EFFECT OF GUGGULU- SAPTAPARNA KSHAR SUTRA IN THE MANAGEMENT OF BHAGANDARA

Rakesh Singh*, Devesh Shukla, U. N. Pandey and Rajeev Kumar

ABSTRACT

A standard Ksharasutra is used in the treatment of Bhagandar (fistula-in-ano) with high success and low recurrence. Previous research has found that Pittaj prakruti patients may experience more perianal irritation as a result of Apamarga Ksharasutra. In this study, Apamarga Kshara (Ash of Achyranthes aspera Linn.), Guggulu (Commiphora mukul), and turmeric powder were used to make Guggulu-based Ksharasutra (Curcuma longa Linn.). This Ksharasutra was prepared in accordance with API guidelines and stored in an airtight tube. A Pittaj predominant Prakruti patient with a fistula-in-ano with two external openings at the 6 and 7 o clock positions of the anus was treated with Ksharasutra. Under spinal anaesthesia, the Guggulu-based Ksharasutra was applied in these two openings. The Ksharasutra was then changed on a weekly basis with 2% local xylocaine jelly. The thread length was measured weekly and recorded in the case to determine the unit cutting time (UCT). The first thread had a unit cutting time (UCT) of 7.05 days/cm, while the second had a UCT of 6.8 days/cm. Throughout the treatment, the patient continued to work without compromising his quality of life. After two months, the patient was free of all fistula symptoms, with a normal scar and no complications. This case study demonstrated the efficacy of Kaharasutra based on Guggulu in multiple fistula-in ano.

Keywords: Guggulu, Saptaparna, Kshar Sutra, Bhagandara.