World Journal of
Pharmaceutical and Life Sciences

A CONCEPTUAL STUDY ON EFFECT OF SHALLAKI NIRYASA BASED APAMARGA KSHARASUTRA IN THE MANAGEMENT OF BHAGANDARA

Chetan M. H.* and Srinivas Masalekar

ABSTRACT

Bhagandhara is one of the common ailments pertaining to guda and it is included in the Ashtamahagada[1] (eight
major diseases) because of its bad prognosis and notorious nature of recurrence. According to Acharya Susahruta
‘Bhagandhara’ starts as deep-seated pidika (boil) with in two angulas of anal canal, producing fever and pain. In
contemporary science it is compared to fistula-in-ano. In modern medical science various treatment modalities has
been explained but they are having its own merits and demerits. Ayurveda advocates application of Ksharasutra in
Bhagandara.[2] Ksharasutra the magic thread referred in ayurveda is widely used and practised by proctologists
worldwide in treating Bhagandara[FIA]. The ksharasutra is being standardised over the years through various
ayurvedic reasearches. For the preparation of standard Apamarga ksharasutra the materials required are snuhi
ksheera, Apamargakshara, Haridra churna and linen barbour thread no 20.[3] All the required materials are easy to
procure and preserve or can be prepared easily except Snuhi ksheera as Snuhi plant is grown in selected
geographical areas, also the preservation of Snuhi ksheera is very difficult as it gets coagulated very quickly hence
there is always a need for replacement of Snuhi ksheera in the preparation of ksharasutra, Shallaki niryasa reffered
in ayurvedic texts like Bhavamishra[4] Bhavaprakasha[5] has properties like tikshna guna, sheeta veerya, Raktapitta
and Vranahara and may be used as alternative Hence in present study Shallaki Niryasa is used as base in preparing
ksharasutra and are used in treating Bhagandara. This study aims at testing effect of shallaki niryasa based
ksharasutra in Bhagandara.

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