Clinical study of Snuhi Ksharasutra and its role in management of Bhagandara (Fistula in Ano)

Kumari Nidhi Shree Bibhuti; Mrutyunjay Panda; Siddaram Arawatti

doi:10.21760/jaims.v6i4.1390

Kumari Nidhi Shree Bibhuti Assistant Professor, Dept. of Shalya Tantra, Vaidya Yogdatt Sharma Ayurved Mahavidyalaya, Khurja, Uttar Pradesh, India.
Mrutyunjay Panda Professor & HOD, Dept. of Shalya Tantra, Major SD Singh PG Medical College, Fatehgarh, Farrukhabad, Uttar Pradesh, India.
Siddaram Arawatti Associate Professor, Dept. of Shalya Tantra, Major SD Singh PG Medical College, Fatehgarh, Farrukhabad, Uttar Pradesh, India.

DOI: https://doi.org/10.21760/jaims.v6i4.1390

Keywords: Bhagandara, fistula in ano, Apamarg Kshar Sutra, Snuhi Kshar Sutra.

Abstract

Kshar Sootra treatment heals the fistulous tract with maintaining integrity of sphincters of anal canal. In Ayurveda Chhedana Karma, Kshara Karma, Ksharasootra therapy and Agnikarma are described for the management of Bhagandara Out of these; Ksharasootra became more popular and proven therapy as a radical cure of Bhagandara with negligible rate of recurrence and complication in comparison to the contemporary methods like fistulectomy and fistulotomy. In this clinical study total 20 patients of Bhagandara were registered from OPD and IPD of Shalya Tantra department, Major S.D. Singh P.G. Ayurvedic Medical College, Farrukhabad, and randomly divided in two groups. In this comparative clinical study all the subjective parameters like pain, itching and objective parameter like swelling, discharge and unit cutting time showed statistically significant results in all groups. It was found that Snuhi Ksharasutrawas more effective than Apamarg Kshar Sutra.

Downloads

Download data is not yet available.

References

Prof. K.R. Srikantha Murthy editor. 1st ed, Sushruta Samhita, Sutrasthan, Chapter 33, Verse 4-5. Vol-II. Varanasi: Chaukhamba Orientalia, 2001;pg 291.

Syar Raja Radhakant devbahadur. editor, Shabdakalpadruma Nag publishers, reprint 1987, Vol. 1, pp- 189

Bhattacharya, Taranath Tarkavachaspat. editor, Vachaspatyam: Edition: 4th ed.a comprehensive sanskrit dictionary, Vol.3 Publisher: Varanaasi : Chowkhamba Sanskrit Series Office , 1990, 473

Sharma RK and Bhagwan Dash. editor, (2nd ed.). Charaka Samhita, Nidan Sthana, Chapter 6, Verse 12, English Translation, Reprint. Vol. 2. Varanasi: Chowkhamba Sanskrit Series Office; 2009. pp. 231

Shukla V, editor, (2nd ed.). Charaka Samhita of charak, Chikitsta sthan: Chapter12, Verse 96. Varanasi: Chowkhambha Sanskrit Series, 2002; 377

Shashtri AD, editor, (1st ed.). ssSushrut Samhita of sushrut, Nidan sthan: Chapter 4, Verse 10. Varanasi: Chowkhambha Sanskrit Series, 2009;318

Tripathi B, editor, (1st ed.). Ashtangahridaya of Vagbhata, Uttar sthan ; Chapter28, Verse 6. Varanasi: Chowkhambha Sanskrit Series, 2009; 550

Shashtri AD, editor, (1st ed.).Sushrut Samhita of sushrut, Nidan sthan: Chapter 4, Verse 13. Varanasi: Chowkhambha Sanskrit Series, 2009;319

Tripathi B,editor,(1st ed.). Ashtangahridaya of Vagbhata, Uttar sthan ; Chapter28, Verse 21. Varanasi: Chowkhambha Sanskrit Series, 2009; 552

Prof. K.R. Srikantha Murthy editor. 1st ed, Susruta Samhita, Chikitsa sthan, Chapter 17, Verse 27. Vol-II. Varanasi: Chaukhamba Orientalia, 2001;pg 145

P.V. Sharma (Ed.), Chakradatta of Chakrapani, Arshachikitsa; chapter 8, verse 45 (1th ed.), Chowkhambha Sanskrit sanshthan, Varanasi (2007), p. 87

Prof. K.R. Srikantha Murthy editor. 1st ed, Susruta Samhita, Chikitsa sthan, Chapter 17, Verse 27. Vol-II. Varanasi: Chaukhamba Orientalia, 2001;pg 280.

Prof. K.R. Srikantha Murthy editor 1st ed, Susruta Samhita, Chikitsa sthan, Chapter 8, Verse 54. Vol-II. Varanasi: Chaukhamba Orientalia, 2001;pg 121

Sushruta Samhita, Chikitsa Sthana 8/4.in Shastri A, editor.Varanasi: Chaukhambha Sanskrita Sanshtan; 2009, p. 57

Ayurvedic Pharmacopeia of India, first edition, Chapter 69 - part 2, volume 2, Appendix 7.pg 352

Sharma P.V, editor Dhanvantari Nighantu, Guduchayadivarga/53,54,55. .Varanaasi: Chaukhambha orientalia;2008,p.25,26