Abstract

Bhagandara (Fistula-in-ano) is a cumbursome disease which occurs in Anorectal region, it is second commonest disease after haemorroids. In this context, a comparative study was carried out to evaluate the efficacy of Madhu-Kshara Sutra in the management of Bhagandara . It consists of Madhu, Apamarga (Achyranthus Aspera) and Haridra (Curcuma longa). The subjects were treated with Madhu Kshara Sutra in study group and Apamarga Kshara Sutra in control group and the results were encouraging.

Highlights

  • The word fistula is derived from aLatin word a reed, pipe or flute

  • The subjects were treated with Madhu Kshara Sutra in study group and Apamarga Kshara Sutra in control group and the results were encouraging

  • Pain felt by the patients at the time of changing thread and subsequent change of Madhu-Kshara Sutra was very less in compared to Apamarga Kshara Sutra, 31.8% patients complained less degree of pain in Group B compared to 20.50% patients in Group A

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Summary

Introduction

The word fistula is derived from aLatin word a reed, pipe or flute. It is an abnormal communication between two epithelial-lined surfaces. The word fistula is derived from a. It is an abnormal communication between two epithelial-lined surfaces. It usually results from an ano-rectal abscess, which burst spontaneously or opened inadequately. As the wound is located in anal region which is a storehouse for faeces so it is more prone for infection, takes long time to heal and the condition remains difficult to cure, various operative procedures often leads to complications like recurrences, scars and faecal incontinence. In Ayurvedic classics, Bhagandara has been described as one of the Asta Mahagada means which is difficult to cure and it has similar signs and symptoms of Fistula-in-ano. The Kshara Sutra therapy was practiced and used since long time with great success and negligible

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