RESUMO
Nasal Polyposis (NP) is not simply mucosa oedema, but rather grape shaped, smooth, soft, freely mobile mucosal swellings that are often visible on anterior rhinoscopy. Polyps arise from the lateral wall of nose. NP may be present without clinically significant sinus disease and vice versa. In Ayurveda, polyposis can be understood with Nasa Arsha. Modern management includes antibiotic, systemic and topical corticosteroids, decongestants and surgery. And lot of chances for recurrence after surgery especially in Ethmoidal polyps. In Ayurveda, various treatment modalities have been proposed for the treatment of Arsha as Shastra karma (operative procedure), Kshara karma (applying some alkaline drugs), Agni karma (cauterization) and Bhaishaja (conservative/medical treatment). The reported case revealed that B/L ethmoidal polyps are high recurrence rate after surgery and can be managed with Ayurvedic medicine to give sustained relief from symptoms.
RESUMO
Arsha (Hemorrhoids) is one of the most common conditions affecting peoples since time immemorial. The prevalence is equal in both sexes, peaks between the ages of 45 and 65 and declining thereafter. The main cause of hemorrhoids is constipation over a prolonged period of time and has to strain to pass stools, it can damage the lining of anal canal. Sushruta the Father of Surgery advocated four method of treatment of Arsha, which are Bheshaja, Kshara, Agni and Shastra. Under Sushrutas operative procedure local application of Pratisharaniya Kshara in the prolapse piles mass helps to reduce pile mass effectively (Ref.Su.Chi.6). It is safe, cheap, effective, simple, easily approachable procedure and ambulatory treatment and the patients acceptability is good to overcome such problem. Aims & Objective is to evaluate the clinical efficacy of Apamarga Pratisharaniya teekshna kshara in the management of Arsha. & to evaluate the safety of Apamarga Pratisharaniya teekshna kshara in the management of Arsha. Material and Methods: 30 patients were enrolled for the study within a period of one year and Teekshna pratisharaniya kshara was applied on piles mass intra anally under operative procedure with the help of a instrument proctoscope. Observation and result: Reduction in the piles mass evident by Inspection/ proctoscopy /Visual perception was observed remarkably.Bleeding and pain were also reduced remarkably in all the piles patient. 100% relief in bleeding, reduction of pile mass and total reduction in size of pile mass was recorded. Conclusion: Recently these Oldest technique advocated by Sushruta have been proven to be most effective and free from post-operative complications.
RESUMO
Introduction- The Gall Bladder (GB) is a hollow viscus sac, situated in a fossa in the right hepatic lobe inferior surface. It extends from the right end of porta hepatis to the inferior border of liver. It is 7 - 10cm long, 3 cm broad and capacity is 30 – 50 ml. It has 3 parts Fundus, Body and Neck. Materials and Methods-This study was carried on 50 GB specimens in the Department of Anatomy, GITAM Institute of Medical Sciences & Research, Visakhapatnam. The GB was carefully dissected and cleaned to observe developmental anomalies and morphological variations of GB. Results-The developmental anomalies like Hartmann's pouch, Intrahepatic Hypoplastic GB were observed. The length and breadth GB ranged from 4.9 - 9.5 cm and 2.0 - 4.8 cm, shapes of GB most common pear shaped(64 %), flask shaped(20%), cylindrical shaped(12%) and hour glass(4%). Conclusion- The knowledge of this study will help the laparoscopic surgeon to take preventive measures before cholecystectomy and the radiologist to differentiate the normal from anomalies.
RESUMO
Ano-rectal disorders are on exponential growth in the population of mankind, with bleeding per anum as one of the main prodromal symptom. Just like the metabolic or lifestyle disorders namely diabetes mellitus, hypertension, ano-rectal disorders also owe their etiology to irregular & improper diet, sedentary lifestyle, prolonged sitting in inaccurate postures, improper bowel habits & also psychosocial factors. In Ayurveda, Sushruta has described it vividly in Arsha nidanam that those people suffering from Mandagni i.e., reduced digestive power which leads to Vata aggravation alone or in combination with other Dosas and manifests itself with symptoms like bleeding per anum, pain, irritation, discharge in the Guda. In modern science, excessive straining, increased abdominal pressure and hard stools are told to be the etiology of symptomatic haemorrhoids as these causes leads to increased venous engorgement of the haemorrhoidal plexus and cause of prolapse of haemorrhoidal tissue. Bleeding, thrombosis and symptomatic haemorrhoidal prolapse may result. Some of the ano-rectal disorders mentioned by Sushruta are Arsha, Parikartika, Bhagandara.