World Journal of
Pharmaceutical and Life Sciences

MANAGEMENT OF ARSHOBHAGANDARA THROUGH PRATISARANEEYA KSHARA KARMA AND MODIFIED CHEDANA – A CASE REPORT

Madhushree K. V.* and Duragappa H.

ABSTRACT

Arshobhagandara, as the name suggests is a conglomeration of two words Arshas and Bhagandara. Ayurveda considers both Arshas and Bhagandara among Ashtamahagadas indicating their grevious condition. Acharya Vagbhata has described 7 types of Bhagandara among which Arshobhagandara is told as caused by vitiation of Kapha and Pitta dosha. In this condition patient presents with features of both Arshas and Bhagandara. Chaturvidha upakramas of Arshas includes Bheshaja Chikitsa, Kshara karma, Agnikarma and Shastra chikitsa. Bhagandara chikitsa involves Shodhana by means of Virechana, Eshana, Paatana and Agnikarma. In the present case report, A patient aged 42 years who is N/K/C/O DM, HTN, TB came with complaints of bleeding per anum and burning sensation after defecation occasionally since 6 months, mass per anum since 4 months. He also complained of pus discharge occasionally in the past 2 months. On examination he was diagnosed with internal haemorrhoid at 7, 11 o clock position and Blind external fistula in ano with internal opening at 6 o clock, 1 cm away from anal verge which can be correlated with Arshobhagandara. Patient was treated with Pratisaraneeya Kshara karma for Arshas and modified Chedana in the form of electrocautery to lay open the blind external fistula track at 6 o clock and got fully recovered in 33 days.

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