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JUST 30 MINUTES MINOR O.T. AMBULATORY KSHAR SUTRA THERAPY & GO HOME
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MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
WHO WE ARE
Mishras Kshars Sutra Centre
Is an State Of The Art & Professionally Managed Centre Of Excellence for Ayurvedic Kshars Sutra Therapy For Hassle free Long term Cure Of Chronic & Recurring Ano rectal diseases e.g. Piles, Fistula In Ano, Fissure In Ano, Pilonidal Sinus. We are committed to provide relief from pain full surgical & risky procedure of treatment of Piles (HEMORRHOIDS),Fistula In Ano, Fissure In Ano & Pilonidal sinus, Perianal Abscess. We Offers unique bundle of long term/painless health benefits/procedures to those patients who are suffering of Acute/Chronic & Recurring Anorectal diseases & is seeking hassle free nonsurgical/para surgical,long term health benefits naturally. We offers 360 degree quality norm for patients those who are seeking for kshar sutra therapy from attending to patients to final cure of patients.
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
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Chronic & Recurring Piles / HEMORRHOIDS, Fistula, Fissure, Pilonidal Sinus, Anorectal diseases ? AVOID SURGERY! BETTER CURE THEN SURGERY! SIMPLE! SAFE! SURE! JUST 30 MINUTES MINOR O.T. AMBULATORY THERAPY & GO HOME !
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
Its Just 30 Minutes Minor OT Ambulatory process & patients may Go Home immediately. No major Surgical Incision/excision is required. No need of hospitalization required.Patients may maintain his regular life style/routine work . Very High Success rate (95-98%) has been reported clinically by different medical bodies, research Institutes etc. Chances of Incontinence due to damage to Sphincter Muscles are PRACTICALLY NIL. Which may be a major limiting factor for modern surgery & due to this Fecal Incontinence/Anal Incontinence / inability to control solid or liquid stool may be possible. Due to this patients may be forced to use diaper lifelong. Its even safe for those patients who are not fit for surgery due to other health complications e.g. cardiac problem, High BP, Old age factor, Low HB level/anaemia, Diabetic problems etc. One & only scientifically proven effective, Natural therapy especially for chronic & recurring cases because modern surgery does not have cure for these health problems.
REDISCOVER YOUR HEALTH NATURALLY WITH US **Kshar Sutra Therapy -Natural Ayurvedic therapy and does not carry any long term risk / hazards like in modern surgery where chances of incontinence/recurrence/anal canal narrowing may be very high & which may requires a proper/repeated surgical procedure. *** Very effective especially for chronic & recurring cases when modern surgery gets failed. For More about authentication of therapy & about us - visit our websites / Facebook.
Lets see Some Other documented reports about Kshar Sutra Therapy
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
Kshara is a kind of medication described in Ayurveda Texts for the management of various disorders . The word Kshara( ) is derived from the root Kshar( ), means to melt away or to perish ( ). Acharya
Sushruta defines as the material which destroys or cleans the excessive/the morbid doshas ( Kshyaranat Kshyananat va Kshara). According to the preparation we can consider it to be caustic materials, obtained from the ashes after distillation and are mostly alkaline in nature. [1][2]
Types of Kshara
According to the administration it is of two type 1. Paniya Kshara(for internal Medication) and 2. Pratisaraniya Kshara'(external application). The Paniya Kshara is mostly used for the treatment of diseases like artificial poison, abdominal lump, indigestion, calculus etc. The Pratisaraniya Ksara is used to apply on tumors, piles, fistula in ano, skin diseases etc.[3]
Drugs Used
Many drugs have been advised by Sushruta and other Ayurvedic texts for the preparation of Kshara. The important among them are - Palasa- Butea monosperma, Erythrina indica, Terminalia belerica, Cassia fistula, Plumbago zeylanica, Holarrhena antidysenterica etc.
Method of Preparation
According to the three types of Ksharas are prepared on the basis of their strength. 1. Mild - Mridu, 2. Moderate - Madhyama and 3. Strong - Tikshna .The general procedure can be narrated as Mridu Bhamkaraa (conversion to ash) Adding to water(1:6 ratio) Filtration(21 times) Distillation(boiling the ksarajala still all water evaporates) collection (process called lixiviation) Madhyama Here the procedure is same some extra powders of Katasarkara Bhasma sarkara Ksheerapaka, Samkhanabhi( gravels of lime and ash,oyester-shell & core of conch-shell) are added to the boiling ksharajala before distilling it. Tikshna Similar to madhyama kshara here added is the powders of drugs like Chitraka, danti, vacha etc. inplace of the lime stones.
Kshara Sutra
Main article: Kshar-Sutra "Kshar Sutra" ( caustic; while Sutra( ) is a sanskrit phrase in which Kshar ( ) refers to anything that is corrosive or
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
flourished in India. It is one among popular Ayurvedic treatment modality in the branch of Salyatantra followed by Susruta. The Ksharsutra was first mentioned by the "Father of Surgery" Sushruta in his text named SUSHRUT SAMHITA for the treatment of Nadi Vrana(sinus), Bhagandara (fistula- in - ano), arbuda(excision of small benign tumour) etc..Although Brihattrayi- the chief three texts of Ayurveda mention the use of kshara sutra,there is no description of their preparation properly. It was Chakrapani Dutta in late eleventh century in his book Chakradatta, first mentioned the method of preparation with a clear-cut indication of its use in bhagandara andarsha(haemorrhoid). In his book Chakradutta explains the method that by smearing a sutra (thread) repeatedly in the latex of snuhi() and haridra(turmeric) powder makes the kshara sutra. Later authors like Bhavamishra, Bhaisajyaratnavali etc. also mention the same method. But because of brevity of preparation and inadequate explanation of procedure of application, it lost its popularity among Ayurvedic surgeons. Later in Rasatarangini a better preparation procedure was introduced still the credit of making it practically in use goes to Prof. P.J.Deshpandey and his coworkers. They rediscovered and standardized the ksharasutra in the present era . The Dept. of Shalya- Shalakya, Faculty of Ayurveda, IMS, BHU should be credited for the abundant use and popularization of this technique. [4]
Method of preparation
The standard kshar sutra is prepared by repeated coatings of snuhi ksheera (latex of Euphorbia Nerrifolia), apamarg kshara (ash of Achyranthus aspera) and haridra powder over a surgical linen thread no. 20. This thread is spread throughout lengthwise in hangers. Each thread on the hanger is then smeared with snuhi latex with the help of gauze piece soaked in the latex. This wet hanger is transferred in kshara sutra cabinet. The same process is repeated next day. Eleven such coatings with snuhi ksheera alone should be accomplished. The twelfth coating is done by first smearing the thread with ksheera and in wet condition thread is passed through the apamarg kshar. It is again transfer into the cabinet for drying. This process is repeated till seven coatings of snuhi ksheer and apamarg kshara are achieved. The final three coatings are completed with snuhi ksheera and fine powder of turmeric in the same fashion. Thus twenty-one coatings over the thread are completed.,[5][6]
Mode of Action
Kshar Sutra is now a popular treatment modality in India for the management of fistula in ano. Many Clinical trials have done all over in different institutes to evaluate the action. In countries like Srilanka and Japan also many clinical trial has already done and established it. Precisely the action of Kshara sutra is thought to be due to its healing and cleansing effect according to Ayurveda . It can be suggested that due to the anti microbial action, and as a saton it allows the proper drainage of pus from the fistula, that leads to a proper healing. On the other hand the cutting effect of thread incises the skin gradually without a
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
surgical incision. Many studies confirms that it is more effective in the way of reducing hospital stay and less infection than the conventional seton therapy.Researches suggests that it is having the action of Excision, Scrapping, Draining, Penetrating, Debridement, Sclerosing and Healing. It is Bactericidal and Bacteriostatic.,[7] paniya kshara act through changing internal environment of body (prakit vighata concept of ayurveda).
Fistula-in-Ano is a painful disease of the ano-rectal region, causing lot of suffering and inconvenience to the patient. It mainly present with itching, pain, discharge from the opening somewhere around the anal region (perineum). Modern surgical management involves surgery and prolonged hospitalisation. The recurrence rate is quite high under this procedure. Introduction of the ancient Kshar sutra therapy has given new impetus to the management of this problem. In Kshar sutra, patient does not require hospitalisation and remains ambulatory. Recurrence rate is negligible and it is quite effective in high anal and ano-rectal variety of Fistula-in-Ano which otherwise requires complicated surgical procedure like Colostomy. This practice of Kshar sutra has been adopted not only by the practioners of ayurveda but also by the practioners of modern medicine. Efficacy of this procedure has been proved by various studies conducted by ICMR and the Central Research Institutes for Ayurveda at New Delhi and Mumbai are working on further improving this technique.
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Treatment of fistula in ano by a medicated thread (Kshara sutra) of chemical curette-review and follow-up study of 182 cases.
curette-review and follow-up study of 182 Title: Treatment of fistula in ano by a medicated thread (Kshara sutra) of chemical
Author: Kenji Tazawa; Takuji Fujikawa; Shigeru Takemori; Katuya Yamamoto; Mituyoshi Shimoda; Shigemi Katuki; Takakazu Kawanishi; Toshio Saiki; Hideki Arai; Masao Fujimaki; Masao Hattori; Tsuneo
cases.
Namba; Masahiko Kawahara (Dept. Surg., Toyama Med. & Pharma. Univ.; Cell-Resour. Engin. WakanYaku, Toyama Med. & Pharma. Univ.; Develop. Med. Resour. Wakan-Yaku, Toyama Med. & Pharma. Univ.; Res. Source: Drug Lab, Delivery Cent., System; ISSN:0913-5006; Toyama Med. VOL.7; NO.3; & PAGE.209-215; Pharma. (1992) Univ.)
Pub.Country: Japan
hospitalization, chances of recurrence and anal incontinence in some of the cases of high in ano. Treatment of 221 cases of anal fistula by application of Kshara sutra, one of the
Ayurvedic treatment were performed in our clinic from July 1985 to March 1991 in Japan. Kshara sutra used in this series were prepared by Dr. Upali Pilipitiya in Sri Lanka and were cotton surgical thread impregnated with latex of Euphorbia antiquorum powder of rhizomes of Curcuma longa and alkaline powder ofAchyranthes aspera. Of the 182 cases over 1 year follow-up, the youngest patient was 1 year old and the oldest was 83 years of age. The fistulous tract was cut through between 15 week in average depending upon the initial length of tracts. The average of cutting was 11 mm. every week. There have been 9 patients (4.9%) of recurrence, 7 patients of pus pocket formation and a patient of slight anal deformity can be safely treated by this technique of biochemical curette with excellent results. Furthermore the recurrences and morbidity are practically negligible. Our uniformly good
in the follow-up so far. Clinical experience with the 182 patients indicates that fistula in ano
results suggest that biochemical medicated caustics of Kshara sutra may be responsible for severely ill patients of hypertension, diabetes and heart disease.
the drug delivery system of chemical fistulectomy. This treatment can also be employed to
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
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MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
PROCESS FLOW CHART : HOW DOES KSHAR SUTRA THERAPY WORK SOURCE : DRUG DELIVERY SYSTEM-JAPAN
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
COME ! FEEL THE HEALING DIFFERENCE WITH US LIKE OTHERS BETTER & NATURAL CARE FOR BETTER CURE
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
http://articles.timesofindia.indiatimes.com/2010-10-22/varanasi/28241267_1_leech-therapyano-rectal-ailments-rgsc
SEARCH GOOGLE ABOUT US & KSHAR SUTRA THERAPY
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MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
SMILE BIG !
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MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com
MISHRAS KSHAR SUTRA CENTRE CENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT +91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra pilestherapy@gmail.com