Treatment Procedure
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After taking written informed consent, the patient was given lithotomy Position, preparation of part was done using Savlon and betadine and cervix were exposed using cuscos speculum, Apamarga Kshara was applied with a cotton swab stick over the eroded cervical area and was kept in contact for 2 minutes. Thereafter yoni prakshalana(An Ayurvedic Therapy) was done with panchvalkala kwatha(Ayurvedic wound healer) followed by jatyadi taila picchu (tampooning).
The Apamarga Kshara was found strongly alkaline in reaction (pH = 10.44) and hygroscopic. It has,
PH = 10.44
Acid radicals - Co3, So4, Cl—
Phosphate - P2O5
Basic radicals - Ca++, Mg++, Na+, K+,Fe+++ etc.
As its strong alkaline nature (pH = 10.44) was responsible for the corrosive action and re-epithelialization of squamous epithelium easily.
The Ayurvedic management of cervical erosion is effective through the Kshara karma using Apamarga. The procedure and mode of action are almost equivalent to Allopathic surgical management.
Ksharakarma and the drug used to perform the procedure (Apamarga) have an equal role to enhance the complete cure condition.
Kshara karma has the power to clear the damaged epithelial cells and the presence of components like tannins, flavonoids, antioxidants, etc in Apamarga to improve the healing process.
As per Ayurveda Kshara karma seems to be a safe, easy method, short procedure, cost-effective, fewer chances for complications, and re-emergence of the condition. So the controlled cauterization by Apamarga Kshara is very effective in the management of cervical erosion.