Bhagandara(Fistula-In-Ano) Treatmrnt With Kshara Sutra: A Case Study

Abstract

Fistula-in-ano is one of the most common aliments pertaining to Ano- rectal region. This disease causes discomfort and pain to patient, which create problems in routine work. As the wound is located in anal region which is more prone to infection. Thus, takes long time to heal and the condition remains troublesome, operative procedure often leads to complications like recurrences and incontinence. In Ayurveda, Bhagandara is considered as one of the Ashta Mahagada(8 major diseases) by Sushruta due tomore recurrence rate. The word Bhaga is composed of 2 words Bhaga and Darana. It is a common disease occurring in Anorectal region around the anus which extends up to Genitalia. Bhagandarais treated by different modalities in modern

science but till day no single modalities have proven to be complete one for Fistula, ksharasutra therapy is the unique specialized parasurgical procedure which is used in Fistula- in-ano. The present study was undertaken to assess the role of Apamarga kshara sutra in treatment of Fistula in ano from the OPD of SGM Post Graduate Ayurvedic College attached teaching, A 35yr male patient presenting with the complain of pain, swelling and discharge in anal region was examined in Shalya OPD and treated with Ksharasutra considering it an ideal procedure in the treatment of Bhagandara as it cuts and curates the unhealthy tissue present inside the fistulous tract.