Abstract

EFFECT OF KSHARASUTRA APPLICATION IN THE MANAGEMENT OF BHAGANDARA (FISTULA-IN-ANO) - A CASE REPORT

Dr. Nidhi Singh*, Dr. Manoj Kumar Chaturvedi and Dr. Amritha Vijayan

Abstract

Bhagandar (Fistula-in-Ano) is classified among Ashta Mahagada (Eight major diseases) in the Sushruta Samhita. Its recurrent nature makes treatment challenging, often disrupting daily life. Acharya Sushruta introduced the concept of Kshar Sutra in the context of Nadi Vrana (Sinus). Interestingly, Hippocrates had earlier described the use of a plain silk thread for managing fistula-in-ano. However, the medicated Kshar Sutra, prepared following a standardized protocol, has emerged as a groundbreaking advancement in the treatment of this condition. In present case study a 55-year-old male presented with pain and pus discharge from the perianal region for five months. He was advised Ksharasutra therapy, using a medicated thread prepared following standard protocols. The treatment was conducted on an OPD basis with weekly thread changes. Within four weeks, the patient experienced complete excision of the fistulous tract with minimal discomfort. Ksharasutra therapy offers a simple, cost-effective, and minimally invasive approach for managing Bhagandara (Fistula-in-Ano), ensuring effective results with low complications.

Keywords: Apamarga Kshara sutra, Ayurveda, Bhagandar, Fistula-in-Ano.