Bijendra Shah

• MS(Shalya) FARCS(Anorectal)
• Lecturer at Ayurveda Campus & Teaching Hospital / Institute of Medicine

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV 2) has been wreaking havoc with human lives since late December 2019 when the disease erupted in Wuhan city, China. Now the COVID 19 pandemic is bringing the world to its knees with over 47 million cases reported by 7 November, 2020 A. D.1 Several governments from every corner of the glo...

Background: Nepali people have been using traditional medicine since time immemorial. The majority of the population (80%) depend upon traditional medicine for primary health care in rural areas. However, documentation on the status of traditional healers (THs) in Nepal is scanty. This study aimed to analyze the status of socio-demographic characte...

Ayurveda defines human body is made of different gross and subtle channels called srotas. Srotas are the channels through which different elements undergo transformation, transmutation, circulation and transportation. The srotas is an integral part of the body, serving as a route to conduct or convey a substance from one place to other. There are 1...

BACKGROUND: World community is facing an unprecedented pandemic of novel corona virus disease (COVID-19) caused by Severe Acute Respiratory Syndrome Corona virus 2 (SARSCoV-2). The disease has spread globally with the case fatality rate of 3% showing more than 47.6 million confirmed cases, 3.5 million recovered cases and 1.22 million deaths as of N...

Introduction: Narrowing of lumen of urethra is known as urethral stricture.70% of uretral stricture is inscidious at bulb. Trauma,infections like(TB,Gonorrhoea), TURP are the main causes of urethral stricture. Symptoms include varying amt of urethral dischargeae morning dew drop",difficulty in micturation,dribbling of urine, increased frequency,inc...

Introduction: Chandranighantu is a handwritten manuscript of Ayurveda about 250 years ago in Nepal by a well-known Vaidhya at that time of King Chandra Shamsher. It was believed that the dynasty brought to publish the manuscript with his name as Chandranighantu. It was completed in total of ten volume containing more than 900 medicinal plants and 2...

In Ayurveda all the skin disease is kept under the topic "kustha roga". Kitibha kustha is one of the kustha roga in which the skin becomes dull black, rough, dry like scar. It is vitiated by vata and kapha doshas. It can be clinically correlated with psoriasis in modern science. Psoriasis is the chronic inflammatory and hyper proliferative skin dis...

Ayurveda encourages certain lifestyle interventions and natural therapies to regain a balance between the body, mind, spirit, and the environment. Annadrava shoola is one of the disease of alimentary canal in which there is colic occurs after digestion, during digestion or at any time. Patient feels relief after vomiting. It can be compared with ga...

A Novel Coronavirus known as 2019-nCoV was emerged in Wuhan, City of Hubei province, China, at the end of December, 2019. The World Health Organization (WHO) has declared the novel Corona Virus (COVID-19) as a worldwide pandemic. Coronavirus is one of the major pathogens that primarily targets the human respiratory system. This pandemic crisis brin...

Ayurveda describes worm infestation as Krimi Roga. The Krimi may be various types on the basis of their origin; Kaphaj Krimi, Raktaj krimi and Pureeshaj Krimi. In Ayurveda Pureeshaja Krimi can be correlated with the helminthiasis. From various sources such as classical literatures of Ayurveda, modern texts, online searches and original papers, data...

The humanity has been afflicted by devastating natural calamity time to time since antiquity. A Novel Corona virus known as 2019-nCoV; later named as SARS CoV 2 was emerged in Wuhan city of Hubei province, China, at the end of 2019. This virus is being defined global health crisis of our time and the greatest challenge we have faced since the World...

Influenza viruses are noteworthy human respiratory pathogens that cause equally seasonal, endemic infections and periodic, unpredictable pandemics. The worst pandemic on record, in 1918, killed approximately 50 million people worldwide. Human infections caused by H5N1 highly pathogenic avian influenza viruses have raised concern about the emergence...

A Novel Coronavirus known as 2019-nCoV was emerged in Wuhan, China, at the end of 2019. The World Health Organization (WHO) has declared the novel Corona Virus (COVID-19) as a worldwide pandemic. This pandemic crisis brings us to the need of the hour: preventive, curative aspects and managing complications related to the current situation. Ayurveda...

Ekakustha (Psoriasis) is noninfectious chronic inflammatory disease of skin characterized by well-defined erythmatous plaques with silvery scale which have a preference for extensor surface and scalp and by chronic fluctuating course. The disease not only disturbs the patient physically but also interrupts the mental and social health of the patien...

Ayurveda is a science where a medical and surgical procedure are described a years back. Agnikarma is the one of minor surgical procedure in Ayurveda which is done by the application of Agni, heat. Masaka is painless, hard black eruption on the skin. It can be compared with mole in modern science. In the case patient of 24 years male came with comp...

Hemorrhoids is the dilated veins in anal canal. It can be compared with Arsha in Ayurveda. Varies types of treatment for Arsha are described in Ayurveda text. Among them Ksharasutra Ligation is the simple, less time consuming and reliable procedure for the management of Arsha. Ksharasutra ligation for the Arsha is described in Bhaisajyaratnavali in...

Bhagandar (Fistula-in-Ano) is explained as one among Ashta Mahagada (The eight major diseases) in Sushruta Samhita. This disease is recurrent in nature which makes it more difficult for treatment. So, it produces inconvenience in routine life. The concept of kshar sutra has been explained in the context of Nadi vrana (sinus) by Acharya Sushruta. Th...

Ksharasutra (Para surgical procedure using a thread treated by alkalies) is being practiced in Indian system of medicine since ancient time for management of ano-rectal disorders; particularly for Bhagandara (fistula in ano), and generally difficult to treat. Bhagandara (Fistula-in-ano) is treated by different modalities in modern science, but till...

In Ayurveda Ksharakarma is a process of Kshara application that is also termed called as Pratisaraneeya Kshara. It is a non-surgical procedure of Ayurveda indicated for the management of haemorrhoids. Kshara is alkaline in nature derived from a combination of various herbs that is applied to the pile mass with the help of a special slit proctoscope...

Background: Anorectal disorders are progressively increasing in the society. Out of many of the causes, some important are sedentary lifestyle, irregular and inappropriate diet, prolonged sitting or standing, and certain psychological disturbances. The prime cause of anorectal disorders is the instability of Jatharagni (digestive system), which fu...

The medicinal leech (Jalauka) is known as "Hirudo Medicinalis" and it is mostly used in all over world as medicinal leech. Jalauka Avacharana (Leech Application) is defined as a gentle methods for the removal of Pitta Dosa vitiated blood in sophisticated person. Keloids is characterized by proliferation of immature fibroblasts and also immature blo...

In Ayurveda, Sushruta has been described the uses of Jalauka (medicinal leech) for the treatment of various medico-surgical disorders. About 700 leech species are identified and only 5 leeches are used in medicinal purpose. In Ayurveda, 2 varieties of Jalauka are found i.e. one poisonous group (Savisha) and another one non-poisonous group (Nirvisha...

Haemorrhoids also known as piles are inflamed or swollen anal cushions. They are classified in four categories. When the haemorrhoidal mass remains protruded outside anus and cannot go inside the anal canal even with help of fingers is said to be fourth degree pile mass. Ksharasutra(medicated thread) treatment is in practise for Arsha(piles), Bhaga...

Burn wound in diabetic person are one of the most unmanageable wounds in wound care units. This condition generally results in infectious nonhealing wound and spread of infection to whole body & developed Shock. So daily dressing & internal medicine are needed to manage the further complications. In Ayurveda, various methods of topical care of woun...

Apamarga (Achyranthesaspera Linn.) Tikshna kshara(Strong potency alkaline) is analkaline substance obtained from filtrate of water soluble contents of Apamarga ash, after evaporating it to dryness. Achyranthesaspera Linn. isfrom Amaranthaceae family which called Apamarga in Sanskrit and Chaff tree in English. Achyranthesaspera is very usefull plant...

Non-healing ulcers are a major health problem worldwide and have great impact at personal, professional and social levels, with high cost in terms of human and material resources. Wound or ulcer on skin that has been present for 3-4 weeks duration, without healing is called Non-healing ulcer. There are many factors like glucose leaden tissues; neur...

Haemorrhoids (Arsha) are one of the most common ano rectal diseases in which varicosity of haemorrhoidal vein occurs, may be internal or external. In simple understanding, it is defined that piles are dilated or engorged veins within anal canal in the sub epithelial region formed by radicles of superior, middle and inferior rectal veins. Ksharasuta...

Gridhrasi can be correlated with sciatica which is a severe painful condition where back pain and radiating pain of the legs are found together on the basis of symptoms. In the treatment of sciatica only symptomatic management and a very few surgical procedures are available in conventional medical science with their own limits. Various methods use...

Contemporizing Ayurveda practices-Need and challenges

A basic diagnostic work up with integrated approach of Ayurveda and modern science is sufficient to characterize the different manifestations of anorectal disorders in most of the cases. In Ayurveda rogipariksha (examination of patient) is well defined for diagnosis of diseases like Dashavidhapariksha (ten types of examination). Anorectal pathology...

Cordyceps sinensis (Berk.) Sacc. is widely known as Yarsagumba (winter worm summer grass) in Nepal , India and China. It is a well-known entomogenous fungus distributed in alpine nival zone of trans-Himalayas and Tibetan Plateau. Two to six centimetres long, the fungus shoots above the soil, acting as a tiny, finger-shaped flag for harvesters to fi...

Under the spinal anesthesia painting draping done and methylene dye was passed through one external opening to identify the course of track during procedure (Figure-2-3). Probing was done (Figure-4) and coring of complete fistulous tract was done up to sphincter (Figure-5-6). After partial fistulectomy the Ksharasutra was applied in reaming tract (...

Role of Ksharasutra and Partial Fistulectomy in the management of Fistula in Ano– a Pilot Study Bijendra Shah and Tukaram Sambhaji Dudhamal Department of Shalya Tantra, Institute for Post Graduate Teaching and Research in Ayurveda, Gujrat Ayurveda University, Jamnagar, Gujarat, Pin-361008, India BACKGROUND: Ksharasootra is being practiced from anc...

Introduction: A wound is a disruption of the normal structure and function of the skin and underlying soft tissue. There are many factors like glucose leaden tissues; neuropathy, atherosclerosis etc. are causes of non-healing wounds. However, probably the most common cause of non-healing is wound infection. Dushta vrana in Ayurveda can be correlate...

Management of fitula-in-ano by fistulectomy is a surgical challenge due to its high re-occurrence rate. Application of Ksharasootra has been indicated in ano-rectal disorders particularly in the management of Bhagandara (Fistula-in-ano) in Indian system of medicine. Ksharasootra, a medicated thread, was prepared with Apamarga Kshara (Ash of Achyran...

Abstract Purpose: - The aim of the study was to roster the changes in physical and morphological properties of post fistulectomy wound due to application of Neem Oil (Azadirachta Indica). Anorectal post-operative wounds in the community are reluctant to heal and has potential complications such as surgical-site infections and wound dehiscence. Meth...

Abstract: BACKGROUND: Ksharakarma (application of plant alkali) is a process of kshara (plant alkali) application called as pratisaraneeya kshara. It is a non-surgical procedure of Ayurveda indicated for the management of haemorrhoids. Kshara is alkaline in nature derived from a combination of various herbs that is applied to the pile mass with the...

Prolapse of the rectum is the herniation of the rectal wall through the anus and is uncommonly seen in industrialized countries which may be partial (mucosal) or complete (full thickness). The mucosal type of rectal prolapse is the least serious form and is the most common type in the paediatric population. These circumstances are most common from...

Prolapse of the rectum is the herniation of the rectal wall through the anus and is uncommonly seen in industrialized countries which may be partial (mucosal) or complete (full thickness). The mucosal type of rectal prolapse is the least serious form and is the most common type in the paediatric population. These circumstances are most common from...

Abstract. In Ayurveda, Susrutha has been described the use of Jalauka (medicinal leech) for the treatment of various medico-surgical condition. About 700 leech species are identified and only 5 are used in medicinal purpose. In Ayurveda, the description of 2 varieties of Jalauka found i.e. one poisonous group (Savisha) and another one non-poisonou...

A Study on Efficacy of Ksharkarma in Management of Internal Haemorrhoids ( Arsha). Dr. Bijendra Shah Purpose:- To catalogue the role of ksharkarma in treatment of Internal Haemorrhoids (Arsha). Haemorrhoids are dilated veins within the anal canal in the sub-epithelial region formed by redicales of the superior, middle and inferior rectal veins. Me...