Abstract: This case study outlines the potential benefits of Trailokya Vijaya Vati in the management of postoperative pain in patients having Piles treated by Ksharsutra.
Ksharsutra is a popular minimal invasive Parasurgical treatment modality and time tested Ayurvedic technique in India for the management of Ano Rectal Disorders. It works by the action of excision, scraping, draining, penetrating, debridement and sclerosing as well as healing simultaneously without an actual excision. The conventional method to insert a kshasutra by using a metallic probe through an external opening may cause pain and discomfort to the patients. In some patients, it is not possible without General Anaesthesia.
The standard postoperative treatment of any patient with Piles treated with Ksharsutra includes antibiotics, analgesics, antacids and laxative drugs. In this case study, the allopathic analgesic (usually a single drug or combination of paracetamol, tramadol or ibuprofen)is replaced by Trailokya Vijaya Vati.
Five random patients of the age group between 25 – 40 years were selected with no comorbidities and habits with an indication of Ksharsutra for this study. Each of them was prescribed a standard dose of Trailokya Vijaya Vati just like the usual line of treatment for a post-operative period of 5 days.
Ayurveda Perspective
Piles in Ayurveda is called ARSHA . It is defined as “ARIVAT PRANAN SHRINOTI HINASTI ITI ARSHAH” which literally translates to – a disease which tortures a patient vital forces i.e. PRANA as the enemy. Neglect of proper diet and lifestyle habits ends in reducing AGNI (digestive fire) or making it abnormal called MANDAGNI.
This results in the inability to digest food material with proper pace and time leading to accumulation or stagnation of half-digested food material i.e. AMA in the form of stool inside or expelling it before time in watery or semi-solid form, which disturbs the doshas in the anorectal region. This in turn results in MAMASA ANKURAS (fleshy masses) which occur at the opening of GUDA MARGA (anus).
The removal of such masses (piles) is done through Ksharsutra procedure.
Vijaya or Cannabis in the Trailokya Vijaya Vati works as an effective pain killer in post-op patients as there is a presence of cannabinoid receptors in the brain. These receptors interact with the cannabinoids in the formulation and help to strengthen the body’s ability to reduce pain sensation.
Introduction
Going under the knife or other interventional procedures is not fun no matter what type of procedure or surgery you are having, and recovery is indeed painful. Doctors prescribe a heavy dose of painkillers that might lead to side effects, hyperacidity, or even worse… gastritis! The question is … Is cannabis an effective pain reliever for chronic or long-lasting pain, after surgery or any procedure is Cannabis the right choice for you? The answer is positive overall as it provides ideal pain relief with fewer side effects and also nice sedation.
Case Report
Patient description
Five random patients of the age group between 25 – 40 years were selected with no comorbidities and habits with the indication of Ksharsutra for this study.
Case history
Taking into consideration the hyperacidity and sometimes gastritis as the side effects of using analgesics in heavy doses ( which also lead to increased hospital stay and expenses on the patient’s part), Trailokya Vijaya Vati was prescribed to these patients as an effective alternative.
Treatment plan
Medicines to be used – Trailokya Vijaya Vati Patients prescribed Trailokya Vijaya Vati only twice a day along with antibiotics, antacids and mild laxatives (as vijaya also has laxative action).
Expected Outcome
The patients were expected to have a good analgesic and sedative effect.
Actual outcome
3 out of 5 patients had absolutely no complaints regarding the use of the formulation. Trailokya Vijaya Vati had a rapid and also long-lasting effect on the patients in terms of pain relief, reducing inflammation as well as sedation. Moreover, it acted as an excellent muscle relaxant and laxative which helped patients pass stools with ease even in the prior days post-procedure. 2 out of 5 patients complained of headache and dizziness every morning after which their dosage was adjusted (reduced) accordingly.
Discussion
The inclusion of Trailokya Vijaya Vati in the treatment was decided with a view of finding a healthy and effective alternative for the existing analgesics in the market with significant side effects. The Vijaya as mentioned has anti-inflammatory properties and is also an effective VATAGHNA / VATASHAMANA herb. Moreover, Vijaya had all the desired properties that could be included in the post-op treatment of Piles i.e. Analgesic, Sedative, Anti Inflammatory, Laxative, Muscle Relaxant.
Conclusion
Recovering after a surgery or a procedure can be a lengthy and painful process . Thankfully Trailokya Vijaya Vati can play a big role in making this period more bearable. This case study shows that Postoperative pain can be successfully managed with Trailokya Vijaya Vati. It is supportive for further research, using Vijaya on different types of pains.
Patient Case Study shared by: Dr Kunal Kamthe , Consultant Ayurvedacharya Published by: HempStreet
