A CASE STUDY ON BHAGANDARA ANO RECTAL FISTULA TREATED WITH KSHARA SUTRA

Dr. Fareeha Khanum A. K.*, Dr. Shankar S.

ABSTRACT

Ano rectal fistula is a chronic inflammatory condition with a tract opening (internal opening) in the An
al canal at
one end and another opening at the perianal surface/skin (external opening). It is challenging due to its high
recurrence rate. Probable risk factors include recurrent fissure in Ano, p rolong sitting, obesity, excessive hairs in
perianal region . Based on its symptoms, it can be correlated with Bhagandara in Ayurveda . Acharya Sushruta has
included it under Ashtamahagada and as Dushchikitsya vyadhi & have explained five types of Bhagandara &
various treatment modalities like bheshaja, shastra, ksh ara etc. Here we have taken a case of Ano rectal fistula of a
male aged around 43 years is examined in Shalya tantra OPD, diagnosed with Bhagandara and treated with
Ksharasutra , as it is considered as an ideal parasurgical procedure for the treatment of Bh agandara due to its
Ksharana, lekhana and ropana properties.

Keywords: Bhagandara , Ano rectal fistula, Kshara Sutra , Fistula In Ano, Ayurveda.