Qualities of a surgeon according to Ayurveda

Qualities of a surgeon according to Ayurveda

According to the great Indian Surgeon,  Acharya Sushruta, a surgeon must have the following six qualities;

• Shaurya: He should have enough‘Dare’ to perform surgical procedures.
• Aashukriya: He should be ‘fast acting’, both physically as well as mentally.
• Shastrataikshyanam: His instruments should be ‘sharp’enough to perform the surgical procedures.
• Swedavepathu: He ‘must not get frightened’ if there is any  emergency and ‘his hands must not have tremors’ due to fear.
• Asammohasha: He ‘must not become hopeless’  in case there is serious patient/emergency.

The teachings hold absolutely true in today’s era too. What a great Surgeon and scholar he was! Didn’t he?

Jai Ayurveda!!!

Thanks for patiently reading this article. I hope people will be more familiar to Ayurveda and our ancient India’s great scholars, after reading this article. If however, you still have any query/doubt, you can e-mail me at consult@ayurvedapilescure.com

Author: Dr. Naveen Chauhan

Consultant Ayurveda Physician and Kshar sutra specialist

SHRI DHANWANTARI CLINIC, GHAZIABAD

Kshara Sutra Therapy in the treatment of Pilonidal Sinus

‘Kshara Sutra Therapy’ in the treatment of ‘Pilonidal Sinus

‘Pilonidal Sinus’ 

‘Pilus’ = Hair and ‘nidus’ = nest; Pilonidal sinus means ‘sinus with nest of hair.’

• This condition is commonly occurs in hairy men.
• This is an acquired condition.
• When a person sits, buttocks take maximum pressure. As they rub against clothing etc. hairs break off and get collected between cleft of the buttocks. These gradually penetrate the skin or enter the openings of sweat glands, forming a sinus. Gradually more hairs are sucked into the sinus forming a bunch of hairs, so it looks like a nest of hairs, thus it is called ‘Pilonidal Sinus’.
• As this condition is common in jeep drivers, this condition is also called ‘jeep bottom’ disease.
• In Ayurveda, ‘Pilonidal Sinus’ is a type of ‘Naadi Vrana’.

Symptoms of Pilonidal Sinus:

• Chronic or recurring sinus in the midline, between buttocks.
• A tuft of hair projects from its opening.
• Discharge from the sinus is blood stained, foul smelling and contains hairs.
• Secondary openings may be found in the midline or in the buttocks and there is an indurated track connecting the openings.
• Generally the patient is a hairy, male and 20 to 40 yrs. of age.
• There may be pain and swelling locally.
• Generally, it does not penetrate the bone.
• There may be history of repeated abscess in the region, which may have resolved spontaneously or may have been incised open.

Treatment of Pilonidal Sinus:
Conservative management of Pilonidal Sinus:

• Clean the track.
• Removing hairs from the track and a considerable area surrounding the track.
• Avoid occupations which involve long hours of sitting e.g. driving vehicles etc.

These measures have given encouraging results in those with mild symptoms.

When an abscess has been formed (acute stage):

• Incision and drainage (I & D) has to be done.
• The abscess cavity has to be cleaned well to remove hairs and unhealthy granulation tissue to prevent recurrence.
• Care should be taken as in a patient of abscess.

Excision (Surgical removal) of Pilonidal Sinus:

• Operation has to be carried out after the signs of inflammation have subsided.
• Patient is place in prone position.
• Methylene blue dye can be injected into the opening to colour and thus identify the tracks.
• The track once identified, has to be surgically laid open, hairs and debris removed and the edges sutured. But this is associated with risk of recurrence.
• Hence, once all the tracks have been excised, and perfect haemostasis maintained, the area is packed with gauze dipped in Betadine. Next day the dressing is removed, and patient is advised daily hip baths and a dressing till the wound has healed completely by secondary intention.

‘Kshara Sutra Therapy’ in the treatment of ‘Pilonidal Sinus’:
Kshara Sutra, an alkaline herbal medicated thread which is one of the most successful among all the therapies available for the treatment of Naadi Vrana (Pilonidal Sinus) and Bhagandara (Fistula-in-ano) from ancient time to the present era.

How to apply Kshara Sutra in Pilonidal Sinus: 

• Patient is placed in prone position.
• Under aseptic measures and under proper anaesthesia, track should be identifying with the help of a probe.
• After cleaning the track, Kshara Sutra (An alkaline herbal medicated thread) has to be passed in the track and make it fix over there.
• As we discussed above that due to its proteolytic enzymes and hygroscopic action, the Kshara produced debridement of sluggish tissue.
• The Kshara Sutra has power to cut and heal the sinus track simultaneously.
• After every week, the Kshara Sutra has to be changed with the previous one.
• After every week of Kshara-sutra change, the track cleans-up and simultaenous healing occurs, thus the length of track and the kshara sutra goes on decreasing on subsequent visits. Finally the whole track gets cut off (cut through) by the action of Kshara-sutra and the disease cures completely.

Principle behind ‘Kshara Sutra Therapy’:
Cutting and healing of the track (Sinus) simultaneously.
The idea has been to preserve the actions of all the three ingredients, i.e. the proteolytic action of the latex, the hygroscopic nature and caustic action of the Kshara and the antiseptic action of Haridra (Turmeric) powder. Due to its proteolytic enzymes and hygroscopic  and penetrating action, the Kshara sutra produce debridement of sluggish tissue, which leads to cleaning and thus a good healing.

Thanks for patiently reading this article. I hope people will be more familiar to this disease, after reading this article. If however, you still have any query/doubt, you can e-mail me at consult@ayurvedapilescure.com

Author: Dr. Naveen Chauhan

Consultant Ayurveda Physician and  Proctologist

SHRI DHANWANTARI CLINIC, GHAZIABAD

अगर एक ही आफिस में हों कपल

अगर एक ही आफिस में हों कपल

अगर आप और आपका पार्टनर दोनों एक ही ऑफिस में काम करते है, तो ऐसे में आपको एक दूसरे के साथ ऑफिस में बहुत संभल कर व्‍यवहार करना पड़ता हैं। ऐसे में ये समझना थोड़ा मुश्किल हो जाता है कि उसके साथ ऑफिस में कैसा व्यवहार किया जाए। ऑफिस में ऐसा व्‍यवहार करें जिससे आप और आपके साथी को लोगों के सामने शर्मिदा न होना पड़े। आइए जानते हैं, आफिस के रोमांस टिप्स—

• अगर आप और आपका पार्टनर एक ही ऑफिस में है या ऑफिस में आपको किसी से प्यार हो गया है तो ऎसे में जरूरी है कि आप इस बात का ध्यान रखें कि आपके रिशते की बात किसी तीसरे को पता न चलें।
•  अगर आप चाहते हैं कि आपके संबंधों के बारे में कोई बाते न बनाए, तो ऎसे में आप बहुत संभलकर लोगों से गपशप करें।
• ऑफिस में आप आपने काम में व्‍यस्‍त होते है ऐसे में एक-दूसरे को टाइम देना काफी मुशकिल होता है। और यह जरूरी भी नहीं कि आप हर समय अपने साथी के पास ही बैठे रहें। बल्कि अन्य साथियों को भी समय दें और अपने काम पर भी उतना ही ध्‍यान दें।
• आप दोनों ऑफिस में एक साथ रहने के बजाए ग्रुप में रहें और सबके साथ अच्‍छे से व्‍यवहार करें।
•  ऑफिस में सबके सामने कोई ऎसी बात करने से बचें जिससे आप या आपका पार्टनर बाद में मजाक का पात्र बन जाए, और लोग आपस में आपका मजाक बनाए।
•    आप ऑफिस में अपनी प्यार भरी बातों को शेयर के लिए किसी तीसरे को मिडिएटर न बनाएं, अपने पार्टनर से सीधे बात करें, किसी तीसरे व्यक्ति से अपनी बातें शेयर न करें।
•    ऑफिस के दौरान कोई एक समय और जगह निश्चित कर लें जहां आप दोनों रोजाना मिल पाएं और इससे दूसरों को भी कोई परेशानी न हो। जैसे ऑफिस के बाद का समय, सुबह का समय या ऑफिस से थोड़ी दूरी पर कोई जगह।
•    ऑफिस में दोनों एक-दूसरे के सम्मान का ख्याल रखें। इस बात का भी ध्यान रखें कि आपके अपने साथी से ऑफिस में कैसे संबंध हैं और आपके साथी का पद क्या है। यानी निजी और रोमांटिक बातचीत के लिए ऑफिस के फोन का प्रयोग न करें और न ही ऑफिस में चैट करें।
•    ऑफिस के दौरान अपने पार्टनर के साथ किसी भी तरह का शारीरिक इन्वॉल्वमेंट न रखें। इससे ऑफिस में आपकी और आपके पार्टनर की छवि और लोगों के सामने खराब होगी।
•    अपनी और अपने पार्टनर की निजी बातें ऑफिस के किसी तीसरे व्यक्ति से शेयर न करें, ऐसा करने से आप बेवजह चर्चा का विषय बन सकते हैं, और आपकी नौकरी भी खतरे में पड़ सकती है।

लेखकः डा० कुलदीप चौहान

सचिव, आयुर्जीवनम सेवा समिति, रामपुर (उ०प्र०)

Fistula-in-ano; 10 important tips you must know!

Fistula-in-ano; 10 important tips you must know!

Fistula-in-ano is a disease in which there develops a track between perianal skin and/or rectum or anal canal. The main symptom that appears is mucopurulent discharge through the external opening present anywhere in the perianal area. This sometimes leads to itching and or burning sensation.

I am going to give 10 valuable tips for the patients of Fistula-in-ano which being an ano-rectal specialist doctor, I feel are necessary to be communicated to them.

1.     Many patients wander here and there in search of any doctor or medicines to cure Fistula and often waste their time, money and energy by getting trapped in the misleading advertisements, quacks etc. without any result. Remember, Fistula-in-ano is a 100% surgically curable disease. Sometimes, if fistula is due to tuberculosis then Anti-tubercular therapy can work to heal it otherwise surgical intervention is necessary in it.

2.     Beware of quacks and false claims’ advertisements like those of injection treatment, herbal treatment etc. seen commonly in media. Bengali, Chandsi, Madrasi are also not genuine and legal treatments. They can harm your health and can lead to complications like anal incontinence.

3.     Antibiotics can only temporarily reduce the symptoms like pus discharge but will not help in long term use.

4.     Conventional surgical operations for Fistula-in-ano have high recurrence rates, especially in high anal types. Fortunately, there have been excellent results obtained by Ayurveda Kshar Sutra therapy, which can be used extremely effectively to cure Fistulae of almost all the types completely, without any complication or recurrence. It has been well established and proven scientifically by various research centres in India like AIIMS, BHU, ICMR, PGI etc.

5.     One should not wait in seeking an expert physician’s/surgeon’s consultation due to shyness or hesitation. As soon as symptoms like persistent or intermittent discharge of pus, soiling of clothes, feeling of some abscess, pain in perianal region etc. appear, expert’s consultation must not be delayed.

6.     Since Ayurveda Kshar-sutra therapy is extremely effective in curing fistula-in-ano, one should prefer a qualified and experienced Ayurveda Kshar-sutra specialist doctor over other therapies physicians.

7.     Fistula patients feel pain when there is collection of pus inside the track or inside the abscess cavity. So, there must be measures to drain out the collected pus. Though kshar-sutra does the drainage by itself, patient can increase the drainage effectively by keeping themselves ambulatory. So, regular walks will help in healing of your fistula even if you are continuing the Kshar-sutra therapy.

8.      Have complete faith in your doctor. Afterall he has seen and helped many patients like you. Don’t be panic as kshar-sutra therapy sometimes takes longer times (3 months or more) to heal the fistula completely depending on the track length, type of fistula and many more factors.

9.     During the kshar-sutra therapy sometimes patient feels pain, burning sensation etc. during and/or after the weekly changing of thread. Have patience. Remember it is only temporary and ultimately you are going to get rid from this disease completely. Follow the instructions of your physician strictly.

10.     Sitz bath is a wonderful remedy in relieving the pain. It not only gives a soothing sensation and provides relief from pain but it also helps in keeping the perianal region clean. So, it should be employed correctly as per your doctor’s instructions.

Thanks for patiently reading this article. I hope Fistula patients will be benefitted by these tips. If however, you still have any query/doubt regarding your disease, you can e-mail me at consult@ayurvedapilescure.com

Author: Dr. Naveen Chauhan

Consultant Ayurveda Physician and Kshar sutra specialist

SHRI DHANWANTARI CLINIC, GHAZIABAD