Abstract

ROLE OF SYANDANA TAILA AND TRIPHALA GUGGLU IN THE MANAGEMENT OF BHAGANDARA W.S.R. TO FISTULA-IN-ANO.

*Dr. Mohit Bakshi, Dr. Kulwant Singh Himaliyan, Dr. Suman Sharma and Dr. Sudarshan Kumar Thakur

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Abstract

Sushruta has described bhagandara in asthamahagada[1] i.e, the disease which is very difficult to cure. A very similar condition is described in modern science as fistula-in-ano. The main aim and objective of present study is to treat fistula-in-ano without much pain and long duration as in standard kshar sutra procedure. Also to avoid other complications like incontinence and reoccurance. For this Syandana taila[2] was taken from reference Sushruta chikitsa sthan 8/50-52 and Triphala gugglu[3] from Sharangdhar madhyam khand 7/82-83. Present study was an open clinical study in which 20 patients between 20 to 60 years of age and having low anal fistula were selected randomly in a single group. Syandana taila was applied after proper debridement and curettage of fistula track and closure of its internal opening and Triphala gugglu was given orally for 6 weeks. Out of 20 patients 10 patients were markedly improved i.e., percentage relief of 75% to 99%. 8 patients showed improvement of 50% to 74% relief in symptoms and 2 patients showed less than 50% relief of symptoms. The overall result was highly significant. Further study has been needed especially in high anal fistulae and in greater number of patients.

Keywords: Bhagandara, Syandana tail, Triphala gugglu, fistula in ano.