Article: TREATMENT OF RUJU BHAGANDARA (FISTULA-IN-ANO) WITH SHASTRA KARMA AND KARANJA KSHARA SUTRA: A CASE REPORT

Article Category: Case Reports

DOI: 10.7897/2277-4343.15361

Pages: 8-11

Author: Jambavathi S *, Srinivas Masalekar

Abstract: The disease in which bhaga (anorectal region), guda (anus) and basti pradesha (bladder region) become vidaarita (get torn) is known as Bhagandara. Fistula-in-ano is defined as an abnormal track communicating between two epithelial surfaces. It is characterised by one or more openings in the perianal region having a connection with the anal canal/ rectum. Bhagandara can be correlated to Fistula-in-ano in modern surgery because of the similar clinical features. This paper is a case report of a 39-year-old male patient suffering from Fistula-in-ano with sub-scrotal extension who approached the Out Patient Department of Sri Kalabyraveshwaraswamy Ayurvedic Medical College Hospital and Research Centre, Bangalore, Karnataka, India, with the complaints of painful swelling and pus discharge is narrated. The condition, being unendurable, needed immediate surgical intervention.  It was successfully treated with Shastra karma, Karanja Kshara Sutra, and the oral medicines mentioned in the Ayurveda classics. The patient found complete relief from the symptoms with minimal scarring without any complications.

Keyword: Bhagandara, Fistula-in-ano, Kshara Sutra, Karanja Kshara Sutra