Chikitsaa Prakaara: Kshaara Sootra

Prakaara Paribhaashaa:

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Description:Kaala/Vaya/Ahoraatra/Ritu/Bhukta

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  S. Chi. 17/29                                                                                      
• The Naad`ee Vran`a (fistula) present at the Marmasthaana and in weak, thin, frightened and pregnant patients should be treated with Kshaarasootra.

Poorvakarma:

Medicine preparation:

• Preparation of Kshaara Sootra:                 
  
  Stage I :

• A strong thread (Linen No. 20) should be taken and hung in the Kshaarasootra stand placed within the Kshaarasootra cabinet.
• A Kshaarasootra cabinet should be made which must comprise of a bright light, thermometer, Ultraviolet tube and drier.
• he thread should be dipped in Snuhee Ksheera andplaced in the cabinet to dryà this should be repeatedfor 11 times.

    Stage II :

• After 11^th time it should be dipped in Snuhee Ksheera and dusted with Apamaarga Kshaara andplaced in the cabinet to dry à this procedure should be repeated for 7 times.

    Stage III :

• After 7^th time it should be dipped in Snuhee Ksheera and dusted with Haridraa Choorn`a andplaced in the cabinet to dry à this procedure should be repeated for 3 times.
• After the Kshaarasootra gets well dried, it should be exposed to ultraviolet radiation and packed in a glass tube.
• The pH value should be in the range of 9.6 – 9.8

Pradhaanakarma:

• Local cleansing should be done.
• The direction of the Naad`ee Vran`a is determined withthe help of a blunt Eshan`aa.
• Then the Kshaarasootra should be inserted with the help of a Soochi (needle).
• The needle should be inserted through one end of Naad`ee Vran`a and taken out through the other end.
• A knot of both ends of Kshaarasootra should be tied outside the wound. If the wound doesn’t heal by application of one Kshaarasootra then another Kshaarasootra should be applied.
• Kshaarasootra should be changed on every third or seventh day.
                                                                                              S. Chi. 17/30-33
• For management of Bhagandara also the same procedure should be applied.

Pas`hchaatkarma:

• If the Kshaarasootra is applied to Ars`ha etc. then the resulting wound should be managed as regular wound.
• Local fomentation of Kshaarasootra is applied for management of Bhagandara (sitz bath)
• Management of wound by S`hothahara, Deepana and Anulomaka drugs.

Last updated on April 29th, 2021 at 09:46 am