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Abstract

Aims and Objectives: To understand the physiology of defecation by Ayurvedic and modern science perspective and to evaluate a patient of constipation to devise a good modality of effective management of constipation. Material and methods: Ayurvedic and modern scientific aspects of defecation and constipation have been analyzed. Constipation in general denotes the inadequate evacuation of the bowel. It may be associated with no bowel movement to even multiple bowel movements. A normal individual may have evacuation of bowel in two or three days without any physiological changes; whereas, another one may have physiological problems even in multiple evacuation per day. Discussion: Normal rectum doesn’t have the faecal matter inside it, as soon as faecal matter enters in rectum, there is desire to defecate. In cases of incomplete evacuation of bowel, traces of faeces to a fecolith may be present in the rectum. The sensation to stool thus plays an important role in the act of defecation, so also the constipation. In Ayurveda classics, constipation has been enumerated a symptom of many diseases. Conclusion: Apana vayu plays an important role in the act of evacuation of bowel; hence, it signifies the neurological aspects of defecation and constipation. Basti is termed as a model management of pacification or regulation of this vayu and it is also a good modality to control the constipation in natural way. Keywords: Guda, Defecation, excretion of faeces, constipation, physiology of defecation.
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... Apāna vāta in guda regulates the normal physiology of the rectum and causes timely excretion of faeces. This not only keeps the large intestine clean and healthy but also reduces pressure over the gudavali 20 . Therefore constipation due to derangement apāna vāta exert more pressure on that region resulting in dilatation of haemorrhoidal veins and sliding down of supporting muscles. ...
Article
Background and Objectives: Haemorrhoids are dilated veins within the anal canal in the sub-epithelial region formed by radicles of superior, middle, and inferior rectal veins. It hampers the routine life of an affected person. In India about 50% of the population would have haemorrhoids at some point in their life. Achārya Vāgbhata defines Arsas (haemorrhoids) as an abnormal growth which obstructs the anal canal and troubles continuously like an enemy The objective of the study is to assess the efficacy of citrakādi kṣāra lēpa in the management of second- degree internal haemorrhoids. The study also aims to find out an easy, effective and less complicated procedure for second-degree haemorrhoids. The 15 participants with second degree internal haemorrhoids were selected as per inclusion criteria. After doing all the preoperative procedures, the citrakādi kṣāra lēpa was done in a single sitting. The duration of the study was 30 days. The assessment of reduction of size of haemorrhoids, mucosal changes after the procedure and frequency of bleeding were done before the treatment, on 1st, 3rd, 5th, 7th, 15th, and 30th day using the required assessment tools. The symptoms, constipation and mucous discharge were assessed on the 0th and 30th days. The follow up was done on the 60th day. The statistical analysis of the results was done using non- parametric tests. On analysing, it was found that the Citrakādi kṣāra shows 86.11% of the efficacy in the reduction of both subjective and objective parameters. Key words: Haemorrhoids, Arsas, Citrakādi kṣāra
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