LEECH ON EXTERNAL THROMBOSED HEMORRHOIDS

Abstract

Arshas or hemorrhoids included under the category of Mahagadas as it significantly disturbs the normal proceedings or activities of the body like an enemy. It is a guda gata mamsa vikara occurs in three valis of the ano rectal region. Basically it is two types viz internal and external hemorrhoids. Thrombosis of external hemorrhoid is an acute complication, commonly seen in the clinical practice. In this condition there will be sudden appearing of tense and painful swelling lateral to the anal orifice. Generally it will cure within five days, but there is an every chance of suppuration, fibrosis, bursting etc. It can be compared with Pachyamana Vrana Shotha, where the swelling with pricking type of pain, burning sensation, restlessness etc are common. In classics bloodletting has been mentioned in such conditions. A clinical study was conducted by application of Jalouka in thrombosed external hemorrhoids and its efficacy was compared with Thrombophob gel. Leech therapy shows clinical as well as statistical significance (P < 0.001) than Thrombophob gel in all variables.