Anal Fistulae

Anal Fistulae

KSARA SUTRA IN MANAGEMENT OF ANAL FISTULA (BHAGANDRA)

Anal fistula is a track, which opens deeply in the anal canal or rectum and superficially on the skin around the anus. Sometimes, the track may have a single opening which is called a sinus. Generally, this track develops from ano- rectal abcess (Bhaganrda pidika), which bursts spontaneously or is incised inadequately. An anal fistula may occur with or without symptoms. There may be intermittent swelling with pain, discomfort and discharge of pus in the perineal region. This track does not heal due to fecal contamination, presence of unhealthy granulation tissue, and lack of rest to the part. This is a purely surgical condition but surgery is associated with a lot of complications and recurrence rate is also quite high after surgery.

Ksara sutra technique: The patient is made to lie down in lithotomy position taking all aseptic precautions. The Ksara sutra, with the help of probe specially designed for Ksara sutra is introduced from external orifice of fistula to the internal orifice inside the ano- rectal canal and is brought out through anus. The two ends of the thread are tied to form a loop. The wound is dressed with medicated oil/ghee. The Ksara sutra sutra is changed every week till the whole track is cut through and healed. Under post operative procedure patient is advised to use warm water sitz bath, application of medicated oil, laxative regularly during the treatment. Analgesics and anti-inflammatory drugs can also be used, if needed.

Clinical trial

About 700 patients, including 200 patients of recurrent fistulae after operation have been studied by Clinical Research Enquiry at IMS, BHU, Varanasi with Ksara sutra therapy. Out of 700 patients 691 (98.7%) have been completely cured.

Further studies on 395 patients have been conducted in the Council’s Research Institutes and the outcome has been similar, since 386 (97.72%) patients responded.

This technique has been very well accepted/adopted by the practitioners of Ayurveda. The efficacy of this approach has also been proved by studies conducted by Indian Council of Medical Research (ICMR). The facilities for the application and research on the techniques of Ksara sutra are further developed at Central Research Institutes of Ayurveda under the Council at New Delhi, Mumbai and Patiala. The Institutes have also arranged training programmes and workshops on the Ksara sutra technique. Further steps are proposed for its extension to other Institutes of the Council.

The patients undergoing Ksara sutra treatment are advised certain Do’s and Don’ts to facilitate early healing.

Do’s: Diet and habits
a) Strictly follow instructions given by the doctor.
b) Keep ano- rectal part clean and dry.
c) Consume lot of liquids.
d) Butter milk is very useful in these conditions.
Eat fruits and plenty of vegetable especially cucumber, radish, cabbage, carrot, green leafy vegetables, etc.

Don’ts
a) Avoid constipation and straining in the toilet.
b) Avoid chilly, spicy, non-vegetarian and other heavy food items.
c) Avoid sitting, standing and walking for long duration
The Ksara -Sutra being an OPD procedure does not require anaesthesia, heavy medication and hospitalization. After application of Kshara-sutra, patients can perform their routine duties. There are no side effects/complications like in continuance of stool, delayed healing leading to infections. Besides being economical the tissue damage and pain is relatively less in this therapy.


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Ayurved

Bright fluorescent lights would be irritating to nay person. Ayurveda would term this as ati-yoga of chakushendriya (over-use of the sense-organ of sight). Changing your work area or changing the light source would be a more permanent solution to your problem. If not certain medication and procedure which relax and strengthen the eyes would be helpful.

Procedures would include - cleansing the eyes with cold infusion of coriander seeds (dhanyaka heem) in the mornings and applying soothing eye drops (there are many brands) in the night before sleeping and if possible 2 to 3 times a day.
Eye exercises for strengthening the eyes are also recommended.
Medicines would include sukshma triphala and saptamruta lauha.
If possible the procedure of netra-tarpan (immersing the eyes in ghee) would also be immensely beneficial.

Dr.S.M.Shirodkar
M.D. (Ayu.)
Royal Ayurveda
http://ayurved.webs.com/

Snoring

Snoring could be a sign of a disorder hazardous to your health.

Snoring is often depicted as a sign of sound sleep. However, snoring can also be a side effect of a more serious health disorder, such as sleep apnea. You can make healthy lifestyle choices that will help you get rid of your snoring, but consult with a doctor before taking any medication for it.

What is Snoring?-

When you sleep, the muscles in the back throat relax, resulting in a narrower airway. In some people, the airway becomes so narrow that the air causes the muscles vibrate, which causes the snoring sound. In a person who does not snore, the muscles in the back of the throat do not relax and allow oxygen from both breathing orifices. If your airways become completely obstructed for short amounts of time while sleeping, you may have sleep apnea.

Effects of Snoring-

Snoring can be a sign of several health issues. Snoring has been linked to an increased risk of cardiovascular disease and hypertension. Snoring also reduces the quality of sleep for those sleeping in the same bed as a snorer, and it even has been linked to deafness in sleeping partners. Snoring can also be a sign of sleep apnea, which is a potentially fatal condition.

Sleep Apnea Diagnosis and Disorders-

You have sleep apnea if you frequently stop breathing for 10 seconds or more during sleep. This can be diagnosed by a sleeping partner monitoring your sleep, or by recording yourself when you sleep. Those with sleep apnea might experience interrupted rapid eye movement sleep and increased difficulty in getting slow-wave sleep, which can cause fatigue throughout the day. Sleep apnea also results in weight gain, severe cardiovascular problems and a highly increased risk of stroke.

Avoiding Snoring and Sleep Apnea-

You can make changes to your lifestyle that will help prevent snoring and sleep apnea. Those who are overweight are more likely to have airways that are obstructed than are those who are not overweight. Losing weight helps reduce snoring, and so does not smoking. Try to avoid large meals and alcohol right before going to bed. Sleeping on your side will help keep the airway from becoming obstructed

SWARNA BINDU PRASHANA

INTRODUCTION

Ayurveda is known for it’s own specialties.

Today the whole world is affected with different diseases. Modern medicines fail to treat the patients satisfactorily in-spite of many researches and latest technologies because of their hazardous side effects AYURVEDA the science of life, provides many other alternative ways to tackle with such disorders successfully.

Not only treating unhealthy individuals,

Ayurveda mainly helps to maintain the healthy state of mind and body.

Ayurveda holds good even today though it was written thousands of years ago.

Ayurveda explains SWARNA BINDU PRASHANA while Modern medicine explains about vaccines.

Vaccines produce immunity against specific diseases where as swarna bindu prashana produces non specific immunity along with many other effects.

References

“AAMATHYAA MADHU SARPIBHYAM LEHAYET KANAKAM SHISHUHU

SUWARNAPRASHANAM HYETANMEDAGNI BALAVARDHANAM

AYUSHYAM MANGALAM PUNYAM VRUSHYAM VARNYAM GRAHAPAHAM

MAASAT PARAMA MEDHAVI VYADHIBHIR NA CHA GHRUSHYATE

SHADBHIR MAASAIHI SHRUTADHARAH SUVARNAPRASHANAD BHAVET”.

Ka. Su. 18/ 4-5

This reference gives us the idea about

What are the ingredients used for Swarna bindu prashana?

What is their importance?

To whom it should be done?

For what period it should be done?

What are its effects?

Ingredients Of Swarna Bindu Prashana

Swarna bindu prashana contains three ingredients.

A ) Suddha medhya aushadhi siddha ghruta.

B ) Shuddha swarna bhasma.

C) Shuddha madhu.

IMPORTANCE OF SHUDDHA MADHU

Madhu is collection of pollen grains by bees. Inday today life it is observed that pollen grains acquire a great percentage in producing allergic reactions leading to many diseases.

The main reason for using madhu in Swarna bindu prashana is that when madhu is administered in low doses in childhood itself then child gradually develops resistance for allergens and it remains unaffected by allergens.

IMPORTANCE OF SHUDDHA SWARNA BHASMA

Suvarna is one of the shreshta medhya dravyas explained in ayurveda. Kashyapacharya in lehana vidhi adhyaya explains that suvarna should be used in lehana karma. As suvarna is a metal’ it can’t be administered directly. So suvarna is made into bhasma and used. This suvarna bhasma is laghu gunatmaka, easy for absorption and assimilation.It is also medha vardhaka.When it is administered in very low doses for a particular time it is known to potentiate the memory power along with immunity.

IMPORTANCE OF SHUDDHA MEDHYAUSHADHI SIDDHA GHRUTA

Ghruta has the unique property of acquiring the gunas of dravyas which are added to it. Medhyaushadhis like manduka parni, brahmi, guducchi , yashtimadhu, vacha etc are added to ghruta and according to the procedure it is prepared. This ghruta is useful in potentiating the mental ability.

According to ayurveda ( A.SAM. SU virudhannapaneeya adhyaya):

Ghruta and madhu mixed in equal quantity acts as visha. This same theory is used in Swarna bindu prashana. Madhu and ghruta in equal doses is given at regular intervals. This develops resistance in the body for any type of visha. In other WORDs it produces immunity.

To whom it should be done?

It can be done only in children below the age of 5 years. Because during this period only the brain growth is maximum.

For what period it should be done?

It should be done minimum for 6 months to 1 year.

By swarna prashana child develops medha (mental ability), agni (digestive power), bala, aayu vardhana, it is also mangalakara, punya, vrushya, varnya, ghuha baadha nashaka. If swarna prashana is done for 1 month then child will be parama medhavi, remains unaffected by vyadhi. If done for 6 months then child will be shruta dhara ( remembers what he hears)

Swarna is known to increase immunity of cells

& brings sthairya (stability) to cells

as Gold itself does not react because of which we can wear gold items without need to polish it where as Silver, copper & other metals react & needs to be polished.

Also Gold attracts lot of positive energy (has been proved) because of which in Indian tradition wearing of Gold has been advised.

Hence Gold is very useful as Immune booster.

And as far as the using of Gold is concerned either Swarna in bhasma form (from genuine companies) can be used or Ghrit siddhi with Gold can be done.

Sanskar of Gold have very beneficial effects.

According to susruta-sarir 10/15,

One can give lehan of suvarna bhasma

with madhu and ghrit

after cutting cord in jatkarma sanskar.!!!

* In ayurveda

three groups of 'infectious diseases' are described:

१. जनपदोध्व्न्स (epidemic / endemic diseases)

२. संक्रमिक ( contagious)

३. ग्रह रोग ( sporadic cases of infective nature due to ग्रह अभिषंग)

Thus comes into play role of ' मधु-घृत-सुवर्ण'

1. equal quantity of मधु-घृत is मात्रा विरुद्ध.

As per the research data;

emulsification takes place in their equal quantity

which provides better synergistic action of the drug.

Its antigenic behavior seems to be having similar property like vaccination,

i.e. why it is mentioned under 'जातकर्म संस्कार'.

Hence it may be expected that its antigenic effect may produce certain antibodies and remain inside the immune cells to protect from multiplication of different organisms.

2. मधु contains allergens like pollens,yeast,some enzymes,conc.sugar base with water conc.

3. WHEREAS घृत contains lipid allergens like chylomicrons.

Hence it may be concluded that the two allergen substances may turn to antibody after compromising with body immune cells against similar types of allergens and may have synergistic action.

-Different experimental studies suggest that in honey media: yeast, bacteria (gram -ve), salmonella species are in -static form, in lipid media also the multiplication of some organisms are not possible.

4. सुवर्ण is proved as having bacterial action against different organisms but when it is mixed with मधु+ घृत,

it widens its spectrum of action to stimulate body immune cells.

=>> thus can be given as " रक्षोघन औषध"

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* By Dr. Munish Sood

shimla

# Suvarnabhasma is blackish or reddish in color.

It is Snigdha,

Madhur, Kashay,

Sheet virya &

acts as Rasayana.

The properties of Suvarna r -

1) Hridya

2) Vishaghna

3) Rajayakshma

4) Urakshat

5) Pittaj & Kaphaj Unmad

6) Pittaj & Vata - Pittaj Shwas Kas

7) Pittajnya prameha.

8) Vrushya.

9) Raktaprasadak.

Generally Suvarna bhasma is said to act like a catalyst.

In some studies it has been seen that,

Suvarna bhasma does not get absorbed in the body,

this is a matter of research.

Suvarna bhasma acts on Vata & Pitta doshagat vyadhi.

It have better benefits on -

Rasa Dhatu,

Rakta Dhatu,

Mansa Dhatu &

Shukra Dhatu.

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By-

# Dr. Gandhi Sachin

ahmednagar

NOW SWARNAPRASHAN VIDHI & PARAMETERS ==>>

Indications for treatment

• All the Children are of age group of 1 day to 5 years.

• Children with low Immunity.

• Children with low Intellect.

• Children with low Memory Power.

• Children with learning difficulties.

Contradictions =>>

• Children suffering from fever.

• Children suffering from dysentery.

• Children suffering from diarrhea.

• Children suffering from Indigestion.

Procedure: ==>>

1 Make the doubts clear, which are asked by parents regarding Swarna Bindu Prashana.

2 As per the Indication check the condition of child, and ask parents about Health of child.

3 Fill the details of child in the registration card as per details as Name, Address, etc.

4 Check the height and weight of the baby.

5 Make the Swarna Bindu vial warm so it could be liquefied correctly.

6 Shake the vial so that the deposited gold Bhasma should mix universally with Medicated Gratha.

7 *Put 3 drops of Swarna Bindu. And put 3 drops of Honey after the Swarna Bindu.

8 Inform the parents to not to give any eatables to the child till half an hour.

$ WHY PUSHY NAKSHATR ?????

according to hindu shastra there is a practice of purchasing gold on the day of pushya nakshatra as it is ospious day.and the theorey of ravana says that all the nakshatras have there own effect on different matereals.the rays radiating or emerging on the day of pushya nakshatra doubles the medicinal values present in the gold and also among all the nakshatras only pushya nakshatra is only the purusha pradhana nakshatra. so considering all these points we are giving swarna bindu prashana on pushya nakshatra .

$ Dr. M G Jedar

hubli

By :

वैद्य प्र. प्र. व्याघ्रसुदन