A comparative clinical study of guggulu-apamarga kshar sutra & guggulu- arka kshar sutra in the management of bhagandara

Abstract

Ayurveda, an ancient and unique part of Indian philosophy is really one of the great wonders of science. Ayurveda is not merely a health science, but it also reflects the healthy life style. स्वस्थस्यस्वास्थरक्षणमातरास्यविकारप्रशमनच I (च.सू. ३०/२६) is the first and foremost principle of Ayurveda.

In the present era, ano-rectal disorders are increasing in number due to adaptation of sedentary life style and other factors. Bhagandara (Fistula in ano) is the second most common and notorious disease among all anorectal disorders. It is recurrent in nature due to lack of its complete cure in modern science, which makes it more and more difficult for treatment. It produces pain and inconvenience in routine life. It is a chronic purulent inflammatory disease, initially manifested by an abscess followed by continuous or intermittent discharge of pus through the track and leads to an unhealed  condition.  Improper  care, lack  of hygiene and  negligence  leads to  further  aggravation of the disease. Nowadays, management of Bhagandara with Kshar Sutra had proved as big revolution, it has gained popularity due to its minimal invasive approach and complete cure of the disease. It is the need of time to do further researches to get more efficient Kshar Sutra. In the present research work Guggulu-Apamarga Kshar Sutra and Guggulu-Arka Kshar Sutra were prepared for the management of Bhagandara. 40 diagnosed case of Bhagandara in two equal groups of 20 patients each of any age group were selected from OPD and IPD of P.G. Department of Shalya Tantra, Rishikul Campus, Uttarakhand Ayurveda University, Haridwar (U.K.) India. All the patients were selected in two groups and treated with respective Kshar Sutra. The results showed significant relief in subjective and objective parameters. Moreover, this therapy was well accepted by all patients and did not cause any hindrance in their daily routine work during period of management. No complications were observed in this clinical study with follow up period.