World Journal of
Pharmaceutical and Life Sciences

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical and Life Sciences
An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)
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Abstract

EFFICACY OF KSHARASUTRA APPLICATION IN THE MANAGEMENT OF FISTULA-IN-ANO

Dr. Chopade Sushama Dnyaneshwar* and Dr. Diware Chinmay Gopal

ABSTRACT

The Bhagandar (Fistula-in-Ano) is considered one of the eight major diseases according to the Sushruta Samhita. This condition is difficult to treat due to its recurring nature, causing inconvenience in daily life. In ancient times, Acharya Sushruta described the use of kshar sutra in the treatment of Nadi vrana (sinus), while Hippocrates used plane silk thread for fistula-in-Ano. Kshar Sutra, a medicated thread prepared following a standard protocol, has been a game- changer in the treatment of fistula-in-ano. In a recent case study, a 47-year-old male patient with symptoms of pain and pus discharge from the perianal region for four months was treated with Kshar Sutra on an outpatient basis with weekly thread changes. Within four weeks, the patient fully recovered with complete removal of the tract, demonstrating the effectiveness of Kshar Sutra as a low- complication and low-cost treatment option for Bhagandara.

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