Abstract

Dr. Ajay Kumar*, Dr. Om Prakash Dave and Dr. Vishnu Dutt Sharma

ABSTRACT

Bhagandara (Fistula in Ano) at modern parlance is a common anorectal condition prevalent in the populations worldwide and its prevalence is second highest after Arsha (hemorrhoids). Kshara Sutra (K.S.)is one of the chief modality in the treatment of Bhagandara in Ayurvedic science. Exploration of the new method for the management of Bhagandara is the need of the hour. To find out an effective alternative way of treatment Navkarshik Guggulu and Makshiklavanadi Varti was used in the present clinical evaluation. Total 30 cases of Bhagandara were divided randomly into 2 groups, having 15 patients in each group. In Group A, Apamarg Ksharsutra in Group B, Makshiklavanadi Varti and Navkarshik Guggulu were used. Assessment was done on objective (Unit Healing Time - UHT) and subjective parameters. Statistically significant difference was observed in the efficacy of treatment by subjective parameters like pain, discharge, etc. between the Three parameter It was found that Makshiklavanadi Varti and Navkarshik Guggulu showed lower UHT (7.10 days) while higher in Apamarg Ksharsutra (9.85 days). Thus Makshiklavanadi Varti and Navkarshik Guggulu can be used as a substitute for Apamarg Ksharsutra and can be employed in the recurrent fibrosed cases of Bhagandara.