Abstract
Bhagandara disease has been explained in detail by Sushruta highlighting it as one among the Ashtama- hagada and out of five types of Bhagandara, Sambukavarta considered as Asadhya, remaining four are Kruchrasadhya. Bhagandara is a track lined by unhealthy granulation tissue, pus discharge and can be corre- lated with Fistula-in-Ano. Shataponaka (Vataja) Bhagandara which is having Nidana, Samprapthi, Pur- varupa, Rupa. Acharya Sushruta explained Shastra Karma with 4 unique incisions to avoid complication. The same procedure can be correlated to fistulotomy and fistulectomy which is told in Fistula-in-ano. Even though Ksharasutra popularly used in Bhagandara, Shastrakarma plays main role in Shataponaka Bhagandara. Conditions are like fistula-in-ano with multiple opening, Tubercular fistula-in-ano, Hidradenitis suppuritiva, Crohn’s disease with fistula-in-ano, Uncontrolled diabetic patient with multiple fistula-in-ano, Perianal acti- nomycosis can be included under Shataponaka Bhagandara. In order to avoid multiple incisions and to en- hance quick healing these incisions can be used in multiple track. Keywords: Shataponaka bhagandara, Tuberculosis fistula-in-ano, Hidradenitis suppuritiva, Sitz bath, Incisions.
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