Management of Fistula In Ano with Ksharasutra - A Case Study
Fistula in ano is a disease known to the humanity since ancient times. For reasons that are unknown, non specific anal fistula are more common in men than women. The overall incidence is about nine cases per 100000 population per year in western Europe, and those in there third, fourth and fifth decades of life are most commonly affected. It is a chronic illness which is, though not fatal but quite discomfirting and troublesome to the patient and often puts deep impact on the quality of life of a patient. Despite many advances in medical field, it still poses big challenge to the surgeon as there is no suitable curative treatment available so far. For the same reason, Sushruta (500BC) has aptly described this disease as one of the Ashtamahagada. He was first person to describe, etiology, clinical feature and management of Bhagandara. He described Ksharasutra therapy in Bhagandara. A Female patient of age 65 years history of Ischiorectal abscess before 1month, she came on 10-7-2019 with the complaint of itching, pus discharge, mild pain in perianal region. Patient was a diagnosed case of Diabetes mellitus from 8years, Hypertension from 4 years, after investigations and local examination, patient was planned and treated with Ksharasutra.
Susruta samhita edited by Vaidya Jadavji Trikamji aacharya, Chikisa sthana chapter 8, choukhambha orientalia re-edition 2014 p-438
A manual on fistula in ano and Ksharasutra theropy. Dr M Sahu, 2015, 95-113
Susruta samhita edited by Vaidya Jadavji Trikamji aacharya, Chikisa sthana chapter 17,verse 29 choukhambha orientalia re-edition 2014 p-468
Ashtanga hridayam edited by Bramhanand Tripathi, Uttarsthanam chapter 28, verse 42 Choukhambha Sanskrit Pratishtan re-edition 2014 p-1098
Rasatarangini chapter 8 verse 81-86
Mishra D., Sharama A., Thakre N. and Narang R. management of anorectal diseases w.s.r fistula in ano( Bhgandara): A review based on Ayurveda, wjpmr,2017,3(8),382-384
Shatri A. Sushruta samhita Sushrutha sutra sthana; reprint. Ch.11 ver.12, varansi: choukhambha Sanskrit samsthan; 2014;p-46
Shatri A. Sushruta samhita Sushrutha sutra sthana; reprint. Ch.11 ver.4, varansi: choukhambha Sanskrit samsthan; 2014;p-45
Mishra B.S. editor. Commentary vidyotini on Bhvaprakash nighantu of haritakyadi varga; reprint. Ch. haritakyadi varga ver.196, Varanasi: choukhambha sankrit bhavan; 2015;p-114.
Journal of Ayurveda and Integrated Medical Sciences (JAIMS) retains the copyright of the contents of this journal but grant the readers the right to use the contents with terms and conditions under a creative common attribution licenses 4 of Attribution, Share Alike and Non-commercial type (CC BY-NC-SA) that allows copy, distribute, display, and perform the work and make derivative works based on it only for non-commercial purposes.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.