for the use only of registered medical practitioner ore
hospital or a laboratory
BANGSHIL IN G. U. T. INFECTIONS
Bangshil
was tried in 110 patients of Prostatities Cystitis
& Enlarged prostate, 86.3% of the patients had good relief with Bangshil treatment.
Check
Panendoscopy revealed definite clearance of symptoms
following a course of Bangshil -
Response
in Grade 1 to Grade 11 Benign Hypertrophic Prostate
(B. H. P.) with Prostatitis is quite satisfactory.
In
many cases therapy with Bangshil postponed Surgery in
cases where the enlargement of Prostate was even more than Grade If.
BANGSHIL* IN THE TREATMENT OF PROSTATITIS, CYSTITIS AND
ENLARGED PROSTATE
(A
Clinical Study)
D.
Jagadisan, M.S., M.Ch. (Urology), Professor of
Surgery & Professor of Urology,
A.
M. Sathyanarayanan, M.S., Asst. Professor of Surgery,
J.
Shamala, M.B.B.S., House Surgeon,
Introduction
Genito-Urinary
Infections and complaints are a world problem. This is more particularly so
about Prostate and Bladder.
We
wanted to study the drugs which would control the infection and give
symptomatic relief with the least toxic or side effects. So; we used Bangshil for our study.
Bangshil contains Bang
Bhasma (Tin Bhasma), Shilajit, Chandan (Sandalwood), Vanslochan, Loha Bhasma (Iron Bhasma), Svarna makshikam, Guggul and other drugs.
Bangshil formula has
synergistic action. It has anti-inflammatory, antibacterial, antiseptic,
astringent, diuretic, healing and cooling properties. It detoxicates
genito-urinary tract and restores normal
physiological functions. It is said to raise body resistance, induce muscular
and nervine relaxation and to give a sense of well
being.
Materials and
methods
This
study was conducted at the
Most
of the cases had various antibiotics and urinary antiseptics many times in the
past with recurrences and relapses.
Urine
analysis, urine culture, Hb%, Blood Sugar, Blood
Urea, V. D. R. L., Plain X-Ray K.U.B., Intravenous Urography,
pH Examination and Panendoscopy were done in all the
cases. Repeat investigations of urine and panendoscapy
were done after two weeks of clinical trial with Bangshil
to assess the results. Subjective feeling of the patient as to symptomatic
relief and objective assessment by urine analysis and check panendoscopy
at the end of a minimum period of two weeks of treatment with Bangshil, were taken into consideration for the final
assessment. Though further treatment was given depending upon the clinical
improvement of each, final assessment of results was made at the end of the
minimum course of treatment of two weeks.
Age groups
The
age groups were between 20-80 years. Most of the patients were aged more than 40
years. While 23.7% were aged 20-40 years those aged over 40 years formed 76.3%.
The details of age group are given in Table No. 1.
TABLE
No 1
Showing
Age Groups
|
Age
Groups in Years |
No. |
percentage |
|
20-25
Yrs. |
8 |
7.3% |
|
26-30
Yrs. |
6 |
5.5°i'o |
|
31-35
Yrs. |
8 |
7.3% |
|
36-40
Yrs. |
4 |
3.6% |
|
41-45
Yrs. |
3 |
2.7% |
|
46-50
Yrs. |
12 |
10.9% |
|
51-55
Yrs. |
20 |
18.2% |
|
56-60
Yrs. |
17 |
15.5% |
|
61-65
Yrs. |
16 |
14.5% |
|
66-70
Yrs. |
4 |
3.6% |
|
71-75
Yrs. |
10 |
9.1% |
|
76-80
Yrs., |
2 |
1.8% |
|
Total |
110 |
100.0% |
Symptoms
Generally
a patient had more than one symptom. Frequency of micturition
was the most commonly occurring symptom -with 87.2% having it. Next came the symptom of burning micturition
with 72.7%. Difficulty in Passing Urine came next with 54.5%,.
The occurrence of precipitancy, dysuria etc. including the age groups of symptoms are all shown in
detail in Table No. 2.
TABLE No. 2:
Showing Symptoms and their relation to Age Groups. (N.=110)
|
|
20-30 Yrs. |
31-40 Yrs. |
41-50 Yrs. |
51-60 Yrs. |
61-70 Yrs. |
71-80 Yrs. |
Total |
% |
|
|
|
|
|
|
|
|
|
|
|
1.
Frequency of micturition : |
10 |
12 |
15 |
27 |
20 |
92 |
96 |
87.2 |
|
2.
Burning of micturition : |
8 |
12 |
15 |
14 |
20 |
11 |
80 |
72.7 |
|
3.
Difficulty in Passing Urine : |
2 |
3 |
6 |
25 |
12 |
12 |
60 |
54.5 |
|
4.
Precipitancy : |
4 |
5 |
3 |
21 |
11 |
12 |
56 |
50.9 |
|
5.
Dysuria : |
13 |
12 |
9 |
5 |
3 |
4 |
46 |
41.8 |
|
6.
Dribbling of Urine : |
0 |
1 |
2 |
9 |
6 |
12 |
30 |
27.3 |
|
7.
Haematuria : |
8 |
2 |
3 |
1 |
2 |
0 |
7
6 |
14.5 |
|
8.
Weak or loss of erection : |
0 |
4 |
1 |
0 |
0 |
0 |
5 |
4.5 |
|
|
|
|
|
|
|
|
|
|
|
No.
of cases in Age Groups: |
14 |
12 |
15 |
37 |
20 |
12 |
110 |
|
Other
associated diseases confirmed by investigations.
There
were 15 cases of diabetes, 6 cases of Pulmonary Tuberculosis, 10 cases of anaemia and 6 cases of vescical
stones. All these were given appropriate treatment. There was no case of
malignancy.
Details of
diagnosis
There
were 66 cases of Enlarged Prostate (60%), 28 cases of Prostatitis
(25.5%) and 16 cases of Cystitis (14.5%). The details of these conditions,
including the age are given in table No. 3.
TABLE No. 3:
Showing the conditions with Age Groups.
|
|
20-30 Yrs. |
31-40 Yrs. |
41-50 Yrs. |
51-60 Yrs. |
61-70 Yrs. |
71-80 Yrs. |
Total |
|
|
Enlarged
Prostate : |
- |
- |
12 |
32 |
14 |
8 |
66 |
60.0% |
|
Prostatitis : |
- |
10 |
3 |
5 |
6 |
4 |
28 |
25.5% |
|
Cystitis
: |
14 |
2 |
- |
- |
- |
- |
16 |
14.5% |
|
Total
: |
14 |
12 |
15 |
37 |
20 |
12 |
110 |
100.070 |
Dosage of Bangshil
Bangshil was given 2
tablets, three times a day for a minimum period o1 2 weeks initially and
further treatment depended upon the clinical improvement.
Final results
Assessment
was made at the end of the minimum period of two weeks treatment with Bangshil. Assessment was made an`
the basis of subjective feeling of the patient as to symptomatic relief and
objective assessment by Urine Analysis and Check Panendoscopy.
There
was Total Relief in 70 cases (63.6%.), Partial Relief
in 25 cases (22.7%), and there was No Relief in l:i
cases (13.7%,). The details of assessment of results in Enlarged Prostate, Prostatitia and Cystitis are given in detail in Table No.
4.
TABLE No. 4:
Results:
|
Relief |
Enlarged Prostate |
Prostatitis |
Cystitis |
Total |
o |
|
Total
Relief : |
36 |
20 |
14 |
70 |
63.6% |
|
Partial
Relief : |
18 |
5 |
2 |
25 |
22.7% |
|
No.
Relief : |
12 |
3 |
- |
15 |
13.7% |
|
Total
: |
66 |
28 |
16 |
110 |
100.0% |
Comparative
assessment of results
Among
the cases of Enlarged Prostate, there was Total Relief in 54.5%.. Among the cases of Prostatitis,
l.lvere was Total Relief in 71.4%. Among the cases of
Cystitis, there was Total Relief in 87.5%,. The
details are given in Table 5.
TABLE No. 5:
Showing assessment of results.
|
|
No.
of Cases |
Complete Relief |
% |
Partial Relief |
% |
Relief No |
% |
|
Enlarged
Prostate : |
66 |
36 |
(54.5%) |
18 |
(27.3%) |
12 |
(18.2%) |
|
Prostatitis : |
28 |
20 |
(71.4%) |
5 |
(17.9%) |
3 |
(10.7%) |
|
Cystitis
: |
16 |
14 |
(87.5%) |
2 |
(12.5%) |
- |
- |
|
Total |
110 |
70 |
|
25 |
|
15 |
|
|
|
100% |
63.6% |
|
22.7% |
|
13.7% |
|
Check
Panendoscopy revealed definite clearance of symptoms
following two weeks of Bangshil treatment in those
cases where complete relief was seen. Re:ponse
in Grade I and Grade II of Enlarged Prostate was quite satisfactory. In those
cases where the enlargement of Prostate was even more than Grade II, therapy
with Bangshil postponed Surgery. This was noteworthy
in this clinical trial with Bangshil. The use of Bangshil will be of great help, particularly in those cases
where surgery is contraindicated.
Toxic &
Side Effects
There
was no evidence of any adverse or side effects in any of our patients who
received the drug even for a prolonged period.
Summary:
Following
were the observations of our study on Bangshil
(Alarsin) in Prostatitis.
(i) Common Age Group 50-60 Yrs.
(ii)
Common symptoms-Frequency/Burning Micturition.
(iii)
No definite relationship between symptoms and age except Dysuria/Frequency
Syndrome was more frequent after 50 years when associated B.H.P. (Benign Hypertrophic Prostate) is Common.
(iv) Check Panendoscopy
revealed definite clearance of Symptoms following a course of Bangshil (Alarsin) in those cases where complete relief was
achieved.
(v)
Response in Grade I to Grade II B.H.P. (Benign Hypertrophic
Prostate) with Prostatitis is quite satisfactory.
(vi)
Dose of Bangshil : Two tablets thrice a day for initial period of 2 weeks
and later continued depending upon the symptoms.
(vii)
There was no evidence of side effects in any case of our patients who were
receiving the Drug for prolonged period.
(viii)
In many cases therapy with Bangshil postponed Surgery
in cases where the enlargement of Prostate was even more than Grade II.
Conclusion
This
study has shown that Hangshil has a definite role in
the treatment of Enlarged Prostate, Prostatitis and
Cystitis 70 cases (63.6%) showed Complete Relief, 25 cases (22.7%) showed
Partial Relief and 15 cases (13.7%) showed No Relief. No untoward side effects
were observed with Bangshil therapy even in
cases which were advised to take it for a
long duration. Those who showed Partial Relief were generally those cases who had Associated Diseases like Diabetes, minor Grade I to
Grade II prostatic enlargement, urenthral
strictures and calcium diseases of the bladder. Those cases which showed No
Relief had huge enlargement of prostate (Grade II to Grade III) which required
surgery. It is worth mentioning that there were cases where they presented with
dribbling and impending fear of surgery. When they were put on Bangshil treatment for 10 days, the symptoms were relieved
completely and they were symptoms free for more than two years.
Acknowledgement
Our
thanks to Superintendent & Principal,
We
are highly grateful to the patients for their kind cooperation during the trial
and during follow-up studies.
Our thanks to Alarsin Pharmaceuticals,
References
1.
Bapat, S.S. (1975): "Double Blind
Crossover-Recheck Study on Bangshil: Paper read at
XXI Annual Conference of International College of Surgeons,
2.
Agarwal, R. S.: (1975): Burning Micturition:
Rajasthan Med. J.: XIV:1:19r5.