Abstract
A MANAGEMENT OF AGANTUJA BHAGANDARA (FISTULA-IN-ANO) WITH KSHARASUTRA: A CASE STUDY
Dr. Rahul Sharma* and Dr. Sheshashaye B.
ABSTRACT
Fistula-in-ano, a chronic inflammatory condition, manifests as a tubular structure with one end opening into the anorectal canal and the other emerging on the surface of the perineum or perianal skin. Persistent pus discharge from a perianal opening signifies the presence of a fistulous tract. Prolonged sitting, poor hygiene, obesity, and repeated irritation, such as from hair, can elevate the risk of its occurrence. In Ayurveda, it corresponds to Bhagandara, with Acharya Sushruta delineating five types of this condition. He elucidated Shastra Karma, alongside Kshara karma and Bheshaja Chikitsa, as treatment modalities. In a recent case observed in the Shalya OPD, a 59-year-old male patient with fistula-in-ano who had a history of trauma was successfully treated using Ksharasutra. This procedure is deemed ideal for addressing Bhagandara as it effectively excises and cleanses the unhealthy tissue within the fistulous tract.
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