World Journal of
Pharmaceutical and Life Sciences

A CASE STUDY OF PRATISARANIYA KSHARA KARMA IN BHAGANDARA W.S.R. TO LOW ANAL FISTULA

Dr. Vineet Kumar Jain,* Dr. P. Hemantha Kumar, and Dr. Ashok Kumar

ABSTRACT

The anal fistula is a chronic communication between anal canal/rectum and perineal skin in most instances. This communication is lined by granulation tissues. Word „Fistula? literally means a pipe or reed or flute. Anal fistula composed of a tract which is made of fibrous tissue in which granulation tissue is present. Granulation tissue is usually unhealthy. Prevalence of this disease is common in general population. This disease is a challenge in many instances when it comes to satisfactory treatment. Various treatment modalities has been advocated and practiced with different outcomes. None of the available treatment can be considered as a gold standard modality. There are various pros and cons with particular treatment option, so there has been always need for satisfactory treatment in terms of low recurrence and minimal morbidity. When we explore literature of Ayurveda we found a disease named Bhagandara. On the basis of signs and symptoms it can be assumed that, it is none other but „Anal Fistula?. Treatments options described in Ayurveda include Shastra Karma, Kshara Karma and Agni Karma etc., these can be used alone or in combinations as per various clinical situations. In this case of low anal fistula, without involvement of any anal sphincters the fistulotomy along with application of Pratisaraniya Kshara was performed. Kshara is having benefits like Chedana, Bhedana, Lekhana, Sodhana and Ropana properties with early hemostasis, total eradication of infection by chemical debridement of fistulous tract so that reduces the chance of recurrence and enhances the wound healing and also decrease the duration of treatment as well as recurrence. It offers effective, ambulatory and safe alternative procedure. In the present work we have tried to study the Pratisaraneeya Kshara after fistulotomy with decrease duration of treatment without recurrence.

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