A PREPARATION AND STANDARDIZATION OF DIFFERENT KSHARASUTRAS
Dr. Ganapathi Rao I.*, Dr. Chandrakanth Halli and Dr. Subodh Kamthikar
ABSTRACT
A medicated thread prepared by using plant-based ingredients is Ksharasutra. The active ingredients are coated repeatedly on Barbour thread no 2-0 so that a required amount of drug gets adhered on the thread to achieve therapeutic value. Acharya Charaka mentioned Ksharasutra in the chapter of Sotha Chikitsa. Acharya Susruta mentioned its reference in Nadivrana Chikitsa. Acharya Vagbhata had clearly mentioned along with Shastrakarma, Agnikarma and Ksharakarma. Chakradutta in Arshodikar clearly mentioned the idea of preparation of Ksharasutra with Snuhi Ksheera and Haridra Churna. As the name Ksharasutra itself suggest Kshara should also be one of the ingredients which was missing in the description of Chakradutta. Therefore, Kshara was added subsequently in the preparation of Ksharasutra at the department of Shalya Tantra SSAMC Bidar. Among the various types of Kshara, Apamarga Kshara was selected because of its better clinical efficacy, wider availability of raw material and higher yield of Kshara from the plant. Ksharasutra is a well-established procedure in the management of Fistula in Ano with a high success rate. Although the standard Apamarga Ksharasutra is used successfully in the management of Fistula in Ano. Along with the advantages the standard Apamarga Ksharasutra creates many problems during preparation and application of thread. To overcome these problems various types of Ksharasutra research, preparation along with their standardization have been carried out. The research is based on searching for the drugs having better actions and acceptability than that of Snuhi Ksheera and Apamarga Kshara.
Keywords: Ksharasutra, Sushruta Samhita, Fistula in Ano.
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