{"id":29,"date":"2023-11-24T06:56:13","date_gmt":"2023-11-24T06:56:13","guid":{"rendered":"https:\/\/doctorpile.com\/newsite.doctorpile.com\/?page_id=29"},"modified":"2025-12-05T05:58:19","modified_gmt":"2025-12-05T05:58:19","slug":"kshara-karma","status":"publish","type":"page","link":"https:\/\/doctorpile.com\/mr\/kshara-karma\/","title":{"rendered":"\u0915\u094d\u0937\u093e\u0930\u0915\u0930\u094d\u092e"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"29\" class=\"elementor elementor-29\">\n\t\t\t\t<div class=\"elementor-element elementor-element-390c232e e-flex e-con-boxed e-con e-parent\" data-id=\"390c232e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-50c3eff5 elementor-widget elementor-widget-heading\" data-id=\"50c3eff5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">KSHARKARMA THERAPY (CAUSTIC THERAPY)\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5bda7b35 e-flex e-con-boxed e-con e-parent\" data-id=\"5bda7b35\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-585b01d e-con-full e-flex e-con e-child\" data-id=\"585b01d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4cfea07b elementor-widget elementor-widget-heading\" data-id=\"4cfea07b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Introduction<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-64f1d9f7 elementor-widget elementor-widget-text-editor\" data-id=\"64f1d9f7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Kshara is an alkaline, caustic substance derived from the ashes of medicinal plants. It represents a gentler alternative to both surgery and thermal cautery. Standing out as the foremost among sharp and subsidiary instruments, Kshara excels in performing excisions, incisions, and scrapings. Its versatility shines through, as it can effectively address challenging locations that may be difficult to approach through conventional means. Kshara Karma serves as a valuable substitute for surgical instruments, offering a safe option for patients averse to surgery due to its ease of performance, cost-effectiveness, absence of complications, proven efficacy over time, and the convenience of not requiring hospital admission.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7b5f9b45 elementor-widget elementor-widget-heading\" data-id=\"7b5f9b45\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Classification\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-25801053 elementor-widget elementor-widget-text-editor\" data-id=\"25801053\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">On the basis of Administration \u2013<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pratisaaraneeya Kshara \u2013 External application<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Paneeya Kshara &#8211; Internal administration<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">On the basis of Concentration \u2013 Mild, Moderate and High<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-60ed3c31 e-con-full e-flex e-con e-child\" data-id=\"60ed3c31\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4b8fa57 elementor-widget elementor-widget-image\" data-id=\"4b8fa57\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"853\" height=\"1024\" src=\"https:\/\/doctorpile.com\/wp-content\/uploads\/2023\/11\/ksharkarma-853x1024.jpg\" class=\"attachment-large size-large wp-image-465\" alt=\"\" srcset=\"https:\/\/doctorpile.com\/wp-content\/uploads\/2023\/11\/ksharkarma-853x1024.jpg 853w, https:\/\/doctorpile.com\/wp-content\/uploads\/2023\/11\/ksharkarma-250x300.jpg 250w, https:\/\/doctorpile.com\/wp-content\/uploads\/2023\/11\/ksharkarma-768x922.jpg 768w, https:\/\/doctorpile.com\/wp-content\/uploads\/2023\/11\/ksharkarma.jpg 1000w\" sizes=\"(max-width: 853px) 100vw, 853px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a78c158 e-flex e-con-boxed e-con e-parent\" data-id=\"a78c158\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1ea3d66 elementor-widget elementor-widget-heading\" data-id=\"1ea3d66\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Preparation\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e53ffb3 e-flex e-con-boxed e-con e-parent\" data-id=\"e53ffb3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-9aac73a e-con-full e-flex e-con e-child\" data-id=\"9aac73a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f06b453 elementor-widget elementor-widget-text-editor\" data-id=\"f06b453\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Gather 5 kilograms of the entire plants of Apamarga (Achyranthes aspera), Palash, Kutaj, Aragwadh, Arka, Snuhi, Patala, Chitrak, Karveer, Saptaparna, Agnimanth, Ashwakarna, Tilvak, Paribhadra, Kadali, Nimb (Azadirakta indica), etc., dry them, and then burn them. Collect 500 grams of the resulting ash and mix it with approximately 3 liters of water, filtering the mixture 21 times.<\/span><\/p><p><span style=\"font-weight: 400;\">The resulting filtrate is clear, resembling the color of cow&#8217;s urine. It is then heated gently until the liquid reduces to one-third of its original quantity, creating what is known as Mridu or mild concentrate Kshara. Next, introduce 50 grams of red-hot Shukti (Limestone) to the filtrate, stirring continuously until it evaporates again to one-third of its original volume. This stage is termed Madhyama or moderate Kshara.<\/span><\/p><p><span style=\"font-weight: 400;\">Further heating is done by adding 5 grams of Chitraka moola Kalka (Plumbago gelanica). This process yields a thick solution, referred to as Pratisaraneeya Teekshana or highly concentrated Kshara. Collect this solution and store it in an airtight container.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2bb648a e-con-full e-flex e-con e-child\" data-id=\"2bb648a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-67ba105 elementor-widget elementor-widget-video\" data-id=\"67ba105\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/youtu.be\\\/1Vi81AVkJJ0&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ddb7386 e-flex e-con-boxed e-con e-parent\" data-id=\"ddb7386\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-a8f8071 e-con-full e-flex e-con e-child\" data-id=\"a8f8071\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-58a0464 elementor-widget elementor-widget-heading\" data-id=\"58a0464\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Microscopy features of prepared Kshara\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ae65872 elementor-widget elementor-widget-text-editor\" data-id=\"ae65872\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Fibrous and sclereidal tissues, along with polygonal crystals of varying sizes, were uncovered through the examination. After decanting the supernatant liquid, the Kshara paste exhibited loss on drying. The Kshara powder, devoid of moisture, was analyzed for total ash and acid insoluble ash. Additionally, the pH of the supernatant liquid was measured and found to be 13.3.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f9acbf1 e-con-full e-flex e-con e-child\" data-id=\"f9acbf1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-093e938 elementor-widget elementor-widget-heading\" data-id=\"093e938\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Indications\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-176dcd5 elementor-widget elementor-widget-text-editor\" data-id=\"176dcd5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Following are the possibilities behind the development of hemorrhoids.<\/span><\/p><p><b>Paneeya Kshara \u2013<\/b><span style=\"font-weight: 400;\"> Mild concentrate Kshara is used internally in worms, indigestion, urinary calculus, skin diseases, obesity etc.<\/span><\/p><p><b>Pratisaraneeya Kshara \u2013<\/b><span style=\"font-weight: 400;\"> Highly concentrate Kshara is used in internal haemorrhoids ( Piles) , after fistulectomy, rectal prolapse, after excision of pilonidal sinus, after incision and drainage of anorectal abscess, infected wounds , fissures etc<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-db8a788 elementor-hidden-tablet elementor-hidden-mobile e-flex e-con-boxed e-con e-parent\" data-id=\"db8a788\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-65d575f elementor-tabs-view-vertical elementor-widget elementor-widget-tabs\" data-id=\"65d575f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-tabs\">\n\t\t\t<div class=\"elementor-tabs-wrapper\" role=\"tablist\" >\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1061\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-1061\" aria-expanded=\"false\">Application of Kshara in Internal haemorrhoids \/ Pile <\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1062\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1062\" aria-expanded=\"false\">Mode of Action of Kshara in Internal piles<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1063\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"3\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1063\" aria-expanded=\"false\">Application of Kshara in after fistulectomy in Fistula-in-ano<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1064\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"4\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1064\" aria-expanded=\"false\">Application of Kshara in Rectal Prolapse<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1065\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"5\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1065\" aria-expanded=\"false\">Application of Kshara in Pilonidal Sinus<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"elementor-tabs-content-wrapper\" role=\"tablist\" aria-orientation=\"vertical\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-1061\" aria-expanded=\"false\">Application of Kshara in Internal haemorrhoids \/ Pile <\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1061\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1061\" tabindex=\"0\" hidden=\"false\"><p><span style=\"font-weight: 400;\">The patient undergoes local or spinal anesthesia before the introduction of a lubricated slit proctoscope into the anus. Kshara is then applied over the internal pile mass and left for 2 minutes or until the pile mass adopts a reddish-black color (Pakwa Jambu Phala Varna). Following this, the pile mass is cleansed with lemon juice to neutralize the Kshara after the effective burning of piles. This procedure is replicated for other piles as well. Subsequently, a rectal pack containing Yashtimadhu taila or ghrita is applied.<\/span><\/p><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1062\" aria-expanded=\"false\">Mode of Action of Kshara in Internal piles<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1062\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1062\" tabindex=\"0\" hidden=\"hidden\"><p><span style=\"font-weight: 400;\">Histopathological examination of slough material in blackish brown discharge reveals the presence of necrosed haemorrhoidal tissue.<\/span><\/p><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"3\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1063\" aria-expanded=\"false\">Application of Kshara in after fistulectomy in Fistula-in-ano<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1063\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1063\" tabindex=\"0\" hidden=\"hidden\"><p><span style=\"font-weight: 400;\">For small, low anal fistulas, the initial step involves excising the fistula tract, followed by the application of Kshara. This approach promotes swift healing and helps prevent the recurrence of the fistula tract. In cases of high-level fistulas, a partial excision of the fistulous tract is performed, followed by the application of Kshara. Subsequently, Kshara Sutra is employed in the remaining portion of the fistulous tract situated in the anal sphincter area.<\/span><\/p><p><span style=\"font-weight: 400;\">The excised fistulous tract undergoes complete healing with the aid of Kshara, while the remaining portion is managed through Kshara Sutra ligation. This comprehensive technique aims to expedite the patient&#8217;s recovery with minimal discomfort. After excising the fistulous tract and applying Kshara, the fibrous tissue undergoes debridement, and the remaining wound benefits from the scraping and healing properties of Kshara. Simultaneously, Kshara Sutra ligation at the sphincteric area of the fistulous tract achieves cutting, debridement, and drainage, all while preserving the continence of the anal canal.<\/span><\/p><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"4\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1064\" aria-expanded=\"false\">Application of Kshara in Rectal Prolapse<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1064\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1064\" tabindex=\"0\" hidden=\"hidden\"><p><span style=\"font-weight: 400;\">Kshara is administered to the entire healthy mucosa around the lowermost part of the anal canal until proper burning of the mucosa is achieved. Subsequently, a rectal pack containing medicated ghrita is applied. Following the application of Kshara in cases of rectal prolapse, the burnt area undergoes healing, resulting in the fibrosis and narrowing of the anal canal. This, in turn, leads to the complete cessation of rectal prolapse.<\/span><\/p><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"5\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1065\" aria-expanded=\"false\">Application of Kshara in Pilonidal Sinus<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1065\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1065\" tabindex=\"0\" hidden=\"hidden\"><p><span style=\"font-weight: 400;\">Following the excision of the Pilonidal sinus, the application of Kshara on the wound proves beneficial. This application aids in the healing process after the removal of the Pilonidal Sinus by scraping the pits in the surrounding tissue, preventing the development of unhealthy granulation tissue and promoting the healing of the wound from its base.<\/span><\/p><\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b745d44 elementor-hidden-desktop e-flex e-con-boxed e-con e-parent\" data-id=\"b745d44\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b8c98b5 elementor-tabs-view-vertical elementor-widget elementor-widget-tabs\" data-id=\"b8c98b5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-tabs\">\n\t\t\t<div class=\"elementor-tabs-wrapper\" role=\"tablist\" >\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1931\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-1931\" aria-expanded=\"false\">Application of Kshara in Internal haemorrhoids \/ Pile <\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1932\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1932\" aria-expanded=\"false\">Mode of Action of Kshara in Internal piles<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1933\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"3\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1933\" aria-expanded=\"false\">Application of Kshara in after fistulectomy in Fistula-in-ano<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1934\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"4\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1934\" aria-expanded=\"false\">Application of Kshara in Rectal Prolapse<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1935\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"5\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1935\" aria-expanded=\"false\">Application of Kshara in Pilonidal Sinus<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"elementor-tabs-content-wrapper\" role=\"tablist\" aria-orientation=\"vertical\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-1931\" aria-expanded=\"false\">Application of Kshara in Internal haemorrhoids \/ Pile <\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1931\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1931\" tabindex=\"0\" hidden=\"false\"><p><span style=\"font-weight: 400;\">The patient undergoes local or spinal anesthesia before the introduction of a lubricated slit proctoscope into the anus. Kshara is then applied over the internal pile mass and left for 2 minutes or until the pile mass adopts a reddish-black color (Pakwa Jambu Phala Varna). Following this, the pile mass is cleansed with lemon juice to neutralize the Kshara after the effective burning of piles. This procedure is replicated for other piles as well. Subsequently, a rectal pack containing Yashtimadhu taila or ghrita is applied.<\/span><\/p><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1932\" aria-expanded=\"false\">Mode of Action of Kshara in Internal piles<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1932\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1932\" tabindex=\"0\" hidden=\"hidden\"><p><span style=\"font-weight: 400;\">Histopathological examination of slough material in blackish brown discharge reveals the presence of necrosed haemorrhoidal tissue.<\/span><\/p><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"3\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1933\" aria-expanded=\"false\">Application of Kshara in after fistulectomy in Fistula-in-ano<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1933\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1933\" tabindex=\"0\" hidden=\"hidden\"><p><span style=\"font-weight: 400;\">For small, low anal fistulas, the initial step involves excising the fistula tract, followed by the application of Kshara. This approach promotes swift healing and helps prevent the recurrence of the fistula tract. In cases of high-level fistulas, a partial excision of the fistulous tract is performed, followed by the application of Kshara. Subsequently, Kshara Sutra is employed in the remaining portion of the fistulous tract situated in the anal sphincter area.<\/span><\/p><p><span style=\"font-weight: 400;\">The excised fistulous tract undergoes complete healing with the aid of Kshara, while the remaining portion is managed through Kshara Sutra ligation. This comprehensive technique aims to expedite the patient&#8217;s recovery with minimal discomfort. After excising the fistulous tract and applying Kshara, the fibrous tissue undergoes debridement, and the remaining wound benefits from the scraping and healing properties of Kshara. Simultaneously, Kshara Sutra ligation at the sphincteric area of the fistulous tract achieves cutting, debridement, and drainage, all while preserving the continence of the anal canal.<\/span><\/p><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"4\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1934\" aria-expanded=\"false\">Application of Kshara in Rectal Prolapse<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1934\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1934\" tabindex=\"0\" hidden=\"hidden\"><p><span style=\"font-weight: 400;\">Kshara is administered to the entire healthy mucosa around the lowermost part of the anal canal until proper burning of the mucosa is achieved. Subsequently, a rectal pack containing medicated ghrita is applied. Following the application of Kshara in cases of rectal prolapse, the burnt area undergoes healing, resulting in the fibrosis and narrowing of the anal canal. This, in turn, leads to the complete cessation of rectal prolapse.<\/span><\/p><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"5\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1935\" aria-expanded=\"false\">Application of Kshara in Pilonidal Sinus<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1935\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1935\" tabindex=\"0\" hidden=\"hidden\"><p><span style=\"font-weight: 400;\">Following the excision of the Pilonidal sinus, the application of Kshara on the wound proves beneficial. This application aids in the healing process after the removal of the Pilonidal Sinus by scraping the pits in the surrounding tissue, preventing the development of unhealthy granulation tissue and promoting the healing of the wound from its base.<\/span><\/p><\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9538bfc e-flex e-con-boxed e-con e-parent\" data-id=\"9538bfc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a51a5b0 elementor-widget elementor-widget-heading\" data-id=\"a51a5b0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Advantages of Kshara Therapy\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-87b5a92 elementor-widget elementor-widget-text-editor\" data-id=\"87b5a92\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Postoperative pain is mild in intensity<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fast recovery<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">No bleeding\/ minimal bleeding<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Minimum hospitalization \u2013 one day care<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Routine activity can start earlier<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">No wound<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Less follow up<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">No scope for recurrencey<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Systemic diseases are also undergoing this procedure.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">No scope for recurrencey<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">No surgical complications like incontinence, stenosis and stricture.<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-050846d e-flex e-con-boxed e-con e-parent\" data-id=\"050846d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a8ff458 elementor-widget elementor-widget-heading\" data-id=\"a8ff458\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><br><br>KSHARASUTRA THERAPY (MEDICATED CAUSTIC THREAD)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-95ad4cf e-flex e-con-boxed e-con e-parent\" data-id=\"95ad4cf\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-193be02 e-con-full e-flex e-con e-child\" data-id=\"193be02\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3bcd9eb elementor-widget elementor-widget-heading\" data-id=\"3bcd9eb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Introduction<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f08638d elementor-widget elementor-widget-text-editor\" data-id=\"f08638d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Ksharasutra therapy, a minimally invasive and well-established Ayurvedic approach, is a proven method for managing Anorectal disorders. This safe, reliable, and cost-effective treatment is particularly effective for conditions such as fistula-in-ano, hemorrhoids, and other sinus diseases.<\/span><\/p><p><span style=\"font-weight: 400;\">While the ancient Ayurvedic texts of Sushruta, Charak, and Vagbhata originally described this therapy, its effectiveness was reaffirmed by the Department of Shalya Tantra at Banaras Hindu University. Subsequently, scientific organizations like WHO, AAYUSH Ministry Govt. of India, CCRAS and ICMR further validated its efficacy. This technique is now widely practiced not only in our country but also in various other nations.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cb5a620 elementor-widget elementor-widget-heading\" data-id=\"cb5a620\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Preparation of Ksharasutra<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e06877b elementor-widget elementor-widget-text-editor\" data-id=\"e06877b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">The Standard Ksharasutra undergoes a preparation process involving 11 coatings of Snuhi latex (Euphorbia nerifolia), followed by 7 coatings of Snuhi latex and Apamarga Kshara (Achyranthes aspera), and finally, the last 3 coatings consist of Snuhi latex and Haridra Churna (Curcuma longum). The pH level of Apamarga Ksharasutra is recorded at 9.72.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-328b9a3 e-con-full e-flex e-con e-child\" data-id=\"328b9a3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ee3482e elementor-widget elementor-widget-image\" data-id=\"ee3482e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"599\" src=\"https:\/\/doctorpile.com\/wp-content\/uploads\/2023\/11\/shark-karma-1024x599.jpg\" class=\"attachment-large size-large wp-image-555\" alt=\"\" srcset=\"https:\/\/doctorpile.com\/wp-content\/uploads\/2023\/11\/shark-karma-1024x599.jpg 1024w, https:\/\/doctorpile.com\/wp-content\/uploads\/2023\/11\/shark-karma-300x176.jpg 300w, https:\/\/doctorpile.com\/wp-content\/uploads\/2023\/11\/shark-karma-768x449.jpg 768w, https:\/\/doctorpile.com\/wp-content\/uploads\/2023\/11\/shark-karma.jpg 1350w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-259574f elementor-widget elementor-widget-video\" data-id=\"259574f\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/youtu.be\\\/IjAi5rLqsPU&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f0d7088 e-flex e-con-boxed e-con e-parent\" data-id=\"f0d7088\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-77b875b elementor-widget__width-initial elementor-widget elementor-widget-video\" data-id=\"77b875b\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/youtu.be\\\/42hEndyIz08?si=-Bgzfbxn0mXhrPst&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c1ac0e1 e-flex e-con-boxed e-con e-parent\" data-id=\"c1ac0e1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5a3ca64 elementor-widget elementor-widget-heading\" data-id=\"5a3ca64\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Indications \n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f23798d elementor-widget elementor-widget-text-editor\" data-id=\"f23798d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Fistula-in-ano, hemorrhoids, pilonidal sinus, rectal or anal polyps etc.\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-59c3d17 e-flex e-con-boxed e-con e-parent\" data-id=\"59c3d17\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-5d986a2 e-con-full e-flex e-con e-child\" data-id=\"5d986a2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-22aa8a4 elementor-widget elementor-widget-heading\" data-id=\"22aa8a4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Application of Ksharasutra in Fistula-in-ano\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4bc6aa6 elementor-widget elementor-widget-text-editor\" data-id=\"4bc6aa6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Following the administration of local, spinal, or general anesthesia, the patient undergoes a procedure wherein a flexible probe is inserted through the external opening of the fistula, traversing to the internal opening in the anal canal. Subsequently, the probe is gently guided out through the anal opening, carrying with it a Ksharasutra positioned within the probe&#8217;s groove. The two ends of the Ksharasutra are then securely tied together. After a week, the Ksharasutra is replaced with a new one. Over time, the Ksharasutra gradually cuts and promotes healing of the fistulous tract. Ultimately, the entire fistulous tract heals following the cutting process.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c8eea74 e-con-full e-flex e-con e-child\" data-id=\"c8eea74\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-03ddfd0 elementor-widget elementor-widget-heading\" data-id=\"03ddfd0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Mechanism of action of Ksharasutra in Fistula-in-ano<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a14bb4d elementor-widget elementor-widget-text-editor\" data-id=\"a14bb4d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">It helps is cutting, curetting, draining and healing of the fistulous track.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">It destroys and removes unhealthy tissue and promotes healing of the fistulous track due to caustic action.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Controls infection by the microbicidal action<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Separation of debris and cleaning the wound<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Facilitate in drainage of pus in fistulous tract and help in healing.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cutting through the tissues and laying the track open.<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d5627c9 e-flex e-con-boxed e-con e-parent\" data-id=\"d5627c9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-eb17400 e-con-full e-flex e-con e-child\" data-id=\"eb17400\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-17f5e05 elementor-widget elementor-widget-heading\" data-id=\"17f5e05\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Application of Ksharasutra in Haemorrhoids<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f253181 elementor-widget elementor-widget-text-editor\" data-id=\"f253181\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">The patient is administered local anesthesia for numbing. Initially, the pile mass is gripped using pile-holding forceps and gently brought out of the anal orifice. Subsequently, an incision is made at the mucocutaneous junction. A gentle pull is applied to the pile mass, followed by transfixing it at the base using Ksharasutra. The ligated pile mass is then carefully repositioned inside the rectum, and a rectal pack is applied using Yastimadhu taila or ghrita.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ff74c43 e-con-full e-flex e-con e-child\" data-id=\"ff74c43\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c6b9eb9 elementor-widget elementor-widget-heading\" data-id=\"c6b9eb9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Mechanism of action of Ksharasutra in Haemorrhoids<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4c60ace elementor-widget elementor-widget-text-editor\" data-id=\"4c60ace\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chemical cauterization and mechanical strangulation of the blood vessel.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Local gangrene of the pile mass tissue.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ischemic necrosis and debridement of unhealthy tissue.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sloughing of the mass within 5-7 days.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Healing of the resulting wound takes 10-15 days.<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1d18e45 e-flex e-con-boxed e-con e-parent\" data-id=\"1d18e45\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5641346 elementor-widget elementor-widget-heading\" data-id=\"5641346\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Application of Ksharasutra in Pilonidal Sinus <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e16c06 elementor-widget elementor-widget-text-editor\" data-id=\"7e16c06\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Local anesthesia is administered to anesthetize the patient, following which a flexible probe containing Ksharasutra is inserted through the external opening of the pilonidal sinus to the skin. Subsequently, both ends of the Ksharasutra are securely tied together. After a week, the Ksharasutra is replaced with a new one. Over time, the Ksharasutra delicately cuts through the sinus tract, facilitating healing.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6767189 elementor-widget elementor-widget-heading\" data-id=\"6767189\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Advantages of Ksharasutra Therapy<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a7faef7 elementor-widget elementor-widget-text-editor\" data-id=\"a7faef7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Simple and safe parasurgical procedure.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cost-effective and ambulatory.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Minimal recurrence rate.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">No any complications<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Systemic diseases are also undergoing this procedure.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">No surgical complications like incontinence, stenosis and stricture.<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5e06e68 e-flex e-con-boxed e-con e-parent\" data-id=\"5e06e68\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ac7b119 elementor-widget elementor-widget-heading\" data-id=\"ac7b119\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Book Your Appointment<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c4d7033 e-flex e-con-boxed e-con e-parent\" data-id=\"c4d7033\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-d6b874d e-con-full e-flex e-con e-child\" data-id=\"d6b874d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3335bb3 elementor-widget elementor-widget-shortcode\" data-id=\"3335bb3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class='fluentform ff-default fluentform_wrapper_3 ffs_default_wrap'><form data-form_id=\"3\" id=\"fluentform_3\" class=\"frm-fluent-form fluent_form_3 ff-el-form-top ff_form_instance_3_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_3_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">kamthe piles clinic main<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='29' \/><input type=\"hidden\" id=\"_fluentform_3_fluentformnonce\" name=\"_fluentform_3_fluentformnonce\" value=\"459ce84cc9\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/mr\/wp-json\/wp\/v2\/pages\/29\" \/><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_names_first_name_' id='label_ff_3_names_first_name_' >Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_3_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text' id='label_ff_3_input_text' aria-label=\"Phone\/Mobile No\">Phone\/Mobile No<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" id=\"ff_3_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_email' id='label_ff_3_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_3_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_datetime' id='label_ff_3_datetime' aria-label=\"Date \/ Time\">Date \/ Time<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Date \/ Time Use arrow keys to navigate dates. 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It represents a gentler alternative to both surgery and thermal cautery. Standing out as the foremost among sharp and subsidiary instruments, Kshara excels in performing excisions, incisions, and scrapings. Its versatility shines through, as it can effectively [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-29","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Kshara Karma - Dr. Kamathe Piles Hospital<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/doctorpile.com\/mr\/kshara-karma\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kshara Karma - Dr. Kamathe Piles Hospital\" \/>\n<meta property=\"og:description\" content=\"KSHARKARMA THERAPY (CAUSTIC THERAPY) Introduction Kshara is an alkaline, caustic substance derived from the ashes of medicinal plants. It represents a gentler alternative to both surgery and thermal cautery. Standing out as the foremost among sharp and subsidiary instruments, Kshara excels in performing excisions, incisions, and scrapings. 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