MANAGEMENT OF BHAGANDARA BY VIBHITAKI KSHARA SUTRA A CASE REPORT

Abstract

Bhagandara (Fistula in Ano) at modern parlance is a common anorectal condition prevalent in the populations worldwide and its prevalence is second highest after Arsha (hemorrhoids). It is very common surgical condition necessitating safe treatment modality as open surgery may result anal incontinence in most of the time. Fistula-in-Ano is one such disease where ideal care delivery is still a challenge. It may be because of nature of disease, regional anatomy, hygiene, etc. Ksharasutra is one of the chief modality in the treatment of Bhagandara in Aurvedic science. Exploration of the new plants for the preparation of the Kshara1 as a better substitute for previously tried ksharasutras. The Apamarga Ksharasutra is widely being practiced. When we go through the classics, we get reference regarding Vibhitaki grouped into Kshara dravyas. This Vibhitaki is not widely practiced. Apamarga Kshara is very effective but preparation of this Apamarga Kshara is not at all a easy process. It needs burning of lot of Apamarga plants, then process including boiling etc, and at the end we get very little quantity of final product. In the other hand Vibhitaki, as per reference, is also Kshara, cost effective and abundantly available as it is a huge plant will get adequate quantity of drug hence this study is planned to evaluate the efficacy of Vibhitaki Ksharasutra in the management of Fistula in Ano which is referred as Bhagandara in Ayurveda.