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→Symptoms of incurable arsha
If the patient of hemorrhoids develops edema in upper and lower extremities, face, umbilicus, anus and scrotum, and if he suffers from pain in the cardiac region and lateral parts of chest, then such types of patients became incurable. [26]
If the patient of hemorrhoids develops edema in upper and lower extremities, face, umbilicus, anus and scrotum, and if he suffers from pain in the cardiac region and lateral parts of chest, then such types of patients became incurable. [26]
Pain in the cardiac region and lateral parts of the chest, fainting, vomiting, pain in the limbs, fever, thirst and perianal swelling - these complications lead to the death of the patient suffering from hemorrhoids. [27]
Pain in the cardiac region and lateral parts of the chest, fainting, vomiting, pain in the limbs, fever, thirst and perianal swelling - these complications lead to the death of the patient suffering from hemorrhoids. [27]
Congenital/hereditary hemorrhoids caused by aggravation of three doshas and hemorrhoids located in the internal sphincter of the anus are also considered as incurable. [28]
Congenital/hereditary hemorrhoids caused by aggravation of three ''doshas'' and hemorrhoids located in the internal sphincter of the anus are also considered as incurable. [28]
In the presence of above incurable symptoms, if all four aspects of treatments like physician, drugs, attendant and patient are in the state of their excellence and if the patient has strong kayagni (power of digestion and metabolism) the disease may become yapya (palliative). Otherwise the disease became incurable. [29]
If the hemorrhoids are caused by vitiation of two doshas, and are located in the second anal- sphincter and if these are more than one year old, then these are difficult of cure.
In the presence of above incurable symptoms, if all four aspects of treatments like physician, drugs, attendant and patient are in the state of their excellence and if the patient has strong ''kayagni'' (power of digestion and metabolism) the disease may become ''yapya'' (palliative). Otherwise the disease became incurable. [29]
If the hemorrhoids are located in the external anal sphincter with vitiation of one dosha, and are not chronic then patient is said to be curable.
A wise physician/surgeon should treat the patient early otherwise the enlarged hemorrhoids can obstruct the anal canal and lead to baddha-gudodara (obstruction in the passage of the ano-rectum). [30-32]
If the hemorrhoids are caused by vitiation of two ''doshas'', and are located in the second anal- sphincter and if these are more than one year old, then these are difficult of cure.
Treatment of hemorrhoids:
If the hemorrhoids are located in the external anal sphincter with vitiation of one ''dosha'', and are not chronic then patient is said to be curable.
A wise physician/surgeon should treat the patient early otherwise the enlarged hemorrhoids can obstruct the anal canal and lead to ''baddha-gudodara'' (obstruction in the passage of the ano-rectum). [30-32]
==== Treatment of hemorrhoids ====
तत्राहुरेके शस्त्रेण कर्तनं हितमर्शसाम्|
तत्राहुरेके शस्त्रेण कर्तनं हितमर्शसाम्|
दाहं क्षारेण चाप्येके, दाहमेके तथाऽग्निना||३३||
दाहं क्षारेण चाप्येके, दाहमेके तथाऽग्निना||३३||
अस्त्येतद्भूरितन्त्रेण धीमता दृष्टकर्मणा|
अस्त्येतद्भूरितन्त्रेण धीमता दृष्टकर्मणा|
क्रियते त्रिविधं कर्म भ्रंशस्तत्र सुदारुणः||३४||
क्रियते त्रिविधं कर्म भ्रंशस्तत्र सुदारुणः||३४||
पुंस्त्वोपघातः श्वयथुर्गुदे वेगविनिग्रहः|
पुंस्त्वोपघातः श्वयथुर्गुदे वेगविनिग्रहः|
आध्मानं दारुणं शूलं व्यथा रक्तातिवर्तनम्||३५||
आध्मानं दारुणं शूलं व्यथा रक्तातिवर्तनम्||३५||
पुनर्विरोहो रूढानां क्लेदो भ्रंशो गुदस्य च|
पुनर्विरोहो रूढानां क्लेदो भ्रंशो गुदस्य च|
मरणं वा भवेच्छीघ्रं शस्त्रक्षाराग्निविभ्रमात्||३६||
मरणं वा भवेच्छीघ्रं शस्त्रक्षाराग्निविभ्रमात्||३६||
यत्तु कर्म सुखोपायमल्पभ्रंशमदारुणम्|
यत्तु कर्म सुखोपायमल्पभ्रंशमदारुणम्|
तदर्शसां प्रवक्ष्यामि समूलानां विवृत्तये||३७||
तदर्शसां प्रवक्ष्यामि समूलानां विवृत्तये||३७||
tatrāhureke śastreṇa kartanaṃ hitamarśasām|
tatrāhureke śastreṇa kartanaṃ hitamarśasām|
dāhaṃ kṣāreṇa cāpyeke, dāhameke tathā’gninā||33||
dāhaṃ kṣāreṇa cāpyeke, dāhameke tathā’gninā||33||
astyetadbhūritantreṇa dhīmatā dṛṣṭakarmaṇā|
astyetadbhūritantreṇa dhīmatā dṛṣṭakarmaṇā|
kriyate trividhaṃ karma bhraṃśastatra sudāruṇaḥ||34||
kriyate trividhaṃ karma bhraṃśastatra sudāruṇaḥ||34||
puṃstvopaghātaḥ śvayathurgude vegavinigrahaḥ|
puṃstvopaghātaḥ śvayathurgude vegavinigrahaḥ|
ādhmānaṃ dāruṇaṃ śūlaṃ vyathā raktātivartanam||35||
ādhmānaṃ dāruṇaṃ śūlaṃ vyathā raktātivartanam||35||
punarviroho rūḍhānāṃ kledo bhraṃśo gudasya ca|
punarviroho rūḍhānāṃ kledo bhraṃśo gudasya ca|
maraṇaṃ vā bhavecchīghraṃ śastrakṣārāgnivibhramāt||36||
maraṇaṃ vā bhavecchīghraṃ śastrakṣārāgnivibhramāt||36||
yattu karma sukhopāyamalpabhraṃśamadāruṇam|
yattu karma sukhopāyamalpabhraṃśamadāruṇam|
tadarśasāṃ pravakṣyāmi samūlānāṃ vivṛttaye||37||
tadarśasāṃ pravakṣyāmi samūlānāṃ vivṛttaye||37||
tatrAhureke shastreNa kartanaM hitamarshasAm|
tatrAhureke shastreNa kartanaM hitamarshasAm|
dAhaM kShAreNa cApyeke, dAhameke tathA~agninA||33||
dAhaM kShAreNa cApyeke, dAhameke tathA~agninA||33||
astyetadbhUritantreNa [5] dhImatA dRuShTakarmaNA|
astyetadbhUritantreNa [5] dhImatA dRuShTakarmaNA|
kriyate trividhaM karma bhraMshastatra sudAruNaH||34||
kriyate trividhaM karma bhraMshastatra sudAruNaH||34||
puMstvopaghAtaH shvayathurgude vegavinigrahaH|
puMstvopaghAtaH shvayathurgude vegavinigrahaH|
AdhmAnaM dAruNaM shUlaM vyathA raktAtivartanam||35||
AdhmAnaM dAruNaM shUlaM vyathA raktAtivartanam||35||
punarviroho rUDhAnAM kledo bhraMsho gudasya ca|
punarviroho rUDhAnAM kledo bhraMsho gudasya ca|
maraNaM vA bhavecchIghraM shastrakShArAgnivibhramAt||36||
maraNaM vA bhavecchIghraM shastrakShArAgnivibhramAt||36||
yattu karma sukhopAyamalpabhraMshamadAruNam|
yattu karma sukhopAyamalpabhraMshamadAruNam|
tadarshasAM pravakShyAmi samUlAnAM vivRuttaye||37||
tadarshasAM pravakShyAmi samUlAnAM vivRuttaye||37||
In the management of arsha,some physicians/surgeons advise excision of the hemorrhoids by sharp instruments, while others recommend cauterization with ksharakarma (alkalies) and agnikarma (thermal cauterization). These procedures should be administered only by a physician/surgeon who is well trained in the field.
In the management of ''arsha'',some physicians/surgeons advise excision of the hemorrhoids by sharp instruments, while others recommend cauterization with ''ksharakarma'' (alkalies) and agnikarma (thermal cauterization). These procedures should be administered only by a physician/surgeon who is well trained in the field.
Any mistake during these (surgical or para-surgical) procedures could result in serious consequencwes and complications, such as impotency, ano-rectal swelling, obstruction in defecation, abdominal distension, excruciating pain, excessive bleeding and recurrence of hemorrhoids. On healing stricture may form and chronic sticky /pus discharge, prolapse of the rectum can occur. Above complications may develop due to improper surgery, ksharakarma and agnikarma.
Any mistake during these (surgical or para-surgical) procedures could result in serious consequences and complications, such as impotency, ano-rectal swelling, obstruction in defecation, abdominal distension, excruciating pain, excessive bleeding and recurrence of hemorrhoids. On healing stricture may form and chronic sticky /pus discharge, prolapse of the rectum can occur. Above complications may develop due to improper surgery, ''ksharakarma'' and ''agnikarma''.
Now the treatment which involve less of risk and which are not painful will be described for the eradication of hemorrhoids. [33-37]
Now the treatment which involve less of risk and which are not painful will be described for the eradication of hemorrhoids. [33-37]
Classification of arsha:
==== Classification of ''arsha'' ====
वातश्लेष्मोल्बणान्याहुः शुष्काण्यर्शांसि तद्विदः|
वातश्लेष्मोल्बणान्याहुः शुष्काण्यर्शांसि तद्विदः|
प्रस्रावीणि तथाऽऽर्द्राणि रक्तपित्तोल्बणानि च||३८||
प्रस्रावीणि तथाऽऽर्द्राणि रक्तपित्तोल्बणानि च||३८||
vātaśleṣmolbaṇānyāhuḥ śuṣkāṇyarśāṃsi tadvidaḥ|
vātaśleṣmolbaṇānyāhuḥ śuṣkāṇyarśāṃsi tadvidaḥ|
prasrāvīṇi tathā”rdrāṇi raktapittolbaṇāni ca||38||
prasrāvīṇi tathā”rdrāṇi raktapittolbaṇāni ca||38||
vAtashleShmolbaNAnyAhuH shuShkANyarshAMsi tadvidaH|
vAtashleShmolbaNAnyAhuH shuShkANyarshAMsi tadvidaH|
prasrAvINi tathA~a~ardrANi raktapittolbaNAni ca||38||
prasrAvINi tathA~a~ardrANi raktapittolbaNAni ca||38||
Treatment of dry hemorrhoids:
Hemorrhoids caused by aggravation of ''vayu'' and ''kapha'' are called dry hemorrhoids. Whereas those with excess discharge(bleeding) and wetness are caused by aggravation of ''rakta'' and ''pitta''. [38]
==== Treatment of dry hemorrhoids ====
तत्र शुष्कार्शसां पूर्वं प्रवक्ष्यामि चिकित्सितम्|
तत्र शुष्कार्शसां पूर्वं प्रवक्ष्यामि चिकित्सितम्|
स्तब्धानि स्वेदयेत् पूर्वं शोफशूलान्वितानि च||३९||
स्तब्धानि स्वेदयेत् पूर्वं शोफशूलान्वितानि च||३९||
tatra śuṣkārśasāṃ pūrvaṃ pravakṣyāmi cikitsitam|
tatra śuṣkārśasāṃ pūrvaṃ pravakṣyāmi cikitsitam|
stabdhāni svedayet pūrvaṃ śophaśūlānvitāni ca||39||
stabdhāni svedayet pūrvaṃ śophaśūlānvitāni ca||39||
tatra shuShkArshasAM pUrvaM pravakShyAmi cikitsitam|
tatra shuShkArshasAM pUrvaM pravakShyAmi cikitsitam|
stabdhAni svedayet pUrvaM shophashUlAnvitAni ca||39||
stabdhAni svedayet pUrvaM shophashUlAnvitAni ca||39||
Dry, hard, inflamed and painful hemorrhoids should be first treated with fomentation. [39]
Dry, hard, inflamed and painful hemorrhoids should be first treated with fomentation. [39]
Recipes for fomentation:
==== Recipes for fomentation ====
चित्रक क्षार बिल्वानां तैलेनाभ्यज्य बुद्धिमान्|
चित्रक क्षार बिल्वानां तैलेनाभ्यज्य बुद्धिमान्|