ARTICLE ON “A STUDY TO EVALUATE THE EFFICACY OF KARANJA KSHARASUTRA, CHINCHA KSHARASUTRA AND APAMARGAKSHARASUTRA IN THE MANAGEMENT OF BHAGANDARA W.S.R TO FISTULA-IN-ANO”

Anjaneya*, Shivalingappa J. Arakeri, Mohasin Kadegaon and Ashwini Hallad

ABSTRACT

Fistula in ano is an infective disease of anal canal usually caused by crypto glandular infection of anal crypts, there
is an abnormal communication between two epithelial surfaces and the track is lined by unhealthy granulation
tissue. It can be correlated with Bhagandara described in Ayurveda texts. Which is considered as Kricchrasadhya
Vyadhi (difficult to treat). The disease Bhagandara is explained in the Ayurvedic classics. It is one of the most
common diseases pertaining to Ano-rectal region. Incidence of Fistula in India is 17-20% in a defined population
of some states. It is the recurrence nature of Fistula which makes difficult for treatment. Ksharsutra is a proven
para-surgical procedure for the management of Fistula-in-ano.45 patients of Bhagandara of either sex will be
selected from OPD and IPD, Department of Shalya Tantra, Taranath Govt. Ayurvedic Medical College and
Hospital, Bellary, divided into Group A, Group B and Group C. Patientsunder Group Aweretreatedwith Karanja
Ksharasutra, Group Bwith Chincha Ksharasutraand Group C with Apamarga Ksharasutra and got significant
results.

Keywords: Bhagandara, Ksharasutra, Fistula-in-ano.