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Background: Anorectal disorders are a group of medical disorders that occur at perianal and the junction of the anal canal and the rectum. Arsha is enumerated under the heading of Ashtomahagada and occurs in Guda pradesh , the seat of Sadyapranahar marma . Out of available treatments of Arsha roga , the Kshara sutra ligation is the best one. In the present research work, three different types of Kshara Sutras , Snuhi ( Euphorbia neriifolia ), Guggulu ( Commiphora mukul ) and Udumber ( Ficus racemosa ) were used in Arsha roga (Hemorrhoids). Material and Methods: Total 33 patients of both genders of Arsha ( Hemorrhoids ) has been selected randomly after taking written consent and treated with three different types of Kshara Sutra followed in the "Anorectal clinic" of S.S. Hospital, IMS, BHU. Result : It reveals that lowest pain during the entire trial period was experienced by Group C - Udumber Kshara sutra with 81.8% and maximum pain was experienced by Group A - S nuhi Kshara sutra with 54.5%. Lowest discharge was experienced by Group C- Udumber Kshara sutra with 72.7% and average healing time was minimum for group C - Udumber Kshara sutra (6.55 ± 1.12) followed by group B - Guggulu Kshara sutra (7.18 ± 1.16). Maximum average healing time was seen in group A - Snuhi Kshara sutra (7.27 ± 1.10). Discussion : All types of Kshara sutra have good results in wound healing and prevent infection due to its alkaline pH (pH -10.3) that works as antibacterial at site of ligation. Patients of hemorrhoids feel lowest pain during the entire trial period, minimum average healing time, fewer irritants and good tolerance by the patients by Group C - Udumber Kshara sutra and another study also favor this result.

Evaluation of Three Different Types Kshara Sutra Ligation in Arsha roga (Hemorrhoids)