Abstract

AYURVEDIC MANAGEMENT OF HORSESHOE FISTULA-IN-ANO USING YAVA KSHARA SUTRA: A CASE STUDY

Umesh A. Vaidya* and Netraj R. Suryawanshi

Abstract

Fistula-in-ano is a common anorectal condition characterized by chronic infection and abscess formation with a persistent discharge. Horseshoe fistula, a complex type involving bilateral extensions from the midline posteriorly, poses significant challenges in management. The prevalence rate of Fistula-in-Ano is 8.6 cases per 100,000 population worldwide, in men the prevalence rate is 12.3 cases per 100,000 population and in women it is 5.6 cases per 100,000 population. Kshara Sutra, an Ayurvedic para-surgical technique, has shown promising results, particularly in recurrent, chronic and complex fistulas. This case study underscores the successful Ayurvedic management of a horseshoe fistula (bhagandhar) using Yava Kshara Sutra, Panchvalkal decoction for sitz bath, Triphala Guggul and Gandhak Rasayan within 6 weeks without recurrence till date.

Keywords: Bhagandhar, Fistula-in-ano, Horseshoe fistula, Yava Kshara Sutra, Ayurveda, Para-surgical techniques.