Management of Fistula-In-Ano (Bhagandara) With Ksharasutra: A case study

Ganapathi Rao I * and Chandrakanth M Halli

Department of Post Graduate Studies in Shalya Tantra, N. K. Jabshetty Ayurvedic Medical Collage & P. G. Centre, Bidar-585403 (Karnataka), India.
 
Research Article
International Journal of Science and Technology Research Archive, 2022, 03(01), 155–158.
Article DOI: 10.53771/ijstra.2022.3.1.0082
Publication history: 
Received on 23 July 2022; revised on 23 August 2022; accepted on 25 August 2022
 
Abstract: 
Fistula in Ano is a chronic inflammatory condition having a tubular structure with opening in the Anorectal canal at one end and surface of perineum or perianal skin on the other end. Any opening in perianal area with chronic pus discharge indicates fistulous tract. Prolong sitting, unhygienic condition, obesity, repeated irritation due to hair may increase the risk of occurrence. In Ayurveda it is correlated with Bhagandara and Acharya Sushruta mentioned five types of Bhagandara. He had explained Shastra karma along with Kshara karma and Bheshajachikitsa for treatment. Here a case of fistula in Ano in a 30-year male patient was examined in Shalya OPD and treated with Ksharasutra, considering it as an ideal procedure in treatment of Bhagandara as it cuts and curettes the unhealthy tissue present inside the fistulous tract.
 
Keywords: 
Bhagandara; Kshara; Kshara sutra; Fistula in ano
 
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