SCRUPULOUS REVIEW ON ‘INTEGRATED PROCTOLOGY’

Background- Proctology involves study of rectum and anal canal. Further, in today’s modernized world, shift duties, stressful life, eating of unhealthy foods makes people more prone to the ano-rectal diseases such as fissure, haemorrhoid, abscess, anal fistula and rectal prolapse etc. Modern medical science has treatment alternatives such as conservative treatment for symptomatic relief along with diet- lifestyle modification, and various surgical interventions etc. with due risk and varied prognosis. In Ayurveda, these common ano rectal problems are termed as gud vikar and Ayurvedic texts suggest fourfold treatment for such as Bheshaj (Medicinal treatment), Kshar karma (Herbal caustic paste), Agnikarma (thermal heat burn) and Shastra karma (Surgery).


Method- In this review article, information from modern surgery texts in view of definition, aetiology, patho-physiology, sign and symptoms and available treatment options as per stage of disease and a gist of contemporary texts of Ayurveda related to these gud vikaras such as parikartika, gudarsh, gud vidradhi, bhagandar, nadi vran and guda bramsh have been documented to understand integrated and holistic treatment approach towards various ano rectal problems.


Result & Conclusion- The article attempts to simplify proctology and touches maximum aspects of common ano rectal diseases with an integrated approach. Hence, this article will certainly prove useful to proctologist and researchers belonging to field of Modern and Ayurveda, to know about integrated proctology.