EFFECT OF DIFFERENT KSHARASUTRAS IN THE MANAGEMENT OF BHAGANDARA W.S.R TO FISTULA IN ANO

Abstract

Ksharasutra refers to corrosive or caustic thread. Kshara is considered superior to all surgical and para-surgical measures, because they perform the work of incision, puncture and scarification to relive derangements of the tridosha and uniformly affect the diseased part to which they are applied .Kshara possess the following qualities - Tridoshaghna, saumyata, dahana, pachana, darana, ushna, tikshna, vilayana, shodhana, ropana, sthambhana, lekhana, krimighna. Currently the ksharasutra is prepared with Apamarga is used successfully in the management of fistula in ano, One of the essential components of this thread is snuhi latex. This latex creates many problems during preparation of the thread. It coagulates if not used early. Collection becomes more difficult in summer, so preparation is possible only in limited seasons. In few cases, the intensity is so severe that the patients discontinue the therapy. To overcome these problems, several researches have been carried out. The researches are based on searching for drugs having better actions and acceptability than that of snuhi latex and apamarga kshara. These drugs should be having binding property on thread, easy availability, less irritant, having vranashodhaka and vrana ropaka properties, having anti-septic and anti-inflammatory activities , and additional beneficial action. Although this ksharasutra has been a landmark success , but naturally it has certain clinical problems like pain , burning sensation associated with it . This problems can be attributed to different doshas .