Abstract

A COMPARATIVE CLINICAL STUDY ON EFFICACY OF GUGGULU BASED PALASH KSHARA SUTRA WITH CHEDANA IN BHAGANDARA

Dr. Abdul Batin* and Dr. Binod Kalita

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Abstract

Bhagandara is a common ano-rectal disease, on the other hand it is very difficult to treat due to its recurrence rate and complications hence Acharya Sushruta has included it in the group of Asta Mahagada. The clinical features of Bhagandara resembles with fistula-in-ano as described in modern science. Ksharasutra is already established as a big revolution in the treatment of fistula-in-ano and proved more effective and minimal recurrence than modern treatment alternatives like Fistulectomy, Fibrin glue, Ligation of intersphincteric fistula tract (LIFT), endo rectal advancement flap, VAAFT etc. Ksharasutra generally prepared with Snuhi ksheera, Apamarga and Haridra. Though in conventional method collection of Snuhi ksheera is difficult and time consuming. Guggulu is having similar binding property as Snuhi ksheera and also has anti-septic, antiinflammatory and wound healing properties, hence in this study Snuhi ksheera is replaced with Guggulu and study is carried out to compare the efficacy of Guggulu based Palash ksharasutra with chedana in Bhagandara. The results showed significant relieve in subjective and objective parameters and did not cause any obstacle in patients daily routine work during the therapy period. No significant complication observed to the patients in follow up period.

Keywords: Bhagandara, Fistula-in-ano, Guggulu based Palash ksharasutra, chedana.