Abstract

A RANDOMISED CLINICAL STUDY TO EVALUATE THE EFFECT OF SNUHI-APAMARGA KSHARASUTRA WITH GUGGULU-ARKA KSHARASUTRA IN THE MANAGEMENT OF BHAGANDARA W.S.R TO FISTULA IN ANO

Dr. Amal Thomas*, Dr. Rajneesh V. Giri and Dr. Aswin Haridas

Abstract

Bhagandara is considered as one among the Ashtamahagada. It causes pain in bhaga, guda and Basti. It can be compared to Fistula in Ano, which is a chronic inflammatory tract with an external opening in the perianal skin and an internal opening in the anal canal or rectum. Fistulotomy and fistulectomy are the common surgical treatments for Fistula in ano. But this procedure is associated with various complications like recurrence, anal stricture, anal incontinance, disfigurement etc. Ksharasutra is a well known minimally invasive surgical treatment of Bhagandara. Use of Ksharasutra in the fistulous tract is capable of dissolving the tough fibrous tissue and its debridement thus creating a healthy base for healing. It is a safe, effective treatment modality which is not associated with the complications associated with modern surgery. The present study has been planned to compare the effect of Snuhi-Apamarga Ksharasutra and Guggulu-Arka Ksharasutra.

Keywords: Bhagandara, Fistula in Ano, Guggulu-Arka Ksharasutra, Ksharasutra, Snuhi-Apamarga Ksharasutra.