Managament of Bhagandara (Fistula-in-Ano) by Palasha Ksharasutra prepared with Arkaksheera - A Case Report

Ganapathi Rao; Vijay Kumar; Ashok Naikar; Chandrakanth Halli

doi:10.21760/jaims.v2i1.7520

Ganapathi Rao Post Graduate Scholar, Dept. of Shalya Tantra, NKJ Ayurvedic Medical College & P.G.Center, Bidar
Vijay Kumar Assistant Professor, Dept. of Shalya Tantra, NKJ Ayurvedic Medical College & P.G.Center, Bidar, Karnataka, India.
Ashok Naikar Assistant Professor, Dept. of Shalya Tantra, NKJ Ayurvedic Medical College & P.G.Center, Bidar, Karnataka, India.
Chandrakanth Halli Assistant Professor & HOD, Dept. of Shalya Tantra, NKJ Ayurvedic Medical College & P.G.Center, Bidar, Karnataka, India.

DOI: https://doi.org/10.21760/jaims.v2i1.7520

Keywords: Palasha Kshara, Bhagandara, Arkaksheera, Fistula-in-Ano, Ksharasutra

Abstract

A standard Ksharasutra is practiced in treatment of Bhagandara (fistula-in-ano) with high success rate and minimum recurrence rate. In previous research it was noted that Pittaja Prakruti patients sometime might cause more perianal irritation due to Apamarga Ksharasutra. So in this study Palasha Ksharasutra prepared in Arkaksheera was prepared by Palasha Kshara (Ash of Butea monosperma), Arka Ksheera (Calotropis gigantic) and turmeric powder (Curcuma longa). This Ksharasutra was prepared as per the API guidelines and preserved in air tight tube. A patient of Pittaja predominant Prakruti with fistula-in ano having two external opening at 6 and 7 O’ clock position of anus was treated with application of Ksharasutra. The Palasha Ksharasutra prepared in Arkaksheera was applied in these two opening under spinal anesthesia. Then Ksharasutra was changed by weekly interval under local xylocaine jelly 2%. The length of thread was measured weekly and noted in the case to assess the unit cutting time (UCT). The unit cutting time (UCT) of first thread was 7.5 days/cm and second one had UCT 6.8 days/cm. During the treatment patient was doing his job regularly without hampering the quality of life. After 2 months patient was free from all symptoms of fistula with normal scar and without any complications. This case study demonstrated the utility of Palasha Ksharasutra prepared in Arkaksheera in multiple fistula-in ano.

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References

Ambikadata Shastri, Sutrasthana 33/4, Sushruta Samhita, Commentary Ayurved Tatva Sandipika 12th ed., Varanasi: Chowkhambha Sanskrit Sansthan, 2001;p.136.

SJ Lobo, C Bhuyan, SK Gupta, TS Dudhamal. Comparative clinical study of Snuhi Ksheera Sutra & Tilanala Ksharasutra with Apamarga Ksharasutra in Bhagandara (Fistula-in-ano), AYU,33(1), 201285-9.

EK Johnson, JU Gaw , and DN Armstrong . Efficacy of anal fistula plug vs. fibrin glue in closure of anorectal fistulas, Dis Colon Rectum, 49(3), 2006;p.371-376.

Ambikadata Shastri, Sutrasthana 11/7, Sushruta Samhita, Commentary Ayurved Tatva Sandipika (12th ed.), Varanasi: Chowkhambha Sanskrit Sansthan 2001;p.35.

Sharma PV, Chakradata, Chikitsasthan 5/1481st ed. Varanasi: Chowkhambha Publisher. 2007;p.87.

Mishra BS, Bhavprakash Madhya Khanda 5/144 Commentary Vidyotini of Bhavmishra, 11th ed., Varanasi: Chowkhambha Sanskrit Bhavan 2007;p.66.

YT Acharya, Chikitsasthana 8/36, Sushruta Samhita, Nibandhasangraha Commentary, reprint ed., Varanasi: Chowkhambha Orientalia 2009;p.440.

AK Dwivedi, M Chaudhry, DK Kulshreshtha, and JPS Sarin. Standarization of Ksharasutra, Journal of Research in Ayurved and Siddha, 12 (1-2),199,85-92.

YT Acharya, Nidansthana 4/13, Sushruta Samhita, Nibandhasangraha Commentary, reprint ed., Varanasi: Chowkhambha Orientalia 2009;p.282.

NK Shukla, R Narang, NG Nair, S Radhakrishna, and GV Satyavati. Multicentric Randomized controlled clinical trial of Ksharasutra (Ayurvedic Medicated thread) in the management of Fistula in ano, Indian Journal of Medical Research, 94, 1991, 177-185.

M Londonkar, VC Reddy, and Abhay Ku. Potential Antibacterial and Antifungal Activity of Achyranthes aspera L., Recent Research in Science and Technology, 3(4), 2011, 53-57.

RB Arora, V Kapoor, SK Gupta, and RC Sharma. Isolation of a crystalline steroidal compound from Commiphora mukul & its anti-inflammatory activity, Indian Journal of Experimental Biology, 9(3), 1971, 403-404.

MA Saeed, and AW Sabir. Antibacterial activities of some constituents from oleo-gum-resin of Commiphora mukul, Fitoterapia, 75(2), 2004;p.204- 208.

K Kohli, J Ali, MJ Ansari, and Z Raheman. Curcumin: A natural anti-inflammatory agent, Indian Journal of Pharmacology, 37(3), 2005;p.141-147.