Abstract

A COMPARATIVE CLINICAL STUDY OF GUGGULU-APAMARGA KSHAR SUTRA AND NIMBA KSHAR SUTRA IN THE MANAGEMENT OF BHAGANDARA

Dr. Sanjay Kumar Singh*, Dr. Ajay Kumar Gupta and Dr. Sourmi

ABSTRACT

Bhagandara is one of the commonest disease occurring in ano-rectal region. Bhagandara is progressively increasing in the society due to apathya sewan, mainly sedentary life style, irregular and inappropriate diet, prolong sitting, etc. Bhagandara is one among Ashtamahagadas mentioned by Acharya Sushruta. Bhagandara can be correlated with Fistula-in-ano in modern science. Management of Fistula-in-ano has become a challenge to allopathic surgeons due to its complications like Post-operative pain, wound management, high chance of recurrence, etc. It is recurrent in nature and due to lack of its complete cure in modern science, makes it more and more difficult for treatment. Improper care, poor hygiene and negligence leads to further aggravation of the disease. Nowdays, management of Bhagandara with Kshar Sutra had proved as big miraculous revolution, it has gained popularity due to its minimal invasive approach and complete cure of the disease. It is the demand of time to do further researches to get more efficient Kshar Sutra. 40 diagnosed cases of Bhagandara were selected from OPD and IPD of P.G. Department of Shalya Tantra, Rishikul Campus, Uttarakhand Ayurveda University, Haridwar (U.K.) India. The results showed significant relief in subjective and objective parameters along with complete cure. Moreover, this therapy was well accepted by all patients and did not cause any interruption in their daily routine work during period of management. No complications were observed in this clinical study with follow up period.

Keywords: Bhagandara, Fistula-in-ano, Guggulu-Apamarga Kshar Sutra, Nimba Kshar Sutra.