BHAGANDARA (FISTULA-IN-ANO) AND IT’S MANAGEMENT IN AYURVEDA – A CONCEPTUAL STUDY
Dr. Madan Bhandari*, Dr. Pravesh Srivastava, Dr. Prerok Regmi and Manoj Bhandari
ABSTRACT
Bhagandara clinically correlated with Fistula-in-ano is among the Asta-Mahagada. As it does Daarana of Bhaga region it is called Bhagandara. Acharya Susruta has mentioned Shataponaka, Ustagriva, Parisravi, Sambukaavarta, Unmargi as 5 varieties of Bhagandara and all are explained as difficult to cure. Pidaka is the initial manifestation of Bhagandara which if not treated timely leads to Bhagandara.In this study available information regarding Bhagandara from different classical Ayurvedic texs, new books, research papers etc. are reviewed conceptually. In Ayurveda different oral medicines, different local paste applications, medicated wick application, medicated oil application etc. are explained as medicinal management of Bhagandara. In surgical methods different surgical techniques for different varieties of Bhagandara are explained in detail by different Acharyas. Different incisions like Langalaka, Ardhalangalak, Ardhachandra etc. are the practical orientation given by Acharyas. Among the parasurgical methods Ksharasutra is the most accepted method of surgery. Ksharasutra treatment is advised only to patients where excision is contraindicated. But due to increased positive outcome of Ksharasutra therapy nowdays it has become the primary modality of treatment.
Keywords: Pidaka; Bhagandara; Fistula-in-ano; Susruta; Ksharasutra.
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