Abstract

In Ayurveda, all para-surgical procedures are famed due to their clinical evident approaches. The para surgical procedures mainly described are Ksharakarma, Agnikarma and different kinds of Raktamokshana. Among them, Kshara is claimed to be very superior by Acharya Sushruta due to its indigenous properties. It is also being used since era in various kind of surgical and non-surgical disease conditions in general and perianal diseases in particulars. Local application of Kshara (alkali) mentioned as Pratisaraniya Kshara by Acharya with its usage as local application is to be in defined time limit. This exact time is Vakashatmatra as mentioned in classics. But it is not confirmed what exact time in the seconds or minute as per present era. Now a day, most of surgeons make interpretation as a one second as a one vaka-matra. But definitive references for this interpretation is not available till date. So, this short communication will be helpful for analysis of time given for Kshara-Pratisaran and will define “Vakshatmatra” as per recent time unit i.e. in seconds or in minutes.

• 1.   Thakral KK, editor. Sushruta Samhita, Sutra Sthana 11/11. 1sted. Varanasi: Chaukhambha Orientalia. 2014:108.
• 2.   Shrestha M, Harisha CR, Dudhamal TS, Kanakhara R. Comparative pharmacognostical analysis through quantitative micrometry and analytical study on Mridu and Tikshna Apamarga Kshara. Ayu. 2018;39(3):159-164. doi:10.4103/ayu.AYU_59_18.
• 3.   Thakral KK, editor. Sushruta Samhita, Sutra Sthana 11/18. 1st ed. Varanasi: Chaukhambha Orientalia. 2014:114.
• 4.   Thakral KK, editor. Sushruta Samhita, Sutra Sthana 11/18. 1sted. Varanasi: Chaukhambha Orientalia. 2014:114.
• 5.   Tripathi BN, editor. Astang Hrdayam, Sutra Sthana 30/27, 28. Reprinted. Delhi: Chaukhambha Sanskrit Pratishthan. 2017: 331.
• 6.   Thakral KK, editor. Sushruta Samhita, Sutra Sthana 6/5. 1st ed. Varanasi: ChaukhambhaOrientalia. 2014: 62.
• 7.   Thakral KK, editor. Sushruta, Sushruta Samhita. Sutra sthana 11/18; Nibandhasamgraha commentary by Dalhana. 1st ed. Varanasi: Chaukhamba Orientalia; 2014: 114/115.
• 8.   Paliwal A, Vaidya U, Asutkar V. A Comparative Clinical Study of Kadali Kshar Pratisaran and Inj. Setrol in the management of Abhyantar Arsha W.S.R. To Internal Haemorrhoids. International Journal of Scientific Research. November–2019. Volume-8, Issue-11.
• 9.   T. S. Dudhamal, S. K. Gupta, Chaturbhuja Bhuyan, Kulwant Singh. Clinical study of Kutaja and Palasha Kshara in the management of arsha. Indian Journal of Ancient Medicine and Yoga. April - June 2009; Vol. 2 No. 2.
• 10.   Sudarmi, K., & Dudhamal, T. S. (2017). Efficacy of Kshara Application in post Fistulectomy Hypergranulation- A case Study. Ayurline: International Journal of Research in Indian Medicine, 1(02).
• 11.   Shah B, Dudhamal TS. Efficacy of Apamarga Kshara application and Sclerotherapy in the management of Arsha (1st and 2nd degree piles) - An open-labeled, randomized, controlled clinical trial. Ayu. 2018;39(4):213- 219. doi:10.4103/ayu.AYU_147_18.
• 12.   Dudhamal TS, Gupta SK, Bhuyan C, Singh K. The role of Apamarga Kshara in the treatment of Arsha. Ayu. 2010;31(2):232-235. doi:10.4103/0974-8520.72406.

Data Sharing Statement

Funding