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VOL. 6, ISSUE 2 (2021)
Effect of Yashtimadhu Ghrita Gudapurana on post operative pain management in patients of haemorrhoids and fissure-in-ano with special reference to Shastranipataja Vedana: A conceptual study
Authors
Sanjay Bhise, Sheetal AS, Yogesh Badwe, Jyoti Shinde
Abstract
Modern medical Science has offered many surgical procedures like open and closed haemorrhoidectomy, anal dilatation, Sphincterotomy etc for haemorrhoides and fissure in ano. These operative procedures are associated with unavoidable sequel of symptoms like Pain, Discharge and Inflammation etc. Role of analgesia is vital in the treatment of post-operative pain. The mode of analgesia depends on degree or level of pain which is a subjective criteria. Analgesics routinely used are NSAIDs, opioids and corticosteroids and side effects includes like Gastritis, Gastrointestinal bleeding etc. Hence, Analgesia has to be supplemented with Antacids or H2 Receptor Agonists. This is common story of post-operative patients. The modified release of trial drug at this level can be achieved by instillation of medicated ghee with Glycyrrhiza Glabra (Yashtimadhu Ghrita) through anus which can be referred as “Gudapurana’’ in “Shastranipataj Vedana” in surgical wounds of Arsha and Parikartika mentioned by Acharya Sushruta. It will be a prospective conceptual study, comprising of total 102 Postoperative patients of haemorrhoids and fissure in ano, randomly allocated into two groups (52 in each group). In Group A (n = 52), local application of Yashtimadhu Ghrita twice a day after sitz bath for 5 days will be given. In Group B (n = 52), local application of lignocaine ointment twice a day after sitz bath for 5 days will be given along with 5 gram triphala churna at bed time. A standard case record form will be used for data collection which will also be elaborating the minimalised requirement of modern analgesics in the trial group. After completion of trial, collected data will be subjected to statistical tests like paired t test, chi square test and p value will be calculated at 0.0001 level of significance. Thus effect size will be calculated In this way an Ayurveda base analgesia as an alternative to modern analgesics can be established at the end of the clinical trial.
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Pages:657-660
How to cite this article:
Sanjay Bhise, Sheetal AS, Yogesh Badwe, Jyoti Shinde "Effect of Yashtimadhu Ghrita Gudapurana on post operative pain management in patients of haemorrhoids and fissure-in-ano with special reference to Shastranipataja Vedana: A conceptual study ". International Journal of Botany Studies, Vol 6, Issue 2, 2021, Pages 657-660
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