Randomized Clinical study on Naaga sangu Parpam and Nattai Parpam, a herbomineral Siddha formulation for the management of Rattha moolam (Bleeding piles).
Abstract
Background:
Hemorrhoids affect at least 50% of the population at some time during their lives and around 5% of the population is affected at any given time. Both sexes experience approximately the same incidence of the condition with rates peaking between 25 and 65 years. As per Sage Yugi text “Rattha Moolam” is one amongst the 21 types of classification in moolam disease which merely correlates with the symptoms of “Internal Haemorrhoids” in modern system of classification.
Methods:
The Clinical study was conducted among 60 patients in a open labelled randomized method. The Text Kannu samy parambarai vaithiyam (Drug I) Naaga Sangu Parpam, and in the Siddha formulary of India Natthai Parpam (Drug II) a Siddha formulations has been specifically indicated for Rattha Moolam. This study was approved by Ethical Committee and it was conducted in Ayothidoss Pandithar Hospital, National Institute of Siddha, Tambaram sanatorium, Chennai-47.
Results
The peak incidence of Rattha moolam occurs between 20 and 40 years of age. As per the Rathina suruka naadi these period is mainly pitha kaalam(33-66 years) of humans life. In this studies out of 30 cases in drug-I 73% of cases showed good improvement and 27% of cases showed moderate improvement in reducing of bleeding during defecation . Regarding HAQ questionnaire the score was showed good improvement in 63% and moderate improvement in 37%. There was improvement in other clinical symptoms before and after treatment revealing the effect of drug. Clinically it was observed as significant and patient quality of life was improved.
Conclusions:
Clinical study revealed the therapeutic efficacy of the trial drug by showing in results of reducing bleeding and reliving constipation. There was no adverse reaction complained during the trial. We can conclude that, the clinical efficacy significant remedial measure for the Haemorrhoid cases.
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