COMPARATIVE STUDY TO EVALUATE THE EFFICACY OF PALASH KSHARSUTRA AND APAMARGA KSHARSUTRA IN THE MANAGEMENT OF KAPHAJ BHAGANDAR

Abstract

Fistula in ano is the very common disease in colo-proctology. The disease has high rate of recurrence and very difficult to manage. Due to long course of disease having pain and foul smelling discharge causing soakage of under garments patients felt a kind of social discom-fort that affects the productivity of patients as well as social life of patients. Fistula in ano has resemblance to Bhagandar described in ayurvedic classias. In Ayurveda Ksharsutra therapy is excellent method for treatment of Bhagandar. Ksharsutra therapy is standardized and sci-entifically proved. In Ayurveda Doshaghnatva is the basic concept for management of dis-eases by various medicines. Every medicine has specific effect of specific Dosh. The prob-lem for Ksharsutra therapy is that most of Ayurvedic surgeon used Apamarga Ksharsutra for all types of Bhaganadar, that creates the discomfort to the patients during therapy. So keep-ing this in mind this study was planned and taken specific kaphaj Bhagandar patients and treated with Palash Ksharsutra, having kaphaghna property. Total 60 patients divided in two groups and results were compared with Apamarga Ksharsutra. The results observed were very encouraging.