Abstract

AN OPEN LABELED RANDAMISED COMPARATIVE CLINICAL STUDY TO EVALUATE THE EFFECT OF APAMARGA KSHARA SUTRA AND CHEDANA KARMA IN THE MANAGEMENT OF BHAGANDARA

Kiran Kumar*, B. S. Savadi, Sangameshwara H. and Lohit K.

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Abstract

Perinium has a rich blood supply with full fat pads were inspection spreads easily. As the Fistula in Ano spreads from the inspection of anal glands present in the intersphincteric space, it spreads fast because of loose fat in the perinium. Fistula-in-Ano is track lined by unhealthy granulation tissue which connects perianal skin to anal canal and rectum. Bhagandar is stated as one among the mahagada according sushrutha. The disease which involves bhaga, guda, basti pradesa is. It is classified into five types viz shataponaka, ushtra greeva, parisravi, shambukavarta, unmargi. Acharya sushrutha explained the chedana karma as line of treatment in the management of Bhagandara. The current standard treatment modality in ayurveda for Fistula in ano (Bhagandara) is well managing with the application of kshara sutra ligation and application of pratisaraniya kshara. In ksharasutra the standard one is Apamarga and was compared with the Chedhana Karma (Excision). Objective: To compare the effect of Kshara sutra and Chedana Karma in the management of Bhagandara. Intervention: Apamarga Kshara sutra was applied in Group A patients and Group B in patients undertaken for Chedana Karma. Results: On comparing the overall effect on symptoms Pain was reduced in GROUP A and GROUP B there was mild significant, Discharge was reduced in GROUP A and GROUP B there was mild significant, Size of the Wound/Tract was reduced in Group A and Group B but there was moderate significant. Conclusion: From the statistical results obtained after analysis, it is concluded that Chedana karma is slightly significant statistically but clinically there was no significant difference then the Apamarga Ksharasutra.

Keywords: Fistula in Ano, Bhagandara, Pratisaraniya Kshara, Ksharasutra, Chedana Karma.