Clinical Study of Dashanga Lepa Application Followed by Virechana Karma in the Management of Guda Vidradi (Recurrent Perinal Abscess)

Abstract

The phenomenon of formation of wound as a result of inflammation and abscess. Its repair and treatment by mean of Shasti upakrama or saptopakrama is the fundamental major contribution of acharya Sushruta. An ano rectal abscess originates from an infection arising in the crypto-glandular epithelium lining of the anal canal spreading into adjacent spaces and resulting in fistula, in 40% of cases. The classic location of anorectal abscess, listed in order of decreasing frequency are as follows: perianal (60%), ischiorectal (20%), intersphincteric (5%), supralevator (4%) and submucosal (1%). The treatment of Guda vidradhi (anal abscess) in pakwa avastha is adequate and dependent drainage. Hence Sushruta has indicated bhedana karma. In Ayurveda, inflammatory swelling well managed by medical along with surgical interventions.