Abstract

PARIBHADRA KSHARASUTRA IN THE SUCCESSFUL TREATMENT OF FISTULA-IN-ANO -A CASE STUDY

Dr. Priyanka Dayal* and Dr. Shivalingappa J. Arkeri

Abstract

Fistula-in-Ano is a chronic condition involving an abnormal connection or tract between the anorectal canal and the perianal skin, often resulting in persistent pus discharge and discomfort. This condition can significantly impact the quality of life, and if left untreated, it can lead to complications like infections and abscesses. It can affect the quality of life and, if not treated properly, It may cause complications such as infection and abscess. Bhagandara is an age-old ayurvedic word which is now known as Fistula-in-Ano in modern medicine. This is a grave disease as explained in classics of Ayurveda especially Sushruta Samhita, where it has been mentioned under Ashta Mahagada due to its nature and difficultness to treat. Ksharsutra is a well-established Ayurvedic treatment for Fistula-in-Ano, offering a minimally invasive alternative to conventional surgery. Different plants are used to make ksharasutra, most commonly used are apamarga ksharasutra, yava ksharasutra etc. here in this study paribhadra ksharasutra is being used for the treatment of bhagandara. Ksharsutra technique is threading of medicated thread, coated with herbal alkalis through the fistulous tract. This thread slowly perforates through the tract while ensuring both healing and drainage. Eventually, the fistula is removed without major surgery. With an increasing number of patients opting for a conservative, but effective treatment modality, it has gained popularity in India for the management of Fistula-in-Ano. In this the paribhadra kshara sutra are used for bhagandara. In the present study brought under consideration effect of Paribhadra Ksharasutra in the management of Bhagandara. This case of Fistula in Ano was cured and no further complaints were found in the patient during follow up period.

Keywords: Fistula in ano, bhagandara, paribhadra ksharasutra, Ayurvedic treatment.