GUGGULU BASED KAHARASUTRA IN THE TREATMENT OF BHAGANDARA (FISTULA-IN-ANO): CASE REPORT

Abstract

A standard Ksharasutra is practiced in treatment of Bhagandar (fistula-in-ano) with high success rate and minimum recurrence rate. In previous research it was noted that Pittaj prakruti patients sometime might cause more perianal irritation due to Apamarga Ksharasutra. So in this study Guggulu based Ksharasutra was prepared by Apamarga Kshara (Ash of Achyranthes aspera Linn.), Guggulu (Commiphora mukul) and turmeric powder (Curcuma longa Linn.). This Ksharasutra was prepared as per the API guidelines and preserved in air tight tube. A patient of Pittaj predominant Prakruti with fistula-in-ano having two external opening at 6 and 7 o clock position of anus was treated with application of Ksharasutra. The Guggulu based Ksharasutra was applied in these two opening under spinal anesthesia. Then Ksharasutra was changed by weekly interval under local xylocaine jelly 2%. The length of thread was measured weekly and noted in the case to assess the unit cutting time (UCT). The unit cutting time (UCT) of first thread was 7.5 days/cm and second one had UCT 6.8 days/cm. During the treatment patient was doing his job regularly without hampering the quality of life. After 2 months patient was free from all symptoms of fistula with normal scar and without any complications. This case study demonstrated the utility of Guggulu based Kaharasutra in multiple fistula-in ano.