Comparative Clinical Study on the Effect of Abhayakanadi and Chirabilvadi Decoctions in the Management of Shushka Arsha
Premakeerthi WMSA
Jayasuriya HSV
Samarakoon SMS
ABSTRACT
Acharya Susruta, the father of the Indian surgery has found that Arsha is a very troublesome disease to be treated, and it has mentioned under eight Maharoga. Acharya Charaka and Vagbhata mentioned two types of Arsha namely Suska Arsha and Sravi Arsha. The former is Vata and Kapha dominant whereas the latter is Pitta and Rakta dominant. Classical texts recommend Abayakandi and Chirabilvadi decoctions for Suska arhsa. This comparative clinical study was conducted to evaluate the effect of Abayakandi and Chirabilvadi decoctions on Suska Arsha. Sixty patients of Shuska Arsha were randomly divided into two groups. Group A was treated with Abayakandi decoction and Group B was treated with Chirabilavadi decoction for a period of fourteen days. Subjective and objective criteria of assessment were evaluated before and after treatment. Data was analyzed by SPSS software. Collectively, 80% of patients were reported above 40 years of patients indicating Arsha is more common in middle aged and elderly patients. Arsha is commoner among male (66.67%), laborers (35%), housewives (25%) and Vata-pittaja prakruti (65%). Clinical features of Arsha are aggravated by oily and spicy food (each 71.67%), alcohol consumption (50%) and heavy work (48.33%) in majority of patients whereas they are relieved by fiber diet (96.67%) and resting (41.67%). People who consume food rich in Amla, Lavana and Katu rasa (98.33% each) are prone to have Arsha. Abayakanadi decoction (AD) improved most of the subjective parameters, fasting blood sugar, hemoglobin, swelling, size and number of pile mass in statistically significant manner (p<0.001). Abayakanadi decoction has Vata-Kapa Sharmaka, Anulomana, Agni Deepana and Mrudu Virechana effects. Chirabilvadi Decoction (CD) improved subjective parameters, fasting blood sugar, hemoglobin, number, swelling and size of pile mass in statistically significant manner (p<0.001). Chirabilvadi decoction has Vata-Kapa Shamaka, Pitta Vardhaka, Agni Deepana, Pachana, and Mrudu Virechana effects. Finally, it may be concluded that Abhayakanadi Decoction is more effective on improving clinical features of Sushka Arsha over Chirabilvadi Decoction.
Keywords: Abhayakanadi decoction, Chirabilvadi decoction, Maharoga, Sushka Arsha