EFFECT OF SAPTANG GUGGULU IN POST OPERATIVE COMPLICATION AFTER KSHAR SUTRA LIGATION IN BHAGANDARA (FISTULA IN ANO) – A REVIEW
*Dr. Prem Prakash Rai, Dr. Sachin Gupta and Dr. Saurabh Sharma
Abstract
Background: Acharya Sushruta has described Bhagandara under one
of the eight grave disorder i.e. Ashtamahagada, which are difficult to
treat and have higher chances of complications.[1] Nowadays, Fistulain-
ano has highest prevalence in ano rectal disorders after
haemorrhoids.[2] Though because of high prevalence rate, numerous
options are being practiced worldwide for its management but none of
them ever provided absolute result to the mankind because of their
complications such as fecal incontinence and recurrence. Ayurveda has
given the golden concept of ksharsutra for its management which is
having the highest successful rate amongest all other procedures.[3] But
still, comes with few complications to patients after Ksharsutra
ligation like pain, itching, burning sensation, inflammation and delayed
healing. Saptanga Guggulu have various ingredients and active principles which can help in
reducing these post-operative complications.
Keywords: Ksharsutra therapy, Bhagandara, Ashtamahagada, Fistula-in-ano, Saptanga Guggulu.
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