POST-OPERATIVE PAIN MANAGEMENT WITH BALA TAILA MATRA BASTI AFTER HAEMORRHOIDECTOMY

Dr. Sukrant Sharma, Dr. Ashanka Bhardwaj, Dr. Jagtap Rohankumar Manohar, Dr. Sarabjeet Kour

Abstract


Back ground and objectives:

Haemorrhoid is a disease of ano-rectum, the incidence increases with advancing age. Haemorrhoidectomy is the treatment of choice, the operation become notorious of being associated with a great deal of post-operative pain.NSAID’s and Opioids help to a certain extent for post-operative pain management but they do have their limitations along with adverse effects like gastric irritation, constipation etc.Arshas in general can be considered as Haemorrhoids. Acharya Sushrutha mentioned Basti for vedana shaman in Vranitha. Vedana is vata pradhana lakshana were as Basti Chikitsa is considered as shreshtha chikitsa for vata dosha. Basti has Anulomana property also. Bala taila was used by Acharya Sushrutha for post-operative pain management.

A complete and effective ayurvedic post-operative pain management is the need of every ayurvedic surgeon. Triphala guggulu, Gandhak Rasayana, Asanaadi Kwatha and Triphala kashaya sitzs bath are well studied drugs in post-operative wound and pain management but at times they are not enough. Hence, Bala Taila matra basti is used as an addition in this study to establish a complete ayurvedic pain management combination after Haemorrhoidectomy.

Methods:

Patients who have undergone Haemorrhoidectomy are selected from S.D.M. Ayurvedic Hospital Udupi, and randomly grouped into two, control group and trial group. Triphala Guggulu, Gandhaka Rasayana, Asanadi Kwatha and Triphala kashya sitzs bath were given as post-operative treatment for both groups. In addition to that, trial group patients were given Bala taila Matra basti once per day when a patient starts complaining of pain, for three days in post-operative period and evaluated on the basis of proforma prepared specifically for the study.

 

Results:

Addition of Bala taila matra basti gives better analgesic effect in conventional combination of Triphala Guggulu, Gandhaka Rasayana, Asanadi Kwatha and Triphala Kashaya sitzs bath. It has prolonged analgesic effect. Dependency on allopathic analgesic drugs reduces considerably for Post-operative Pain management with Bala taila matra basti after Haemorrhoidectomy.

Conclusion:

Dependency on allopathic analgesic drugs could be reduced considerably for Post-operative Pain management with Bala taila matra basti after Haemorrhoidectomy with combination of Triphala Guggulu, Gandhaka Rasayana, Asanadi Kwatha and Triphala Kashaya sitzs bath.


Keywords


Post-operative Pain management; Arshas; Haemorrhoidectomy; Bala taila matra basti.

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