COMPARATIVE CLINICAL STUDY TO ASSESS EFFICACY OF KUMARI HARIDRA KSHARSUTRA & APAMARGA KSHARSUTRA IN MANAGEMENT OF BHAGANDARA W.S.R. TO FISTULA-IN-ANO

Dwivedi Amarprakash, Bhoir Vedika, Pawar Anirudhha, Kulkarni Anjna M.

Abstract


INTRODUCTION: In Anorectal disorders, Fistula in ano is a notorious disease and has high recurrence rate, it is mentioned as ‘Mahagada’ according to Ayurveda. Approximately 17% of all patients suffer from this disease among common anorectal disorders.Ksharsutra is considered as simple and safe remedy for Bhagandar (Fistula in ano). Various types of Ksharsutra with different ingredients have been prepared and tested such as Apamarga Ksharsutra , Guggul Ksharsutra , Arka Ksharsutra ,Snuhi Ksharsutra , Udumbar Ksharsutra , Papaya Ksharsutra etc. with varied therapeutic significance.
METHODOLOGY: This paper reports about results of a prospective, randomized, control single blind trial to evaluate the efficacy of Kumari Haridra Ksharsutra in Bhagandara with special reference to fistula-in-ano with control of Ksharsutra (prepared by standard method). Trial group having 30 patients was treated with application of Kumari Haridra Ksharsutra having 7 coatings (without apamarga kshar) & Control group with 30 patients was treated with the application of Apamarga Ksharsutra having 21 coatings.
RESULT: In this study, the incidence of fistula was more common (51%) in the age group 30-40 years, more in males 81.67% . The rate of cutting and healing of fistulous tract in comparison with control group i.e. Apamarga Ksharsutra , was less by using Kumari Haridra Ksharsutra having 7 coatings (i.e. Trial group), however, it was found to be effective, gives more relief from pain and discharge of fistula in ano tract post operatively. CONCLUSION: It was found that Apamarga Ksharsutra having 21 coatings according to standard method is the better for the treatment of Bhagandara (fistula in ano) by means of cutting and healing. Similarly, it was found that Kumari Haridra Ksharsutra having 7 coatings is comparatively better for the treatment of Bhagandara (fistula in ano) by means of criteria pain and discharge of fistulous tract.

Key Words: Fistula in ano, Bhagandara, Kumari, Ksharsutra


Full Text:

PDF

References


Trikamji YT, editor, Sushrut Samhita, Reprint, Nibandhasangraha Sanskrit commentary, Chaukhamba Surabharati Publications, Varanasi, 1994, p. 351

Chakrapani Datta; Bhagandara Adhikara; Chakradatta, 2nd Edition, Sri Laxmi Venkateshwara steam press, Mumbai, 1959, p. 206-208.

Mishra B., editor, Bhavaprakash, 7th ed. Vidyotini hindi commentary, Chaukhambha Sanskrit Sansthan, Varanasi, 2000, p.500-506.

Sharma S. Rasatarangini, Hindi commentary, Reprint, Motilal Banarasidas Publication, Delhi, India, 2004, p. 527-30.

K. H. H. V. S. S. Narasimha Murthy. Prof P J Deshpande – Reinventer of Kshar Sutra Therapy. AAM. 2012; 1(4): 173-175.

Sharma S. Rasatarangini, Hindi commentary, Reprint, Motilal Banarasidas Publication, Delhi, India, 2004, p. 337.

Krup V, Prakash LH, Harini A (2013) Pharmacological Activities of Turmeric (Curcuma longa linn): A Review. J Homeop Ayurv Med 2:133.

http://ksharasutraindia.blogspot.in/2014_09_01_archive. html [Accessed date 14.08.2016]

Sharma S, Kulkarni S.K., Agrewala J.N., Choprak’Curcumin attenuates thermal hyperalagesia in a diabetic mouse model of neuropathic pain’ EUR.J.pharmacol.2006 may 1,J 36(3),256-6.

Dr Dwivedi Amarprakash P/Int.J.Res.Ayurveda Pharm.4(2),Mar-Apr 2013(ADR Ksharsutra)

Dr Dwivedi Amarprakash management of post axial polydectyly by Ksharsutra.A minimally invasive Ayurvedic parasurgical procedure.J.Ayurveda integr med 2013,4:114-6.

Bhoir Vedika [THE ROLE OF KSHARSUTRA (prepared according to rasatarangini) IN BHAGANDARA WITH SPECIAL REFRENCE TO FISTULA IN ANO.:JULY 2016

Sushruta , sushruta samhita , sutra sthana ,Avaraniya adhaya, 33/4, edited by Shastri A,12th ed. Chaukhambha Sanskrita Sansthana , Varanasi,2009;163.

Sushruta ,Sushruta Samhita , Nidana sthana, Bhagandara Nidan, 4/14, edited by Shastri A,12th ed. Chaukhambha Sanskrita Sansthana , Varanasi;2009,319.

Bailey and Love’s Short Practice of Surgery , The anus and anal canal 26th ed. NORMANS S. WILLIAMS Publication;2008;p.1266.

Shukla NK, Narang R, Nair NG,Radhakrishna S, Satyavati GV. Multicentric Randomised controlled clinical trial of Ksharsutra (Ayurvedic Medicated thread ) in the management of Fistula in ano. Indian J Med Res 1991;94;177-85.

Bailey and Love’s Short Practice of Surgery , The anus and anal canal 26th ed. NORMANS S. WILLIAMS Publication;2008;p.1259.


Refbacks

  • There are currently no refbacks.


                                                   International Journal of AYUSH (Ayurveda, Yoga, UnaniSiddha and Homeopathy)