Pathya and Apathya in Bhagandara: Holistic Approaches to Fistula-in-Ano

Satya Santosh Sahoo; P. Hemantha Kumar; Lokendra Pahadiya; Hetal Koriya; Tapaswini Dalasinghray

doi:10.21760/jaims.9.8.32

Satya Santosh Sahoo Post Graduate Scholar, Dept. of Shalya Tantra, National Institute of Ayurved, Jaipur, Rajasthan, India.
P. Hemantha Kumar Professor & HOD, Dept. of Shalya Tantra, National Institute of Ayurved, Jaipur, Rajasthan, India.
Lokendra Pahadiya Assistant Professor, Dept. of Shalya Tantra, National Institute of Ayurved, Jaipur, Rajasthan, India.
Hetal Koriya Ph.D. Scholar, Dept. of Shalya Tantra, National Institute of Ayurved, Jaipur, Rajasthan, India.
Tapaswini Dalasinghray Post Graduate Scholar, Dept. of Shalya Tantra, National Institute of Ayurved, Jaipur, Rajasthan, India.

DOI: https://doi.org/10.21760/jaims.9.8.32

Keywords: Fistula in ano, Ksharsutra, Pathya Apathya, Bhagandara

Abstract

Bhagandara, commonly known as fistula in ano, is a prevalent anorectal condition extensively described in classical Ayurvedic texts. Classified under Ashtamahagada by Acharya Sushruta, it initially appears as a pidika near the anus and transforms into Bhagandara upon rupture. The clinical features of this condition align closely with modern interpretations of fistula in ano, and its recurrent nature presents significant treatment challenges. While contemporary surgical methods offer various options, the management of this ailment remains complex for proctologists. Among Ayurvedic treatments, Ksharasutra has emerged as a particularly effective parasurgical intervention. In addition to surgical approaches, adherence to Pathya (beneficial) and Apathya (harmful) dietary rules plays a crucial role in the management and prevention of recurrence, enhancing overall treatment outcomes. This article explores the holistic understanding of Bhagandara, its clinical manifestations and the importance of diet in achieving optimal health.

Downloads

Download data is not yet available.

References

Sushruta Samhitaa with Aayurveda Tatva Sandeepika commentary by Dr Ambikaa Datta Shaastry, Chaukhambhaa Sanskrita Sansthaana, Vaaraa Naasi, reprint edition-2007 Sootrasthaana 33/4 page no. 126

Sushruta Samhitaa; Dalhana, Nibandasangraha commentary; Edited by Jadavji Trikamji Aachaarya and Naarayan Ram Aachaarya; Chowkhambha Surabhaarati Prakaashana, Vaaraanasi, 1st edition; Reprint 2008; Nidaanastana 4/3,pp. 280.

Bailey & Love's Short Practice of Surgery, Twenty Fifth edition 2008, Chapter 69, page no. 1262.

Garcia-Aguilar J, Belmonte C, Wong WD, Goldberg SM, Madoff RD. Anal Fistula Surgery: factors associated with recurrence and incontinence. Dis Colon Rectum, 1996; 39: 723-9

A manual on clinical surgery by S. Das, 6th edition, chapter 36, page no. 401.

Master of Surgery, 5th edition, volume 1, chapter 148, page no. 1613.

Bailey & Love's Short Practice of Surgery, Twenty Fifth edition 2008, Chapter 69, page no. 1263.

Suśruta Saṃhitā, edited with Āyurvedtatvasandīpikā by Dr.Ambikāduttasāstrī, Chaukhambha Sanskrit Sansthan, 2010 Edition Varanasi Vol-1 Nidānsthāna- 4, verse no-10,page no- 316

Aṣṭāng Hṛdya, edited with Vidhyotini Tika by Atrideva Gupta, Chaukhambha Prakasan 2008 Edition, Varanasi Uttar Tantra-28, Verse no-18-20, page no-752

Acharya Sushruta, Sushruta Samhita, Sutra Sthana – 46, Ayurveda-Tattva-Sandipika Hindi Commentary, Edited by Kaviraja Ambikadutta Shastri, by Publishers Chaukhamba Publications, New Delhi, 2014; 240

Acharya Charaka, Charak Samhita, Sutra Sthan- 25, Vidyotini Hindi Commentary edited by; Pt. Kasinatha Sastri and Dr. Gorakha Natha Chaturvedi, published by Chaukhamba Bharati Academy, Varanasi, 2013; 463