Abstract

DIFFERENT TYPES OF KSHARA SUTRA IN FISTULA- IN- ANO A STUDY

Dr. Lalita Meena*, Dr. O.P. Dave, Dr. Vishnu Dutt Sharma

Abstract

Ksharsutra even though not described vividly by AcharyaSusruta, has been described and practiced in Ayurveda for Anorectal disorders and also for those conditions which demands gradual excision after Dr PJ Deshpande. Ksharsutra is distinguished as a medicated seton. Mechanical action of the threads or Seton and the chemical action of drugs coated on the thread together do the work of cutting, curetting, draining, and cleaning thus promoting healing of the wound. ApamargaKsharsutra is considered as the standard Ksharsutra although this ApamargaKsharsutra has been a landmark success but it has certain drawbacks like pain, burning sensation and itching associated with it during therapy and availability of Apamarga throughout the year, which is also difficult as Apamarga is a seasonal plant. Even Snuhiksheer, used in ApamargaKsharsutra, also creates many problems during preparation of thread. A very little amount is collected after the incision of the stem. It coagulates if not used early. In order to overcome these disadvantages of ApamargaKsharsutra several other Ksharsutra has been prepared by different research scholars using the drugs having binding property on thread, available in bulk, less irritant, having vranshodhaka and vranropaka properties. Thus, a study was attempted to review the published articles for the materials used in different Ksharsutra preparations.

Keywords: Ksharsutra, Anorectal disorders, Vranshodhaka, Vranropaka.