Abstract

Dr. Masooruddin*, Dr. Ajay Kumar Gupta and Dr. Pankaj Kumar Sharma

ABSTRACT

Ayurveda, an ancient and unique part of Indian philosophy is really one of the great wonders of science. Ayurveda has been serving the mankind with its rich traditional resources to allay the suffering of the society and to reserve the health of the people. Surgical and para-surgical practices have been an inseparable part of Ayurveda which are mentioned in Shalya Tantra. In the present era ano-rectal disorders are increasing in number due to adaptation of sedentary life style and other factors. Bhagandara (Fistula in ano) is the second most common and notorious disease among all anorectal disorders. It is recurrent in nature due to lack of its complete cure in modern science, which makes it more and more difficult for treatment. It produces pain and inconvenience in routine life. It is a chronic purulent inflammatory disease, initially manifested by an abscess followed by continuous or intermittent discharge of pus through the track and leads to an unhealed condition. Improper care, hygiene and negligence leads to further aggravation of the disease. Now days, an appropriate answer for the management of Bhagandara is a unique specialized parasurgical procedure viz. ‘Kshar Sutra therapy’ which is well accepted, WHO approved[2] and without any complications. It has gained popularity due to its minimal invasive approach and complete cure of the disease. In the present research work Guggulu-Apamarga Kshar Sutra was prepared for the management of Bhagandara(Fistula-in-ano). 20 diagnosed case of Bhagandara were selected from OPD and IPD of P.G. Department of Shalya Tantra, Rishikul Campus, Uttarakhand Ayurveda University, Haridwar (U.K.) India. Considering all these factors, the present study was undertaken to assess the role of Guggulu-Apamarga Kshar Sutra in the management of Bhagandara (Fistula-in-ano). The results showed significant relief in subjective and objective parameters. Moreover, this therapy was well accepted by all patients and did not cause any hindrance in their daily routine work during period of management. No complications were observed in this clinical study with follow up period.