Management of bhagandara (fistula in ano) with ksharasutra: A Case Study

Fistula in Ano is a chronic inflammatory condition in which having a tubular structure with opening in the Anal canal or Anorectal canal at one end and surface of perineum or perianal skin on the other end. Any opening in perianal region or area with on and of pus discharge indicates fistulous tract. Obesity, Unhygienic condition, prolong sitting, Repeated irritation due to hair, may increase the risk of occurrence of Fistula. In Ayurveda Fistula in ano is correlated with Bhagandara. Acharya Sushruta classified Bhagandara as five types. He had explained Shastra karma along with Kshara karma and Bheshaja chikitsa as treatment of Bhagandara. Here a case of fistula in Ano in a 36-yrs, Male patient was examined in Shalya OPD of SSAMCH and treated with Ksharasutra, considering it as an ideal procedure in treatment of Bhagandara as it cuts, healing properly and curettes the unhealthy tissue which present inside the fistulous tract.