Abstract

AN AYURVEDA APPROACH IN TREATING PERIANAL ABSCESS - A CASE REPORT

Dr. Anita Lalwani*, Dr. Rajesh Gupta, Dr. Subhendra Yadav

ABSTRACT

Perianal abscess is a common ano rectal disorder. An abscess is a collection of pus in a cavity formed by disintegrating tissue and surrounded by inflamed tissue. Perianal abscess, is the most common type of anorectal abscesses accounting for about 60% of reported cases, are superficial collections of purulent material just beneath the skin of the anal canal. The most common complication of perianal abscess is fistula in ano because of inadequate drainage of pus or improper dressing in the post-operative phase. The management in the contemporary science is described in two step procedure involving incision and drainage followed with fistula management. In Ayurveda Vidradhi is compared to abscess. Acharya Sushruta mentions that if vidradhi attains Pkvaavastha, surgical management remains the best choice of treatment. After Incision and drainage of the pus later, it should be treated as Vrana. The current study subject reported to the department with pain and swelling in perianal region for the past 10 days. The Ayurvedic management followed in current case was involving incision and drainage followed by Vranopachar (wound healing). Ayurvedic treatment of abscess drainage followed by wound cleaning with triphala kashya and application of Jatyadi oil and yashtimadhu ghrit.

Keywords: Jatyadi Tail, Perianal abscess, Vidradhi, Vrana.