A Clinical Study of Apamarga Kshara Sutra in the Management of Bhagandara - A Case Study
Abstract
In Ayurveda, Bhagandara is considered as one of the Ashta Mahagaroga (8 major disease) by Sushruta due to more recurrence rate. In present era anorectic disorders are increasing, due to sedentary life style and others factors. The word Bhagandara is composed of 2 words Bhaga and Darana, it is a common disease occurring in Anorectal region around the anus which extends up to Genitalia. The formation of Pidika leads development of Bhagandara it is characterized by opening around the Guda Pradesha with painful Discharge. Bhagandara is treated by different modalities modern science but till day no single modalities have proven to be complete one for Fistula, Kshara Sutra therapy is the unique specialized parasurgical procedure which is used in Fistula in Ano. The present study was undertaken to assess the role of Apamarga Kshara Sutra in treatment of Bhagandara on diagnosed case was taken from OPD of NKJ AMC attached teaching, Shree Siddharudha Charitable Hospital, Bidar, Age 26 yrs. Male Patient presenting with pain, swelling, discharge in scrotal to anterior anal canal (scrotal extension) was examined in Shalya OPD treated with Kshara Sutra considering it an ideal procedure in the treatment of Bhagandara as it cuts and curettes the unhealthy tissue present inside the fistulous tract.
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References
Shastri Kaviraj Ambikadatta, Sushruta Samhita, Ayurveda Tatva Sandeepika, Hindi commentary, 1997th edition, Reedition 2016, Varanasi, Chaukhamba Sanskrit Samsthana, Sutrasthana,30/4-5, page no,165
Shenoy K Rajgopal, Shenoy Anita, Manipal Manual of Surgery, 4th edition 2014, New delhi, CBS Publishers, p799
Shastri Kaviraj Ambikadatta, Sushruta Samhita, Ayurveda Tatva Sandeepika, 2016 edition, Varanasi, Chaukhambha Sanskrit Samsthana, Sutrasthana,11/3,p-45
Deshapande, P G Pathak SN, The treatment of Fistula in ano with kshara sutra treatment, Nagarjuna edition, Varanasi, 1965; p 361- 367.
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