A randomized clinical trial comparing the efficacy of decoctions of Rathkaralheba (Cyathullaprostrata) and Hathavariya (Asparagus racemosus) in the treatment of Sraviarshas (bleeding piles)
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Date
2016-11-05
Authors
Dissanayake, D.P.A.
Sivaganesh, S.
Tissera, M.H.A.
Journal Title
Journal ISSN
Volume Title
Publisher
University of Peradeniya, Sri Lanka
Abstract
In Sri Lanka, Ayurvedic physicians mostly recommend Rathkaralheba (Cyathulaprostrata) decoction as a common treatment for Sraviarshas and they tend to prescribe Hathavariya (Asparagus racemosus) mostly for bleeding disorders other than Sraviarshas. This study was planned to compare the effectiveness of these two medicinal plants in the treatment for Sraviarshas.
One hundred patients with bleeding piles were randomly allocated into two groups. Patients of Group R were given Rathkaralheba decoction and Group H was given tuber of Hathavariya decoction while both groups were given thriphala tablets and a sitz bath according to Ayurvedic phenomenon. The duration of the treatment was two weeks. Eight clinical parameters relating to bleeding piles were monitored.
Wilcoxon signed-rank test was used to compare bleeding and pain before and after treatment. In Group R, after treatment scores of bleeding frequency (Z= -5.976, p< 0.001), bleeding volume (Z= - 5.993, p<0.001), pain frequency (Z= -4.456, p< 0.001) and pain severity (Z= -4.462, p< 0.001) were significantly lower than before treatment scores. In group H, after treatment scores of bleeding frequency (Z= -5.789, p< 0.001), bleeding volume (Z= - 5.725, p<0.001), pain frequency (Z= -3.830, p< 0.001) and pain severity (Z= -3.872, p< 0.001) were significantly lower than before treatment scores. The Mann-Whitney test for comparison of two groups showed no significant differences between scores of after treatment in Group R and Group H in bleeding frequency (Z= -0.826, p=0.409), bleeding volume (Z= -0.871, p=0.384), pain frequency (Z= -0.370, p=0.712) and pain severity (Z= -0.663, p=0.508)
With the results, it can be concluded that both treatment regimens are effective in reducing the symptoms of bleeding and pain of Sraviarshas and there was no significant difference of the effect of the two plants. Rathkaralheba and Hathavariya can be used similarly for the treatment of Sraviarshas.
Description
Keywords
Rathkaralheba , Hathavariya , Sraviarshas
Citation
Proceedings of the Peradeniya University International Research Sessions (iPURSE) – 2016, University of Peradeniya, P 168