Title: Case study of Panchvalkala Kwath for Sitz Bath & Abhayarishta, Kumaryasav & Kshar sutra Application in management of Bhagandar w.s.r to Fistula- in- Ano
Authors: Dr Chandan Kumar Pathak, Dr Anant Saznam, Dr Deepali Sundari Verma, Dr Haider Ali
DOI: https://dx.doi.org/10.18535/jmscr/v12i05.08
Abstract
Fistula in Ano is a chronic inflammatory condition having a tubular structure with opening in the Anorectal canal at one end and surface of perineum or perianal skin on the other end. Any opening in perianal area with chronic pus discharge indicates fistulous tract. Prolong sitting, unhygienic condition, obesity, repeated irritation due to hair may increase the risk of occurrence. In Ayurveda it is correlated with Bhagandar and Acharya Sushruta mentioned five types of Bhagandar. He had explained Shastra karma along with Kshar karma and Bheshaja chikitsa for treatment. Here a case of fistula in Ano in a 21 years male patient was examined in Shalya OPD and treated with Ksharsutra, considering it as an ideal procedure in treatment of Bhagandar as it cuts and curettes the unhealthy tissue present inside the fistulous tract. An Anal fistula can heal more quickly after taking a sitz bath. The warm water helps ease pain and suffering while also reducing inflammation. Moreover, it can aid in maintaining cleanliness in the affected area, lowering the chance of infection. Abhayarishta and Kumaryasav can be used as a laxative to help manage constipation.
Keywords: Bhagandar, Fistula-in-Ano, Kshar Sutra, Abhayarishta.
References
- Acharya Sushrutha. Sushrutha Samhitha. (Nibandhasangra commentary of Dalhanacharya and Nyayapanjika commentary of Gayadasa), Edited by Yadavjitrikamji. Reprint edition; Chaukamba Sanskrit Sansthan, Varanasi. 2013.Sutrasthana, Chapter 33, verse 4,144pp
- Khadkutkar DK, Kanthi VG. Theraputic uses of panchavalkal indifferent forms- A review. Ayurlog Natl J Res Ayurveda Sci 2014; 2:1-5.
- Bhavprakash, by Bhav mishra, Bhavprakash Nighantu, Vatadi Varga Verse 15, Varanasi: Chaukhamba Sanskrit Bhavan, 2010.p-192.
- Astangahrdayam, by Srimadvagbhata, Edited by Nirmala Hindi Commentary. Reprint edition; Chaukamba Sanskrit Pratishthan, Delhi.2019. Uttarsthan, Chapter 40, verse56,1212pp
- Astangasamgraha, by Vagbhata, Hindi Commentary by Kaviraj Atrideva Gupta. Reprint edition; Chowkhamba Krishnadas Academy, Varanasi.2011. Sutrasthan, Chapter 13, verse3,128pp
- Susruta Samhitha of Maharsi-Susruta, by Kaviraj Ambikadutta Shastri. Reprint edition; Chaukamba Sanskrit Sansthan, Varanasi. 2013.Sutrasthana, Chapter 11, verse 3,45pp
- Susruta Samhitha of Maharsi-Susruta, by Kaviraj Ambikadutta Shastri. Reprint edition; Chaukamba Sanskrit Sansthan, Varanasi. 2013.Sutrasthana, Chapter 11, verse 5,45pp
- Bhavprakash, by Bhav mishra, Bhavprakash Nighantu, Haritkyadi Varga Verse 197, Varanasi: Chaukhamba Sanskrit Bhavan, 2020.p-308.