Benefits of Trailokya Vijaya Vati in managing post-operative pain in piles patients

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Abstract: This case study outlines the potential benefits of Trailokya Vijaya Vati in the management of post operative 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, it may cause pain and discomfort to the patients. In some patients it is not possible without General Anaesthesia.

The standard post operative 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 co morbidities and habits with 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 enemy. Neglect of proper diet and lifestyle habits ends in reducing AGNI (digestive fire) or making it abnormal called MANDAGNI.

This results in 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 disturb the doshas in the ano rectal 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 work in as an effective pain killers in post op patients as there is a presence of cannabinoid receptors in the brain. These receptors interact with the cannabinoids in formulation and help to strengthen the body’s ability to reduce pain sensation.


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 a surgery or any procedure is Cannabis the right choice for you ? The answer is positive overall as it provides an ideal pain relief with fewer side effects and also a nice sedation.

Case Report

Patient description

Five random patients of the age group between 25 – 40 years were selected with no co morbidities and habits with 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 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 good analgesic effect as well as good 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 a long lasting effect on the patients with 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.


The inclusion of Trailokya Vijaya Vati in the treatment was decided with a view of finding a healthy an 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.


Recovering after a surgery or a procedure can be a lengthy and painful process and thankfully Trailokya Vijaya Vati can play a big role in making this period more bearable. This case study shows that Post operative 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

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