GUGGULU BASED APAMARGA KSHARA SUTRA WITH PARTIAL FISTULECTOMY AN EFFECTIVE AND CONDUCIVE MANAGEMENT IN MULTIPLE FISTULA-IN-ANO (SHATAPONAKA BHAGANDARA).
*Dr. Junita. K. Swer, Dr. Satish Chandravanshi, Dr. Shankar. S. and Dr. Shailaja. S. V.
ABSTRACT
Bhagandara (Fistula-in-ano) is one among tha Astamahagada (eight grave disorders) mentioned in Sushruta samhita.[1] Bhagandara is a troublesome disease which occurs in ano-rectal region and second commonest ano-rectal diseases after haemorrhoids and difficult to manage. Kshara sutra is one of the chief modality in the treatment in Ayurvedic science and had been explained in Nadivrana.[2] In this context, Guggulu based kshara sutra was carried out in the management of Bhagandara.It consists of guggulu, haridra and apamarga kshara. A 45 years old male presented with complaints of painful swelling with pus discharge in the anal region since 3 years has been presented here. In the present study, the patient diagnosed with Multiple fistula in ano advised for surgery as patient had undergone incision and drainage for perianal abcess not willing to undergo surgery and opted for the kshara sutra. The patient received in the OPD of SKAMCH RC and has been treated with the kshara sutra prepared in the Lab of SKAMCH & RC by following the standard protocol of preparation. The patient is treated on OPD basis with weekly change of thread. The patient recovered well with complete excision of the tract within span of 9 weeks.
Keywords: Multiple fistula-in-ano, Shataponaka Bhagandara, Kshara sutra.
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