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A unique nonsurgical management of internal hemorrhoids by īūٲ첹 Lepa

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Journal name: Ancient Science of Life
Original article title: A unique nonsurgical management of internal hemorrhoids by īūٲ첹 Lepa
The ANSCI is a peer-reviewed, open-access journal focused on Ayurveda and traditional medicines. It publishes original research, reviews, and literary studies linking traditional knowledge with modern science, covering disciplines like botany, ethnomedicine, pharmacology, and clinical research.
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Original source:

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Author:

Tajahmed Noorahmed Dongargaon, Shashidhar V. Emmi, Amruta A. Wali, Yogesh S. Kulkarni


Ancient Science of Life:

(A quarterly multi-disciplinary scientific research journal in Ayurveda)

Full text available for: A unique nonsurgical management of internal hemorrhoids by īūٲ첹 Lepa

Year: 2014

Copyright (license): CC BY-NC-SA


Summary of article contents:

Introduction

Hemorrhoids, which are dilated and tortuous veins occurring in the anal region, are a widespread issue affecting nearly half of the population at some point in their lives. The condition has been historically acknowledged and described in Ayurvedic texts, where various management options are suggested. The present report highlights a unique nonsurgical approach to managing internal hemorrhoids using a traditional Ayurvedic formulation known as īūٲ첹 Lepa. This ointment, derived from the seeds and fibers of Luffa echinata, is believed to have significant therapeutic effects on hemorrhoidal conditions, particularly when used in the early stages of disease.

Effects of īūٲ첹 Lepa

In the report, two case studies are examined where īūٲ첹 Lepa was applied to patients diagnosed with intero-external hemorrhoids. The treatments were administered following a thorough analysis of each patient’s dietary habits and lifestyle, which often contributed to their condition. The application of īūٲ첹 Lepa resulted in observable changes, including edema and ulceration within a few days and the subsequent sloughing of the hemorrhoidal mass. Notably, after a month of treatment, the hemorrhoids were significantly reduced without subsequent recurrence, indicating the formulation’s effectiveness in treating early-stage hemorrhoids defined as Kaphaja ṣa.

Conclusion

The results of this study suggest that īūٲ첹 Lepa is an effective nonsurgical management option for hemorrhoids, showing promising outcomes within a month of application. Continuous monitoring and follow-up assessments revealed no recurrence of the condition, underscoring the formulation's potential for long-term success in Ayurvedic practices. Overall, this research advocates for the integration of traditional treatments in modern clinical settings, possibly paving the way for future studies aimed at further validating these findings within the broader scope of gastrointestinal health management.

FAQ section (important questions/answers):

What is the unique treatment for internal hemorrhoids mentioned?

The treatment involves using īūٲ첹 Lepa, a non-surgical application derived from Luffa echinata, which has shown significant effectiveness in managing internal hemorrhoids over a one-month period.

Who are the authors of the study on īūٲ첹 Lepa?

The study was authored by Tajahmed Noorahmed Dongargaon, Shashidhar V. Emmi, Amruta A. Wali, and Yogesh S. Kulkarni, all affiliated with KLEU's Shri B.M. Kankanwadi Ayurveda Mahavidyalaya in Karnataka, India.

What were the symptoms of the patients treated with īūٲ첹 Lepa?

Patients presented with intero-external hemorrhoids, associated symptoms included itching, discomfort, and altered bowel habits. After treatment, improvement was noted with the resolution of these symptoms and no recurrence was observed during follow-up.

What methodology was used in applying īūٲ첹 Lepa?

Under local anesthesia, the hemorrhoidal area was dilated and īūٲ첹 Lepa was applied directly to the hemorrhoids. Follow-up involved assessing symptoms and adherence to dietary and lifestyle changes for optimal recovery.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “A unique nonsurgical management of internal hemorrhoids by īūٲ첹 Lepa�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Jimutaka:
Jimutaka, synonymous with īūٲ첹, refers to the plant used in creating therapeutic applications. Recognized for its medicinal properties, it is particularly beneficial in treating various anal diseases, including hemorrhoids. The efficacy of Jimutaka in clinical practices showcases its relevance in Ayurvedic therapies and its significance in restoring health.

2) Lepa:
Lepa is an Ayurvedic term describing a topical application or ointment. It is applied directly to affected areas for localized therapy. In treating hemorrhoids, īūٲ첹 Lepa is utilized for its topical beneficial effects, such as reducing swelling and promoting healing, highlighting the significance of localized treatments in Ayurveda.

3) Arshas (Arsa, Arsas, Arsha):
ṣa translates to hemorrhoids in Ayurveda. This condition involves swollen veins in the anal area, leading to discomfort. The understanding of ṣa is critical in traditional medicine, where its classification and treatment are essential components of holistic patient care, emphasizing the need for specific therapeutic modalities like īūٲ첹 Lepa.

4) Ayurveda (Ayus-veda):
Ayurveda is a traditional system of medicine from India, emphasizing balance between body, mind, and spirit for optimal health. It employs natural remedies, lifestyle modifications, and dietary adjustments to treat illnesses. The application of īūٲ첹 and its methodologies, such as Lepa, exemplifies the holistic approach integral to Ayurvedic practices.

5) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
Shalya-tantra refers to the Ayurvedic specialty focusing on surgical practices and interventions. This branch plays a critical role in addressing conditions requiring surgical expertise, such as advanced hemorrhoids. The integration of Shalya-tantra into Ayuvedic medicine highlights the system’s depth in providing comprehensive care through various treatment modalities.

6) Itching:
Itching is a common symptom associated with various conditions, including hemorrhoids. In Ayurveda, it corresponds with imbalances in doshas and requires management through herbal treatments and lifestyle changes. Addressing itching not only alleviates discomfort but also aids in the overall healing process, making it a focal point in treatment strategies.

7) Shri (Sri, Sr):
Shri is a respectful title used in Indian culture, often denoting auspiciousness or reverence. In the context of the article, it refers to the esteemed institution involved in the Ayurvedic studies, highlighting the cultural significance of respect and tradition in health care settings, as well as the methods adopted in the text.

8) Kaphaja:
Kaphaja signifies a type of dosha (body energy) in Ayurveda, primarily associated with water and earth elements, leading to qualities like heaviness and coolness. Conditions classified as Kaphaja, including certain types of hemorrhoids, require specific treatments to balance bodily energies, emphasizing the tailored approach of Ayurvedic medicine.

9) Kapha:
Kapha is one of the three primary doshas in Ayurveda, characterized by stability and moisture. An imbalance in Kapha can lead to various health issues, including respiratory problems and digestive disorders. Understanding Kapha is crucial for devising appropriate treatments that address underlying imbalances, as seen in the treatment of hemorrhoids.

10) Water:
Water is essential in Ayurvedic medicine, symbolizing nourishment and balance. It is involved in bodily functions and maintaining homeostasis. Hydration is emphasized in dietary recommendations to facilitate digestion and prevent conditions like hemorrhoids, underlining water's vital role in health management and therapeutic strategies in Ayurveda.

11) Edema (Oedema):
Edema refers to the abnormal accumulation of fluid in tissues, often leading to swelling. In the context of hemorrhoids, edema can exacerbate discomfort and necessitate treatment approaches that reduce inflammation. Understanding edema's role allows for effective management strategies in Ayurvedic practice targeting underlying imbalances contributing to the condition.

12) Ulcer:
An ulcer is an open sore that can occur in various parts of the body, including the anal region. In treating hemorrhoids, the presence of ulcers can complicate recovery. Ayurveda's approach to addressing ulcers typically involves topical applications and dietary modifications to promote healing and restore balance to the affected area.

13) Vagbhata:
岵ṭa is a revered figure in Ayurvedic medicine, known for his comprehensive texts on treatment practices. His works provide essential guidelines on various therapies, including those for conditions like hemorrhoids. The acknowledgment of 岵ṭa's contributions emphasizes the historical significance of Ayurvedic literature in formulating treatment protocols and methods.

14) Medicine:
Medicine encompasses the science and practice of diagnosing and treating illness. In Ayurveda, it extends beyond pharmaceuticals to include lifestyle and dietary adjustments. The integration of herbal preparations like īūٲ첹 into treatment regimens exemplifies the holistic philosophy of medicine in Ayurveda, prioritizing overall wellness and disease prevention.

15) Quality:
Quality in Ayurveda refers to the attributes of substances, particularly herbs and formulations. The quality of medicinal plants, like īūٲ첹, influences their therapeutic efficacy. Understanding the qualitative aspects of ingredients enhances treatment outcomes, emphasizing the need for high-quality materials in formulating Ayurvedic remedies.

16) Kshara (Ksara):
ṣār signifies alkalis or caustic agents in Ayurveda, mainly used for therapeutic purposes in treating specific ailments like hemorrhoids. Their application must be judicious to avoid adverse effects. Recognizing ṣār's role highlights the complexity of Ayurvedic treatments and the meticulous nature of selecting appropriate therapeutic agents for patient care.

17) Varti (Vartin):
Varti refers to medicated suppositories, commonly used in Ayurvedic treatments for local application in the anal region. They serve to deliver herbal medicines directly to the target area, enhancing the absorption and effectiveness of treatment for conditions such as hemorrhoids, illustrating the innovative methods employed in Ayurveda for localized therapy.

18) Kanji (Kamji):
Kanji is a traditional sour gruel made from fermented rice or millet, often employed in Ayurvedic treatments for its digestive benefits. As an ingredient in īūٲ첹 Lepa, Kanji plays a crucial role in enhancing the therapeutic properties of the ointment, underscoring the importance of nutritional aspects in Ayurvedic practices.

19) Agni:
Agni means fire in Sanskrit and represents digestive fire in Ayurveda, essential for transformation and metabolic processes. Proper Agni is crucial for maintaining health, as imbalances can lead to various ailments. Addressing Agni through dietary and lifestyle adjustments is key to restoring health and preventing conditions like hemorrhoids.

20) Diet:
Diet in Ayurveda involves a tailored approach to food consumption based on individual constitutions and health conditions. Specific dietary recommendations are made to promote balance among doshas, improve digestive health, and prevent disorders like hemorrhoids. The significance of diet underscores the holistic perspective of Ayurvedic practices in achieving optimal health.

21) Impaired digestion:
Impaired digestion refers to the condition where the digestive system fails to function effectively, leading to various gastrointestinal issues. In Ayurveda, it is crucial to address digestion to prevent complications like hemorrhoids. Treatment involves dietary modifications and herbs that enhance digestive fire (Agni), restoring balance and promoting overall well-being.

22) Sour gruel:
Sour gruel is a fermented food commonly consumed in Ayurveda, known for its probiotic benefits and digestive properties. It aids in enhancing gut health and is often used in treatments to promote digestion and alleviate issues like hemorrhoids. The inclusion of sour gruel in dietary regimens highlights its importance in Ayurvedic healing.

23) Triphalaguggulu (Triphala-guggulu):
հ󲹱-ܱܲ is a traditional Ayurvedic formulation combining հ󲹱 and Guggulu, utilized for its detoxifying and health-promoting properties. It aids in managing inflammation and supportive for digestive health. Its application in treating conditions like hemorrhoids exemplifies Ayurveda’s holistic approach, focusing on restoring balance within the body.

24) Cauterisation (Cauterization):
Cauterization is a surgical technique involving the application of heat or chemicals to destroy tissue, often used in treating hemorrhoids. While effective, it must be approached cautiously due to potential complications. Understanding cauterization in Ayurvedic practices showcases integration of traditional surgical techniques in managing specific medical conditions.

25) Inflammation:
Inflammation is the body's response to injury or infection, manifesting through redness, swelling, and pain. In hemorrhoids, inflammation aggravates symptoms and requires management. Ayurvedic treatments focusing on reducing inflammation play a crucial role in promoting healing, emphasizing the importance of addressing inflammatory processes in therapeutic strategies.

26) Tridoshahara (Tridosahara, Tridosha-hara):
հṣa󲹰 describes remedies that balance all three doshas (Vata, Pitta, Kapha) in Ayurveda. Treatments classified as հṣa󲹰 are essential in addressing complex conditions like hemorrhoids, as they harmonize bodily elements, enhance overall health, and facilitate healing through a holistic approach, avoiding aggravation of any single dosha.

27) Agnimandya (Agni-mandya, Agnimamdya):
ԾԻⲹ denotes impaired digestive fire in Ayurveda, often leading to a cascade of health issues like constipation and hemorrhoids. Correcting ԾԻⲹ is vital in treatment strategies, as restoring proper digestion is essential for healing and maintaining health, highlighting the systemic nature of Ayurvedic philosophy in disease management.

28) Discussion:
Discussion in the context of Ayurvedic medicine often involves analyzing treatment outcomes, methodologies, and results. It is crucial for understanding patient experiences and refining therapeutic approaches. The discussion within treatment reports helps validate techniques like īūٲ첹 Lepa application, enhancing the credibility and efficacy of Ayurvedic practices.

29) Svatantra (Sva-tantra, Svatamtra):
Svatantra translates to 'independent' in Sanskrit and represents the concept of diseases being primary, not secondary to other health issues. This recognition in Ayurveda emphasizes the need for targeted treatments for conditions like hemorrhoids, advocating for approaches that address the root causes without external influencing factors.

30) Annapana (Anna-pana):
ԲԲԲ refers to the intake of food and drink, highlighting the significance of nourishment in Ayurvedic philosophy. Proper annapāna practices are crucial for maintaining health and preventing diseases, including hemorrhoids, emphasizing the integral role of diet in Ayurveda's holistic approach to health and wellness.

31) Vibandha:
Vibandha translates to constipation in Ayurveda, often linked with other digestive issues and hemorrhoids. It represents a significant component in Ayurvedic diagnosis, necessitating dietary and lifestyle adjustments to restore regular bowel function. Correcting vibandha is vital for successful treatment outcomes in managing anal disorders.

32) Nighantu (Nighamtu):
ṇṭ is a comprehensive glossary or lexicon of Ayurvedic herbs and medicines, detailing their properties and applications. This knowledge is fundamental for practitioners in selecting appropriate treatments for specific conditions like hemorrhoids, emphasizing the importance of traditional texts and their relevance to modern therapeutic practices.

33) Gandhaka (Gamdhaka):
Gandhaka is a traditional Ayurvedic term for sulfur, utilized for its detoxifying and anti-inflammatory properties. It finds application in various treatments, including those for hemorrhoids, demonstrating the utilization of mineral-based compounds in Ayurveda. The inclusion of Gandhaka in formulations showcases Ayurveda's extensive resource use for health promotion.

34) Triphala (Tri-phala):
հ󲹱 is a classical Ayurvedic formulation made from three fruits, known for its detoxifying and digestive benefits. Its role in promoting gut health is crucial in managing conditions like hemorrhoids, highlighting the vital importance of herbal remedies within the Ayurvedic framework of comprehensive disease management.

35) Upakrama:
Upakrama refers to therapeutic approaches or interventions in Ayurveda aimed at treating specific conditions. In managing hemorrhoids, various Upakrama techniques, from dietary adjustments to topical applications like īūٲ첹 Lepa, demonstrate the versatility and adaptability of Ayurvedic practices in providing patient-centered care.

36) Rasayana (Rasa-ayana):
鲹ⲹԲ refers to rejuvenation therapies in Ayurveda aimed at promoting longevity and vitality. These practices encompass diet, herbs, and lifestyle changes, and are integral in enhancing health and well-being. 鲹ⲹԲ approaches complement treatments for chronic conditions like hemorrhoids, underpinning Ayurveda’s comprehensive methodology for holistic health.

37) Guggulu:
Guggulu is a resin used in Ayurvedic medicine, known for its anti-inflammatory and healing properties. It is often incorporated into formulations like հ󲹱-Guggulu, highlighting its significance in treating conditions associated with inflammation and digestive disturbances like hemorrhoids, illustrating the synergetic effects of herbal combinations in therapies.

38) Cikitsa:
侱쾱ٲ refers to the principles and practices of treatment in Ayurveda, representing a holistic approach to health care that includes diagnosis, intervention, and patient management. The application of 侱쾱ٲ in conditions like hemorrhoids underscores the importance of comprehensive and individualized treatment plans in promoting recovery and well-being.

39) Pungent:
Pungent refers to a strong taste or scent that can stimulate digestion and metabolism in Ayurveda. Pungent substances can be beneficial for avoiding conditions like constipation, thus preventing the proliferation of hemorrhoids. Recognizing pungent properties in diets demonstrates the role of sensory qualities in Ayurvedic medicine.

40) Science (Scientific):
Science in this context indicates the empirical and systematic study of herbal properties, treatments, and effects within Ayurveda. The integration of scientific methodologies with traditional practices enhances the credibility of treatments like īūٲ첹 Lepa, fostering a deeper understanding of how these remedies work on a physiological level.

41) Tantra (Tamtra, Tantrism):
Tantra encompasses traditional methods and practices in Ayurveda, including diagnosis, assessment, and treatment modalities. The depth of tantra signifies the multifaceted approaches within Ayurvedic medicine, illustrating the complexity of patient care that incorporates various therapeutic strategies such as those aimed at managing hemorrhoids.

42) Svapna:
Svapna means sleep in Sanskrit, essential for mental and physical well-being. Ayurveda emphasizes maintaining a balanced sleep cycle to support overall health and digestion. Disruptions in sleep can lead to various health issues, including digestive disturbances, underscoring the interplay between sleep and bodily functions in Ayurvedic health.

43) Vyadhin (Vyadhi):
ղ is a Sanskrit term for disease or disorder. In Ayurveda, identifying the type of ղ is crucial for developing tailored treatment strategies. The focus on analyzing different ղ forms, such as hemorrhoids, emphasizes the imperative of individualized care and the holistic approach inherent to Ayurveda.

44) Shalya (Salya):
Shalya, in Ayurveda, refers to surgical instruments or practices. It is an essential aspect of the Shalyatantra branch of Ayurveda, which encompasses not only surgical procedures but also other therapeutic interventions. Understanding Shalya is vital for practitioners when considering surgical options in patient management.

45) Tikshna (Tiksna):
īṣṇ refers to sharpness or potency in Ayurvedic terminology, often associated with certain herbs or treatments. Substances classified as īṣṇ can have strong therapeutic effects, particularly in treating conditions such as hemorrhoids. The recognition of īṣṇ properties underscores the nuanced understanding of therapeutic agents in Ayurvedic pharmacology.

46) Cancer:
Cancer is a complex, multifactorial disease characterized by uncontrolled cell growth. Its treatment in Ayurveda involves comprehensive strategies addressing underlying factors through diet, lifestyle modifications, and specific herbal treatments. The holistic approach reflects Ayurveda's adaptability in addressing modern health challenges while integrating traditional healing practices.

47) Bitter:
Bitter tastes in Ayurveda are associated with detoxification and digestive health. Bitter herbs stimulate digestive enzymes, promoting better absorption and elimination, critical for preventing conditions like hemorrhoids. Recognizing the role of bitter flavors in dietary recommendations illustrates the significance of taste in Ayurvedic healing protocols.

48) Dosha (Dosa):
ٴṣa is a critical concept in Ayurveda, representing the three fundamental energies (Vata, Pitta, Kapha) that govern bodily functions. The balance of doṣas is essential for health; imbalances lead to disease conditions. Management approaches often focus on restoring balance among doṣas, crucial when treating disorders like hemorrhoids.

49) Pitta:
Pitta is one of the three doshas in Ayurveda, associated with heat, digestion, and metabolism. Imbalances in Pitta can lead to inflammatory conditions and digestive issues. Recognizing Pitta’s role in various ailments emphasizes the need for individualized treatments aimed at restoring this dosha’s balance to achieve health.

50) Ruksha (Ruksa):
ūṣa translates to dryness in Ayurveda and refers to qualities of certain herbs or foods that can absorb moisture and reduce excess fluids. This quality is particularly relevant in managing conditions like hemorrhoids, where moisture control is essential. The ūṣa attributes contribute to Ayurvedic practitioners' understanding of balance in treatments.

51) Virya:
īⲹ signifies the potency or strength of a substance in Ayurveda, influencing its therapeutic effects. Understanding īⲹ is essential for practitioners to assess which herbs or formulations to use for various conditions, including hemorrhoids, as it determines the appropriateness and effectiveness of treatments based on individual patient needs.

52) Laghu:
Laghu means light or easily digestible in Ayurveda. It refers to foods that promote easy digestion and absorption, essential for maintaining overall health. Implementing Laghu principles in dietary practices helps prevent digestive issues like hemorrhoids, illustrating the significance of food properties in Ayurvedic dietary recommendations.

53) Drava:
Drava refers to a liquid or fluid substance in Ayurveda that can relate to various medicinal formulations. The characteristic of Drava is vital in understanding the application of liquids in treatment processes. Liquid forms may enhance the absorption and efficacy of active ingredients in herbal medications.

54) Dhupa:
ٳū貹 signifies fumigation or the use of medicinal smoke in Ayurveda to cleanse and purify spaces or enhance therapeutic effects. It is sometimes applied in adjunct therapies for certain conditions. The utilization of ٳū貹 techniques illustrates the holistic nature of Ayurveda, integrating various sensory modalities into healing practices.

55) Tikta:
Tikta translates to bitter in Ayurveda, encompassing a taste profile linked to detoxifying and purifying effects. Bitter substances promote digestive health and are crucial in various formulations aimed at alleviating conditions such as hemorrhoids. The role of Tikta underscores the importance of taste in Ayurvedic therapeutics.

56) Blood:
Blood in Ayurveda represents life energy and vitality, involved in various physiological processes. Healthy blood circulation is essential for overall health. In treating conditions like hemorrhoids, maintaining optimal blood flow is crucial for healing and preventing complications, emphasizing the integral role of blood in Ayurvedic practices.

57) Guru:
Guru means heavy in Ayurvedic terminology, describing foods or substances that are hard to digest. Foods classified as Guru can lead to digestive disturbances and conditions like hemorrhoids. Recognizing Guru qualities helps practitioners recommend dietary adjustments to maintain digestive health and prevent complications related to heavy foods.

58) Taka:
Taka may refer to certain types of therapeutic applications in Ayurveda or treatments. Its specific function or relevance may vary, but it generally emphasizes the significance of targeted therapies within Ayurvedic treatments. Details regarding Taka would depend on its contextual usage within specific Ayurvedic practices.

59) Katu:
ṭu indicates a pungent taste in Ayurveda, playing a role in stimulating digestion and enhancing metabolism. Ingredients classified as ṭu can aid in preventing constipation and associated disorders like hemorrhoids. Recognizing the importance of ṭu enhances dietary recommendations aimed at restoring digestive balance in patients.

60) Ushna (Usna):
ṣṇ signifies heat in Ayurvedic terms and is associated with certain properties that stimulate digestion and metabolism. Utilizing ṣṇ components in treatments can be beneficial for correcting digestive disorders and enhancing overall bodily functions. Understanding ṣṇ factors into holistic treatment plans within Ayurveda for various health concerns.

61) Sour:
Sour taste in Ayurveda is associated with stimulating digestion and enhancing metabolic processes. Sour foods can aid in balancing doshas and are often recommended as part of a healthy diet. Understanding the role of sour flavors helps practitioners formulate effective dietary recommendations to support digestive health.

62) Drug:
Drug represents active compounds used for therapeutic purposes, including herbal and mineral formulations in Ayurveda. The careful selection and application of drugs are central to Ayurvedic practices, emphasizing the importance of considering both efficacy and safety in providing holistic patient care, particularly in conditions like hemorrhoids.

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Discover the significance of concepts within the article: �A unique nonsurgical management of internal hemorrhoids by Jimutaka Lepa�. Further sources in the context of Science might help you critically compare this page with similair documents:

Madhura, Anuloma, Agnimandya, Gandhakarasayana, Triphalaguggulu, Sedentary life, Internal hemorrhoid, Proctoscopic examination, Diet and lifestyle regimen, Proctoscope, Manual anal dilatation, Kaphaja Arsha, Intero-external hemorrhoids.

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