IJRAP International Journal of Research in Ayurveda and Pharmacy 2277-4343 Moksha Publishing House 10.7897/2277-4343.140115 CLINICAL EVOLUTION OF KADALI KSHARA SUTRA IN THE MANAGEMENT OF BHAGANDAR WITH SPECIAL REFERENCE TO FISTULA-IN-ANO Gupta Bal Govind * 11 -0001 63 66 Background: Bhagandar or fistula is an anorectal disease affecting many of the world__ampersandsign#39;s population and decreasing the quality of life after haemorrhoids. This disorder__ampersandsign#39;s most common etiological are Cryptoglandular origin, Fissure in ano, haemorrhoidectomy, Infections, trauma and malignancy. Kadali kshara sutra is explained in Ayurvedic classics for the management of Bhagandar. So, betterment of human-being and to rule out the clinical efficacy of Kadali kshara sutra in Bhagandar or fistula-in-ano, this study was conducted. Aims and Objectives: To determine the clinical effectiveness of Kadali kshara sutra in Bhagandar management. Methodology: 10 patients of Bhagandar were selected randomly from the Shalya O.P.D of sex, race, and religion. All the ingredients were purchased from the local market and authenticated by the RSBK department, and Kadali kshara sutra was prepared in a teaching pharmacy under an aseptic method. Conclusion: Kadali kshara sutra showed 61.77% clinical efficacy in managing Bhagandar. Fistula Kshara Sutra Anorectal Disorder Kadali kshara sutra