KSHAR KARMA IN HEMORRHOIDS / PILES:

A special kind of Kshar paste made up of different kind of Kshar and Herbo-mineral Ayurvedic medicines are applied locally on the Piles of grade 1 or 2 (also in grade 3 if administered by skilled Kshar karma specialist doctor / proctologist).

This procedure do not need any kind of general/spinal anesthesia, bed rest or hospitalization and the patient can go home and can do daily routine works after procedure so it’s an outpatient / OPD ambulatory procedure. Main procedure may take 1to3 settings for one Pile & in a single sitting two or more hemorrhoid / piles can be treated easily by a skilled trend Kshar sutra / Kshar karma expert.

The Kshar karma in hemorrhoid/piles is done under local anesthesia by applying some numbing ointment or spray in anus & on the Hemorrhoid / Piles mass.

The procedure commonly takes about 5 to 10 minutes and in most of the cases there is no need of chemical synthetic oral “analgesic / painkillers or antibiotics”, the procedure is beneficial in the hemorrhoid / piles of grade 1 & 2 which are broad and hard to capture by forceps to do Kshar sutra ligation therapy or RBL therapy (rubber band ligation).

The postoperative pain is nearly no or easily tolerable, sometimes in rare cases few patient complaints for mild burning or itching sensation in anus (for about 3 to 7 days) postoperatively specially after bowel movement which can be easily subside by Ayurvedic ointments and oils.

The procedure has high success rate when performed by skilled Kshar sutra specialist doctor / proctologist along with the MCDPA therapy.

KSHAR KARMA IN PYOCELE (PUS IN HYDROCELE), INJECTION ABSCESS & OTHER ABSCESS ETC:

In case of Pyocele the Ayurvedic Para surgical technique is used to make the incision which is very shorter than the incision used to made in western contemporary surgery, if the testicle is not involved then there is no need of “orchidectomy / removal of tentacles” or scrotum and after small incision (only about 1 inch to 1.5 inch long) the pus is drained out and Pratisaraniya Kshar Karma is done to exercise out the dead sluggish infectious tissue and to promote the growth of new cells.

Nearly same procedure is followed to treat abscess and injection abscess and sometime in dermal sinus to treat with Kshar karma where the incision is much smaller In comparison to the incision made in contemporary western surgery, dermal cyst etc are also treated in the same way.

In most of the cases the need of analgesic / pain killer is dependent on the pain bearing capacity of the patient and rarely some western chemical synthetic antibiotics are used because in most of the cases the modern Ayurvedic Herbo-mineral immunomodulatory medicines are used which can perform the antibacterial action & the antiseptic media if followed properly as per treatment protocol.

KSHAR KARMA IN FOURNIER’S & WET GANGRENE:

The bandage, oil and ointment along with the Kshar paste (Pratisaraniya Kshar) are used to remove the infectious sluggish dead necrosed tissues from the gangrene and modern Ayurvedic Herbo-mineral medicines & immunity boosters are used to promote cell growth and healing, if there is no septicemia (infection in blood) then the use of chemical synthetic antibiotics is not needed and the modern Ayurvedic Herbo-mineral medicines to promote healing and immunity are prescribed.

To increase the micro/capillary blood circulation leech/hirudo-therapy oxygen therapy PRP/PRF/blood-letting & sudation & irrigation therapies by modern Ayurvedic Herbo-mineral medicines are done along with the Kshar karma on Fournier’s and wet gangrene, if the patient is moveable/physically active and has strength to do his/her routine daily works without any help(escort) then there is no need of hospitalization or bed rest depending on patient’s other systematic diseases (like diabetes hypertension etc).

The dressing/therapy usually takes about 20 to 30 minutes and the number of sittings depends on the severity of case and size types of gangrene, if other systematic diseases like hypertension diabetes are present then the patient can continue the treatment of those diseases and the need of hospitalization is dependent on these systematic diseases.

KSHAR KARMA ON EXTERNAL GROWTH (LIKE ANAL POLYP, CYST, CENTENNIAL TAGS,DERMAL TAG, LIPOMAS ETC):

is done by using Pratisaraniya Kshar after removing the anal polyp, cyst, centennial tags, dermal tag, Lipomas by classical Ayurvedic minimal invasive Para surgical procedures which is nearly bloodless treatment and commonly done under local anesthesia and has approximately 50 to 70% less incision size in compare to contemporary western surgery , the use of oral analgesic/painkiller is dependent on pain bearing capacity of patient and the use of chemical synthetic antibiotics is commonly replaced by Ayurvedic Herbo-mineral natural immunity boosting medicines, if there is no septicemia then the need of hospitalization or bed rest is not recommended and the patient can go home and do all daily works just after the procedure which commonly takes about 10 to 20 minutes and the number of sittings depends on the physical condition of patient.

KSHAR KARMA IN GASTROINTESTINAL DISEASES:

Paaniya Kshar with modern Ayurvedic Herbo-mineral oral medicines are used to treat gastric/ peptic ulcer and IBS constipation Stomatitis/ mouth-ulcer like diseases, the use of Kshar is helpful to maintain the ph of digestive system by increasing the ph value from acid to base which helps gastric/stomach & intestinal mucosa to heal, the hyperacidity is revealed and when the ph of intestine are maintained then the healthy bacteria or good bacteria of colane get the favorable condition to germinate and leading to better bowel movement revealing constipation, along with Paaniya Kshar oral/internal modern Ayurvedic Herbo-mineral medicines are to enhance the intestinal health and immunity.

KSHAR SUTRA ON ANAL FISSURE:

This unique technique is developed by Dr.Mittal which is basically taken from the ancient literatures of modern Ayurveda with calibration of contemporary surgery, on a whole we can say that it’s a nearly blood less procedure in which the concept of anal dilation and sphincter (the muscles of anus) are relaxed without using blade. the procedure is done under local anesthesia where the Kshar sutra is implanted at the anus for about 2 to 3 weeks and the patient can go home and do all the daily routine works just after the 15 to 30 minute of main procedure, Kshar karma is done on fissure which cauterizes the fissure wound/cut & coagulates the oozing blood vessels, during the procedure generally there is no need of hospitalization as there is no use of general/spinal anesthesia or bed rest because there is no incision or cut is made, even as it is outpatient (OPD) ambulatory treatment so the patient do not need to take any special rest at home too. The need of chemical synthetic oral analgesic/painkiller is replaced by some local Ayurvedic applicants like ointments and suppositories & the in most of the cases there is no need of chemical synthetic antibiotics as the Herbo-mineral Ayurvedic medicines are used during the therapy along with the MCDPA therapy.

Kshar sutra on anal fistula, Pilo-nidal sinus (PNS), dermal sinus:

The Kshar sutra is a time tested (500+years BC~25000years) therapy, now which is in Modern Ayurveda is also called the Kshar sutra ligation therapy which is very much popular for treating anal fistula, Pilo-nidal sinus (PNS), dermal sinus and even in complex, high level, surgery (western contemporary surgery) failed anal fistula, Pilo-nidal sinus (PNS), dermal sinus etc with multiple tracks if treated by skilled Kshar sutra doctor/therapist.

in most of the cases there is no use of general/spinal anesthesia, hospitalization even the use of oral chemical synthetic analgesics/painkiller is rare and depends on the pain bearing capacity & willpower of patient, the use of oral chemical synthetic antibiotics is replaced by modern Ayurvedic Herbo-mineral medicines. the anal fistula, / Pilo-nidal sinus (PNS), / dermal sinus track/tracks is/are dilated by a thin probe generally under local or surface anesthesia and the selected Kshar sutra is implanted in the track/tracks & the both ends of thread/ Kshar sutra which curates the dead necrosed tissues and drains the pus along with the gradually cutting & healing of track/tracks with each sittings, on an average a track of 1c.m. length takes about 2to3sittings to cured and the duration of treatment depends on length type number & severity of track. Post surgical/operatively in majority of cases there is no need of hospital stay or bed rest even the patient can do all daily routine works with the combination of MCDPA therapy for better faster & healthy recovery.

So, on a whole we can say that it’s an outpatient (OPD), ambulatory treatment for anal fistula, Pilo-nidal sinus (PNs), dermal sinus etc which do not need any special rest for admission.

SCLEROTHERAPY Internal Hemorrhoids/Piles, Fissure:

This is an outpatient (OPD) ambulatory 15minute treatment which is the part of pratisaraniya Kshar karma of modern Ayurveda where the solution made of special kind of Kshar is injected on in sub mucosa (the uppermost layer) of internal Hemorrhoid/piles and if being used by a trained Kshar sutra specialist on Fissure bud too. this treatment is done by a very fine small needle which is normally called “insulin needle or insulin syringe” so the pain of treatment is negligible or easily tolerable, that’s why there’s no need of hospitalization or bed rest in this technique & patient can do all the daily routine works just after the procedure.

“SCLERO means hardening” so in this therapy we apply some special agents on internal bleeding hemorrhoid/piles and fissure & this causes the hardening of blood vessels and capillaries resulting in shrinkage of blood vessels and final result is the coagulation of blood for few days which gives adequate time to MCDPA therapy to work on hemorrhoid/piles & fissure. the sclerosing or pratisaraniya Kshar karma solution is generally injected on the internal hemorrhoid/piles of grade 1&2 and if being used by a trained proctologist or doctor then on 3 also which sometimes may need 2or more sittings depending on the grade & severity of disease. in western chemical synthetic medical system there are few popular sclerosing agent which are being used by trained proctologist globally, at our (Dr.MITTAL’S Kshar sutra & proctology centre) centre we do use the Herbo-mineral Ayurvedic medicines along with the special kind of pratisaraniya Kshar karma with sclerotherapy, in some cases we also use the globally accepted western sclerosing agents but the focus and priority is always given to the Ayurvedic system. it is a useful technique when used with the combination on Kshar sutra & Kshar karma for the treatment of grade 3&4 hemorrhoid/piles where the most of the sclerosing agent are not in use, the sclerotherapy alone has a little less effectiveness on hemorrhoid/piles & fissure in comparison to Kshar sutra but when the sclerotherapy is combined with pratisaraniya Kshar karma & Kshar sutra then it gives unbelievable results.The MCDPA therapy is a needed treatment system with the sclerotherapy.

LEECH THERAPY (JALAUKAVACHARAN /HIRUDO) therapy & RAKTAMOKSHAN (BLOOD LETTING):-

Leeches (Jalaukas) & Bloodletting (Rakta Mokshan) are one of the oldest Para-surgical instrument & procedure used from East Asia to western Rome & China for about 2500+BC to Increase blood flow & oxygen level in diseased organ to promote cell regeneration & healing.

In case of NON HEALING CHRONIC WOUNDS and especially in the cases of DIABETIC FOOT & VERICOSE ULCERS where the main cause of disease is the reduce blood flow, the enzymes in the leech saliva increases the blood flow and the blood thinners in saliva increases the blood & oxygen supply to the tissue resulting in regeneration of the cell with time.

Rather than leech other modes of blood-letting are CUPPING, ALABU, VENO PUNCHERS, PRP-PRF etc are done as per individual need of patient.

This is a an outpatient/OPD, ambulatory, easy and globally accepted technique for BLOOD LETTING which increases the blood flow and oxygen supply to the necrosed tissues , the increased blood flow helps revealing inflammation and edema also, the enzymes which are secret by leech in the bloodstream also works as blood thinner so the blood clots get removed from the site and the enzymes in the saliva do their anti inflammatory & anti-edema action to subside the symptoms.

In case of external inflamed & thrambosed hemorrhoid & other diseases where impaired blood flow because of blood clote.ge. Berger’s disease, Venous thromboembolism, peripheral artery disease, Atherosclerosis, lymphedema, varicose vein etc which generally requires surgery to remove clots or even organ/tissue amputation in severe case but the blood thinning property of leech saliva dilutes the blood clot & increases the blood flow so the clot get diluted & goes with the blood flow.

PRP/PRF & BLOODLETTING in diabetic foot & varicose ulcer, non-healing

Wounds etc:

to increase the blood floor and oxygen supply to promote the cell regeneration is done by these mechanical techniques in the case of diabetic foot ulcer and varicose ulcers and non healing wounds and sometime in foreign years and with their names the increased oxygen supply by increase blood flow is the necessity of every living tissue for the regeneration in this techniques the PRP is done by taking the patients on fresh blood and separating the plasma from the blood and that it is then injected locally to the tissue in bloodletting procedure depending on the type of procedure is depends on the case and severity of case the techniques is to increase the vascular circulation of blood naturally by forcing blood flow by mechanical procedures to the organs by which the increased web flow leads to the increased blood supply does resulting in cell regeneration. This outpatient OPD ambulatory treatments do not requires hospitalization or bed rest depending on the physical condition of patient & systematic disease.