Effect of Karamardādi Yoga versus diclofenac sodium in post-operative pain management: A randomized comparative clinical trial.
BACKGROUND
Post-operative pain is Nociceptive i.e., anticipated unavoidable physiological pain which is caused due to tissue trauma. Drugs such as NSAIDs (Non Steroidal Anti Inflammatory Drugs) and Opioids are used for post-operative pain management but are associated with their own drawbacks. Karamardādi Yoga has been in use in Ayurvedic practice for analgesia. It is known to relieve pain and can be used to supplement anaesthesia and also get rid of adverse effect of modern analgesic drugs.


OBJECTIVE
To study the comparative effect of Karamardādi Yoga and Diclofenac sodium in post-operative pain management.


METHODS
Randomized clinical trial with Group A (Control Group: Tab Diclofenac sodium 50 mg as a single dose) and Group B (Trial Group: Cap Karamardādi Yoga 500 mg as a single dose). Those who had undergone haemorrhoidectomy operation under local anaesthesia were selected as per inclusion criteria. Vitals, desirable effect and undesirable effect, total surgical time, requirement of 1(st) dose of analgesic, requirement of rescue analgesic and pain determined by VAS (Visual Analog Scale) were the assessment criteria and were observed and recorded.


RESULTS
Karamardādi Yoga does not show any undesirable or serious ill effects and altered values of vitals as per statistical analysis. As per VAS scale, pain felt by Trial group was earlier than control group.


CONCLUSIONS
Karamardādi Yoga has analgesic property but its analgesic property and pain threshold capacity is lesser than those of Diclofenac sodium.
Department of Shalyatantra Shri. Annasaheb Dange Ayurved Medical College, Ashta, Sangali, Maharashtra, India.
Rahul
R
Hegana
Parul Institute of Ayurveda, Parul University's, Vadodara, Gujarat, India.
Hemant Devaraj
HD
Toshikhane
Department of Panchakarma, SDM Ayurveda Medical College, Terdal, Bagalkot, Karnataka, India.
Sangeeta
S
Toshikhane
Department of Samhita Siddhanta, Parul Institute of Ayurved, Parul University, Vadodara, Gujarat, India.
Hetal
H
Amin
Anaesthesia; Karamarda; Kāñji; Pain; haemorrhoidectomy