ROLE OF MOOL BANDHA (ROOT LOCK) IN THE MANAGEMENT OF NON BLEEDING HAEMORRHOIDS W.S.R. TO ARSHA – A CONCEPTUAL STUDY
Dr. Katarmal Durga Harishbhai*, Dr. P. Hemantha Kumar
ABSTRACT
Haemorrhoids are most common anorectal disorder. The peak prevalence occurs between 45 and 65 years of age. Haemorrhoids are presented clinically by a prolapsed lump which may require manual reduction or is constantly prolapsed. Other clinical manifestations include painless bleeding, discomfort, discharge, hygiene problems, soiling, and pruritus. On the basis of clinical features disease under consideration can be correlated with Arsha mentioned in ancient classics of Ayurveda. Acharya Sushruta has mentioned four modalities of treatment for Arsha- Bheshaja Chikitsa (palliative treatment), Kshara Karma (Chemical Cauterisation), Agnikarma (Cauterisation by heat), Shashtra Karma (Excision by operative procedure). In modern medicine, few conservative measures such as anti-inflammatory, analgesic, laxatives and local application ointments are advised. Patient not responding to conservative treatments are subjected to appropriate operative procedures. With most accepted sliding anal canal lining theory as centre of thought a conceptual study is planned with Mool Bandha (root lock) procedure in the management of non bleeding haemorrhoids. The procedure enhances strength and tonicity of pelvic and perineal musculature thus leading to prevention of prolapse of haemorrhoids. This is non invasive, non-medicinal measurement with no financial cost. So a clinical study can be planned.
Keywords: Arsha, Haemorrhoids, Mool Bandha, Root lock.
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