray
    A lower gi series requires a clean, clear gi tract. The doctor will prescribe a special diet, including plenty of water, for the day before the procedure. In addition, you may be given an enema the morning of the procedure.

Causes of anal fistula?

  • In a few cases there is a previous history of ano-rectal abscess.
    Some times a fissure in ano/ anal fissure gets infects & the infection travels down to form a track or a fistula.
  • However in most cases there are no definite causes found.
  • Possible contributing factors
    Tearing of the lining of the anal canal.
    Infection from an anal gland
    Chron’s, ulcerative colitis, tuberculosis
  • Guide lines to approach an expert for investigating a possibility of anal fistula.
  • Recurrent boils developing at the same site. (around the anus)
    Burning sensation or pain in perennial region
    Pus discharge /blood discharge in perianal or from the anus.

Modes of treatments of anal fistula?

  • Anal fistulas are almost never found to heal spontaneously. The inner wall of the fistula develops fibers tissue & payogenic membrane not allowing spontaneous healings.
    The most commonly followed mode of treatment is laying open the entire track of the fistula and removing the fibrous tissue & payogenic membrane. This sometimes, in complex fistulas is done in two or more sittings. In certain cases a silk setone is passed through parts of the track. (see detail )
    The Ksharsutra / Ksharsootra ( Medicated Setone ) Ligation.
    Laser Surgery ( Fistulectomy / fistulectomy by laser beam )
    Laying open the fistula and applying a skin graft.
    Laying open, excision of the fistulous track and suturing the wounds.
    Coring out the fistulous track. ( link with core technique for fistula )
    Sealing with fibrin glue.
    Fistula Plug Management.
    VAFT Technique for anal fistula.
    Reconstruction with flap surgery for anal fistula.
  • Ayurveda has a unique way of treating fistula in ano. Simple as well as complex fistulas, high anal fistulas, fistulas with multiple track, recurrent fistulas, chron’s fistula, tubercular fistula, all respond well to the Ksharsutra ligation procedure.

What is Ksharsutra / Ksharsootra?

  • The Ksharsootra /Ksharsutra is a type of thread / medicated setone prepared by coating and recoating the thread 15 to 21 times with different drugs of plant origin. The mechanical action of the treads and the chemical action of the drugs coated on the thread, to gather do the work of cutting, curetting, draining, and cleaning the fistulous track, thus promoting healing of the track/ wound.
  • A number of drugs like,
    Apamarg kshar (see picture)
    Kadali kshar (see picture)
    Arka kshar (see picture)
    Nimb kshar (see picture)
    Snuhi ksheer (see picture)
    Udumber ksheer (see picture)
    Papaiya ksheer (see picture)
  • And natural antibiotic like haridra powder, guggulu, etc are used in the preparation of different kind of Ksharsutra. It takes a number of days to prepare this Ksharsutra since the previous coat has to dry before the next is applied.
  • Different kinds of Ksharsootra are prepared using different drugs. These Ksharsutra are passed through the track (usually under short anesthesia) and the two ends of the thread are tied forming a loop.
  • The drugs coated on the thread are continually released through out the length of the track there by cutting, curetting, draining cleansing and healing the track simultaneously in the track after about eight days the thread loosens because it has cut through some of the tissues and also is now almost bare ( with no drugs on it). A new thread is now replaced in the track by a special method.
  • The changing of the thread is a simple opd procedure taking about 1 to 2 minutes and requires no anesthesia.
  • the thread gradually cuts through the tissue. The tissues above the thread heal up. Hence when at last the loop of thread comes out, the track is healed.
  • Ksharsootra (medicated setone) therapy is practiced in India since times immemorial. Modified and revived by the late Dr. P. J. Deshpande. The Ksharsootra therapy is a unique treatment of Ayurveda gaining popularity globally.
  • Special types of medicated setone are used in this procedure Found to be effective in any ano rectal conditions, it has many advantages in the treatment of Anal fistulae.

Benefits of the ksharsutra ligation procedure over other methods in anal fistula?

  • The Ksharsootra ligation method is an age old, time tested procedure originally performed by Sushruta (the father of surgery) around 300 ad. The fact that it is still in practice to day is a proof in it self of its efficacy.
  • The Ksharsutra procedure is performed under short acting anesthesia / local anesthesia and some times even without anesthesia.
  • The procedure usually dose not require hospitalization for more than 4 to 5 hours.
  • The patient requires minimal bed rest & can resume his / her daily routine within 12 to 24 hours.
    It gives freedom from pain full dressings.
  • There is no loss of glutial mussels and hence the anatomy of the peri anal region is not distorted. The procedure lives just a pencil scar at the site.
  • The recurrence rate which is usually found to be quite high after other methods is less than 2% after Ksharsutra ligation procedure. This is because the medicines on the thread gradually and continually curate the payogenic membrane and fibrous tissue in the track and thus leave no pus pockets un drained.
  • Chances of partial or complete incontinence of flatus or / and faces (loss of control of passing stool / flatus) are always present in many types of fistula, (especially in fistulae involving the sphincter muscles after the conventional procedure. ( Fistulectomy Fistulotomy ). There are no chances of developing incontinence in Ksharsutra ligation method.

How can i take care of myself ?

  • Using stool softeners Adding fiber to your diet
  • Drinking plenty of water, up to 8 eight-ounce glasses a day
  • Taking warm baths
  • Using clean, moist pads to wipe the area around the anus, to remove irritating particles and fluid from the fistula
  • Using special skin creams to soothe irritated tissue.
  • How can i help prevent an anal fistula?
  • Follow these guidelines to help prevent an anal fistula. They help to keep the lower gastrointestinal tract healthy.
  • Eat food high in fiber.
  • Drink plenty of water each day (up to eight 8-ounce glasses).
  • Have regular physical exams to look for underlying diseases of the rectum.
  • Be aware of the signs and symptoms of bowel disease, and seek medical attention if any appear.

Reimbursement and Cashless  TPA  Health Insurance  for the Process Of Kshar Sutra is available now.  In NCR, Ghaziabad and Noida

E-mail: info@msarogyam.com  Ph:+91 – 9219434343,      Mo:+91 – 9412637645,  

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Best Piles & Fissure Affordable Treatent in North-India

Testimonial :: Best Kshar-Sutra Treatent and Affordable in North-India By :: Ms-57613

I am giving MsArogyam 100 out of 100 point because of hospitality Treatment and most of all Privacy,i search all the places for kshar-sutra treatment and after 1-2 month of searching finally i decide to go to Dr.Dheeraj Yadav (MsArogyam Kshar-Sutra Center) for my treatment,  They keep our privacy very seriously and we can hide our original name, they give us a code for all kind of communication , and at the end i wants to say thanks to Dr.Dheeraj Yadav for getting rid me from my years old suffering from piles and fissures .

Best Piles Fistula Center in North-India

Kshar chikitsa types of kshars

Kshar chikitsa types of kshars and uses :

  • Kshar chikitsa or alkaline therapy in has been in practice since 500 BC.
  • Kshars or alkalis are the herbal extracts of plants like Euphorbia nerifolia,
  • Cassia fistula, Holarrhena antidysentrica, Adhatoda vasica, Caltropis
  • giganteo, Alstonia scholaris, Achyranthus aspera, and Sesamum indicum.
  • An kshar can be a compound or mixture of many herbs or may be from
  • single herb like Moolika kshar, Til kshar, Yavakshar etc.

TYPES of kshars

There are 2 types of kshars

  • 1. Paniya kshar: kshar for internal use
  • 2. Pratisarniya kshar: for external use only
 The pratisarniya kshar is further divided into 3 types
  • 1. Mridu: mild in action
  • 2. Madhya or modest: stronger
  • 3. Teevra: strongest in action

USES

Internal use:

 
 Ayurvedic doctors are using the paniya (drinkable) kshars to treat
 many diseases like malaria, jaundice, urinary tract infections,
indigestion, obesity, tumors, inflammation, flatulence, infections
and cysts. Kshars have a very rapid action and safe to use. 

External use:

 The external or pratisarniya kshars are widely used to manage hemorrhoids,
 warts, corns, fistulae, sinuses, polyps and many skin problems.
External kshars are a reliable and safe alternative to a number of
modern medical surgeries. Therefore they are the first choice of
Ayurvedic surgeons. 

 Kshar sutra or the medicated thread and its role in hemorrhoids will
 explain it further here. Let's see how it is made and used.

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