Abstract

CLINICAL APPROACH TO MANAGEMENT OF VIDRADHI VIS-À-VIS ISCHIORECTAL ABSCESS.

Dr. Preethi V., *Dr. Syed Tipu and Dr. Siddayya Aradhyamath

ABSTRACT

Vidradhi is the most common condition in day-to-day surgical practice. Vidradhi can form anywhere on skin surface to deep tissues. If not treated properly in time it can cause spread of infection to local site, deeper tissue through blood stream. In classics we find the reference of vidradhi in all Bruhatrayee’s and even in Laghutrayee’s, but Acharya Sushrutha has given complete picture of vidradhi like anatomical site involved, causes, types, pathology, specific clinical features, diagnosis and the appropriate surgical intervention is also explained in detail. Vidradhi is manifestly divided into two types based on rogamarga: Bahya(6types based on doshas) and Abhyantara(10types)that is Guda (anus), Bastimukha, Nabhi (umbilicus), Kukshi, Vankshana, Vrikka (kidney), Yakrit (liver), Pleeha (spleen), Hridya (Heart), Kloma. (Acharya Charaka has excluded Guda). Guda Vidradhi can be corelated to Ischiorectal Abscess. Ischiorectal Abscess is 30% common among the Ano-rectal abscess. Men are more prone than women (3:1). It may occur as unilateral or bilateral. Ischio-rectal Abscess is caused from infection of anal glands which when not treated resulting in Fistula in Ano. Both Ayurveda and Modern opine same treatment that is bhedana and visravana karma in Ayurveda whereas Incision and Drainage in contemporary science.

Keywords: Vidradhi, Shopha, Ama Avastha, Guda.