COMPARATIVE CLINICAL STUDY OF KSHARASUTRA IN BHAGANDARA W.S.R. TO FISULA-IN-ANO

Abstract

Sushruta has included Bhagandara in group of Ashtamahagada, means diseases difficult to treat. In modern surgical practice also fistula-in-ano is one of the complicated diseases due to its recurrence nature and fear of loss of continence. The clinical features of Bhagandara resembles with fistula-in-ano described in modern science. Ayurvedic para-surgical procedure Ksharasutra has been proved more effective treatment in fistula-in-ano, having minimum recurrence than modern treatment alternatives like Fistulectomy, Fistula plug, Fibrin glue, Video assessed anal fistula treatment (VAAFT), Ligation of intersphincteric fistula tract (LIFT) etc.The present research work was carried out to compare the efficacy of Indian Council of Medical Research (ICMR) approved Apamarg Ksharasutra and Snuhi Haridra Ksharsutra in Bhagandara. In this study 30 patients of fistula-in-ano were selected and randomly divided into two groups. In Group-A patients were treated with application of Snuhi Haridra Ksharsutra and in Group-B, Apamarg Ksharasutra was used. After Ksharasutra application patients were assessed for relief in symptoms like pain, discharge itching, swelling (subjective parameter) and unit cutting time (objective parameter). In both the study group, significant relief was observed in symptoms considered. The mean Unit Cutting time was 8.19 days/cm in group-A, whereas mean Unit Cutting time was 8.85 days/cm in group-B. The study revealed that conventional Apamarg Ksharsutra is better as compared to plain Snuhi Haridra Ksharsutra application in cases of Bhagandara.