A Comparative Clinical Study on the effect of Tankana Ksharasutra and Apamarga Ksharasutra in the management of Bhagandara (Fistula In Ano)

Abstract

Fistula in Ano is very common surgical condition necessitating safe treatment modality as open surgery may result anal incontinence in most of the time. Fistula-in-Ano is one such disease where ideal care delivery is still a challenge. It may be because of nature of disease, regional anatomy, hygiene, etc. Though in this disease many Ksharasutras are tried, Apamarga Ksharasutra is widely being practiced. When we go through the classics, we get reference regarding Tankana grouped into Kshara Dravyas. This Tankana is not widely practiced. Apamarga Kshara is very effective but preparation of this Apamarga Kshara is not at all a easy process. It needs burning of lot of Apamarga plants, then process including boiling etc, and at the end we get very little quantity of final product. In the other hand Tankana, as per reference, is also Kshara, cost effective and abundantly available hence this study is planned to evaluate the efficacy of Tankana Ksharasutra in the management of Fistula in Ano which is referred as Bhagandara in Ayurveda.