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

Authors

  • Dwivedi Amarprakash School of Ayurveda, D Y Patil University, Navi Mumbai, India
  • Bhoir Vedika School of Ayurveda, D Y Patil University, Navi Mumbai, India
  • Pawar Anirudhha School of Ayurveda, D Y Patil University, Navi Mumbai, India
  • Kulkarni Anjna M. School of Ayurveda, D Y Patil University, Navi Mumbai, India

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

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Published

2018-08-29

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Original Research Article