{"id":"https://openalex.org/W7224740204","doi":"https://doi.org/10.5281/zenodo.23790777","title":"CLINICAL OUTCOMES OF ANULOMANA THERAPY IN GRADE I INTERNAL HEMORRHOIDS: A CASE SERIES","display_name":"CLINICAL OUTCOMES OF ANULOMANA THERAPY IN GRADE I INTERNAL HEMORRHOIDS: A CASE SERIES","publication_year":2026,"publication_date":"2026-11-01","ids":{"openalex":"https://openalex.org/W7224740204","doi":"https://doi.org/10.5281/zenodo.23790777"},"language":"en","primary_location":{"id":"doi:10.5281/zenodo.23790777","doi":"https://doi.org/10.5281/zenodo.23790777","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.23790777","pdf_url":null,"source":{"id":"https://openalex.org/S2764492878","display_name":"World Journal of Pharmaceutical Research","issn_l":"2277-7105","issn":["2277-7105"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},"volume":null,"type":"article","indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.5281/zenodo.23790777","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160172633","display_name":"Dr. Rakesh R. N.2 Dr. Geetha N. S.1*","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Dr. Geetha N. S.1*, Dr. Rakesh R. N.2","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5160172633"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.88052967,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11865","display_name":"Anorectal Disease Treatments and Outcomes","score":0.9814000129699707,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11865","display_name":"Anorectal Disease Treatments and Outcomes","score":0.9814000129699707,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12647","display_name":"Traditional Chinese Medicine Studies","score":0.016100000590085983,"subfield":{"id":"https://openalex.org/subfields/2707","display_name":"Complementary and alternative medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10902","display_name":"Complementary and Alternative Medicine Studies","score":0.0008999999845400453,"subfield":{"id":"https://openalex.org/subfields/2707","display_name":"Complementary and alternative medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/constipation","display_name":"constipation","score":0.9190000295639038},{"id":"https://openalex.org/keywords/apana-vata","display_name":"Apana Vata","score":0.9589999914169312},{"id":"https://openalex.org/keywords/triphala-churna","display_name":"Triphala Churna","score":0.9990000128746033},{"id":"https://openalex.org/keywords/bowel-regularity","display_name":"bowel regularity","score":0.9229999780654907},{"id":"https://openalex.org/keywords/hemorrhoidal-bleeding","display_name":"hemorrhoidal bleeding","score":0.8299999833106995},{"id":"https://openalex.org/keywords/ayurvedic-treatment","display_name":"Ayurvedic treatment","score":0.6589999794960022}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9451000094413757},{"id":"https://openalex.org/C2781112942","wikidata":"https://www.wikidata.org/wiki/Q178436","display_name":"Constipation","level":2,"score":0.8233000040054321},{"id":"https://openalex.org/C2779797108","wikidata":"https://www.wikidata.org/wiki/Q41478","display_name":"Hemorrhoids","level":2,"score":0.7714999914169312},{"id":"https://openalex.org/C2778537899","wikidata":"https://www.wikidata.org/wiki/Q254034","display_name":"Bedtime","level":2,"score":0.5863000154495239},{"id":"https://openalex.org/C108797546","wikidata":"https://www.wikidata.org/wiki/Q204015","display_name":"Defecation","level":2,"score":0.5105999708175659},{"id":"https://openalex.org/C2781074409","wikidata":"https://www.wikidata.org/wiki/Q158716","display_name":"Rectum","level":2,"score":0.49559998512268066},{"id":"https://openalex.org/C2776783490","wikidata":"https://www.wikidata.org/wiki/Q447295","display_name":"Proctoscopy","level":3,"score":0.4771000146865845},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.46160000562667847},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.41429999470710754},{"id":"https://openalex.org/C2780661987","wikidata":"https://www.wikidata.org/wiki/Q217972","display_name":"Laxative","level":3,"score":0.40959998965263367},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.38769999146461487},{"id":"https://openalex.org/C2776530707","wikidata":"https://www.wikidata.org/wiki/Q194517","display_name":"Enema","level":2,"score":0.31839999556541443},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.3109000027179718},{"id":"https://openalex.org/C2778435480","wikidata":"https://www.wikidata.org/wiki/Q840387","display_name":"Colonoscopy","level":4,"score":0.3109000027179718},{"id":"https://openalex.org/C71527416","wikidata":"https://www.wikidata.org/wiki/Q3774852","display_name":"Cathartic","level":2,"score":0.3061999976634979},{"id":"https://openalex.org/C2781093762","wikidata":"https://www.wikidata.org/wiki/Q6695342","display_name":"Lubiprostone","level":4,"score":0.2635999917984009}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.5281/zenodo.23790777","doi":"https://doi.org/10.5281/zenodo.23790777","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.23790777","pdf_url":null,"source":{"id":"https://openalex.org/S2764492878","display_name":"World Journal of Pharmaceutical Research","issn_l":"2277-7105","issn":["2277-7105"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},{"id":"doi:10.5281/zenodo.23790778","doi":"https://doi.org/10.5281/zenodo.23790778","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.23790778","pdf_url":null,"source":{"id":"https://openalex.org/S2764492878","display_name":"World Journal of Pharmaceutical Research","issn_l":"2277-7105","issn":["2277-7105"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"}],"best_oa_location":{"id":"doi:10.5281/zenodo.23790777","doi":"https://doi.org/10.5281/zenodo.23790777","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.23790777","pdf_url":null,"source":{"id":"https://openalex.org/S2764492878","display_name":"World Journal of Pharmaceutical Research","issn_l":"2277-7105","issn":["2277-7105"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3124075798","https://openalex.org/W7219652064","https://openalex.org/W4416362985","https://openalex.org/W7202085366","https://openalex.org/W7165898925","https://openalex.org/W2372310083","https://openalex.org/W4406126219","https://openalex.org/W4386801095","https://openalex.org/W2407740004","https://openalex.org/W4386037232"],"abstract_inverted_index":{"Background:":[0],"Grade":[1,45,63,201],"I":[2,46,64,202],"internal":[3,47,65,203],"hemorrhoids":[4],"present":[5],"with":[6,60,97,103,153,182,189,218],"bleeding":[7,195],"per":[8,79],"rectum":[9],"without":[10],"prolapse,":[11],"and":[12,38,50,67,76,89,126,133,165,172,196,209],"constipation":[13,68],"(Vibandha)":[14],"is":[15,23],"a":[16],"key":[17],"aggravating":[18],"factor.":[19],"In":[20],"Arsha,":[21],"Anulomana":[22,42,180],"the":[24,72],"first":[25],"step":[26],"of":[27,194,207],"Bheshaja":[28],"Chikitsa.":[29],"This":[30],"case":[31],"series":[32],"aimed":[33],"to":[34,169],"document":[35],"bowel":[36,109,141,191],"regularity":[37,110],"symptom":[39,198],"outcomes":[40,120],"after":[41],"therapy":[43,181],"in":[44,158,200],"Hemorrhoids.":[48],"Materials":[49],"Methods:":[51],"Three":[52],"patients":[53,138],"(38-year-old":[54],"male,":[55],"32-year-old":[56],"female,":[57],"45-year-old":[58],"male)":[59],"proctoscopically":[61],"confirmed":[62],"Hemorrhoids":[66],"were":[69,121],"treated":[70],"at":[71,95,129,167],"Shalya":[73],"Tantra":[74],"OPD":[75],"reported":[77],"as":[78,212],"CARE":[80],"guidelines.":[81],"They":[82],"received":[83],"Avipattikara":[84],"Churna,":[85],"Swadishta":[86],"Virechana":[87],"Churna":[88,91],"Triphala":[90],"respectively,":[92],"5":[93,166],"g":[94],"bedtime":[96],"lukewarm":[98],"water":[99],"for":[100,184],"30":[101,185],"days,":[102],"Pathyahara.":[104],"The":[105],"primary":[106],"outcome":[107],"was":[108,156,187],"(Bristol":[111,150],"Stool":[112],"Form":[113],"Scale,":[114],"frequency,":[115],"straining,":[116],"complete":[117],"evacuation).":[118],"Secondary":[119],"Hemorrhoid":[122],"Severity":[123],"Score":[124],"(HSS)":[125],"bleeding,":[127],"assessed":[128],"Day":[130,144],"0,":[131],"15":[132],"30.":[134],"Results:":[135],"All":[136],"three":[137],"achieved":[139],"regular":[140,190],"habit":[142],"by":[143],"30,":[145],"shifting":[146],"from":[147,162],"hard":[148],"stools":[149],"Type":[151],"1-2)":[152],"straining.":[154],"Bleeding":[155],"controlled":[157,216],"all.":[159],"HSS":[160],"fell":[161],"7,":[163],"6":[164],"baseline":[168],"1,":[170],"1":[171],"0":[173],"respectively.":[174],"No":[175],"adverse":[176],"events":[177],"occurred.":[178],"Conclusion:":[179],"Pathyahara":[183],"days":[186],"associated":[188],"habit,":[192],"cessation":[193],"reduced":[197],"scores":[199],"hemorrhoids,":[204],"supporting":[205],"correction":[206],"Vibandha":[208],"Apana":[210],"Vata":[211],"first-line":[213],"care.":[214],"Larger":[215],"studies":[217],"recurrence":[219],"follow-up":[220],"are":[221],"warranted.":[222]},"counts_by_year":[],"updated_date":"2026-11-03T10:50:19.383937","created_date":"2026-10-31T00:00:00"}