THE MANAGEMENT OF BHAGANDARA WITH PALASHA KSHARA SUTRA PREPARED IN ARKAKSHERA - A CASE REPORT

Abstract

Bhagandara[Fistula in ano] is a common anorectal condition prevalent worldwide. Kshara Karma is a one of the para surgical procedure in Ayurveda. In this case Palasha KsharaSutra prepared in Arkaksheera is used in Bhagandara (Fistula-in-ano). Though, Apamarga Kshara Sutra is highly effective in the management of Fistula-in-ano. But pain, irritation, difficulty in preparation has limited its use. Thus, various type of KsharaSutra tried with their efficacy in different angle. In this present case effort was made to define the probable mode of action of Palasha Ksharasutra prepared in Arkaksheera in Fistula-in- ano. This is equally effective with less pain and easy to prepare because easily available and not a seasonal plant. A 43 yr old male patient with complaints of painful swelling with pus discharge in the anal region since 7 days who came to our OPD on 20th March 2016 is diagnosed as Fistula in ano in 4 o clock position has been presented here. The Palasha ksharasutra prepared in arkaksheera was applied by probing under spinal anesthesia. The ksharasutra was changed by weekly interval. The length of thread was measured weekly and noted in the case sheet to assess unit cutting time (UCT). Initial length of the fistula tract was 10cms. The total time period taken for treatment is 77days.The UCT is 7.7dys/cms observed. During treatment patient was attended his job regularly without having any interruption in the quality of life. After 77days patient was free from all signs and symptoms of fistula with normal scar without any complaints.