Abstract

A CASE STUDY: EFFECT OF GUGGULU-TANKAN KSHAR SUTRA IN THE MANAGEMENT OF FISTULA IN ANO

Dr. Prabina Kumar Matari*, Prof. (Dr.) Ranjan Ku. Kasta and Dr. Tapan Ku. Nayak

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Abstract

Ayurveda is “The Science of Life.” Ayurveda places great emphasis on prevention and encourages the maintenance of health through diet, lifestyle and the use of herbs. Shalyatantra is one of the unique branches of Ashtang Ayurveda. It includes techniques for treating illnesses through surgery, as well as methods for preventing and diagnosing surgical problems. Now a days ano-rectal disorders are continuously increasing due to habituation of sedentary or with very little to no exercise lifestyle. Among these Bhagandara (Fistula-in-ano) is a common & most notorious disease occurring in the anorectal region. Maharshi Sushruta has included it under Ashta-mahagada. There are various treatments for Bhagandara in modern science. However, so far no single treatment has been proven to be a complete cure for Bhagandara. Not only complete cure, but post-operative complications like sepsis, feacal incontinence, high recurrence rate are matter of great concern. The treatment of fistulain- ano by Ksharasutra[4] therapy has become a big revolution in the field of surgery, and without any complications. The present study was under taken to assess the role of Guggulu- Tankana Kshar Sutra in the management of Bhagandara (Fistula-in-ano). A male patient who came to Shalya OPD of Gopabandhu Ayurveda Mahavidyala & Hospital with chief complaints of pain, pus and blood discharge from pustules in the perianal region along with itching for the past 6 months was advised for Kshar sutra therapy. Patient agreed to undergo Kshar Sutratherapy for management of Bhagandara.

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