Efficacy of kshar sutra in the management of arsha (hemorrhoids)

Large population of the world troubled with Arsha (hemorrhoids) till now. This is perhaps due to incompatible of the human diet and social obligations demanded by civilization. Lifestyle related factors are mainly thought to be cause of increasing prevalence of hemorrhoids (Arsha). In modern management Haemorrhoidectomy is most commonly employed technique which is a painful, aggressive and more invasive procedure with less satisfaction and high risk of recurrence. The kshar sutra ligation in Arsha (piles) may be said a type haemorrhoidectomy by medicated thread without complication with in short time with successful cure rate. No special preparation of the patient is required. The treatment is ambulatory and patient may return to his light work after 3-4 days of ligation. Blood loss during ligation is nominal varying from 0.2 to 1 ml from one pile mass only. Kshar sutra ligation in Arsha is one of the traditional procedures described in Ayurveda for the management of Arsha. Aacharya charaka has advised ksharkarma for the management of Arsha. Chakradatta, the commentator of Sushruta Samhita also mentioned indication of ksharsutra ligation in Arsha.