CONCEPT OF SWASTHVRITTA TOWARDS THE PEDIATRIC AND GERIATRIC HEALTH CARE

Abstract

Abscess around lower rectum and anal canal are known as ano –rectal abscess. These are important as they often culminate in fistula in ano.  Ano- rectal abscess and fistulas are one of the most frequent results in the manifestation of simple or complex and extensive fistulous tracts. Kshara Sutra therapy  is a Siddha Ayurvedic  parasurgigal technique commonly used to cure Anal Disease. In the technique a specially prepared Medicated thread known as  “ Kshara Sutra ’’ (Medicated Alkaline thread) is used to cure diseases.  Kshara Sutra acts by “Herbal chemical cauterization and removes the disease from the body. A   female patient aged 60 year, already treated by allopathic treatment had recurrence effects. She decided to   get treated from   the   Herbal Health Care Centre,   Jaffna, Sri Lanka on 10^th July 2019   with   complaints of pain in the anal area, swelling and discharge of the pus with stool and mild irritation of this area.  Patient underwent through clinical examination, local examination for per rectum by Probing method and diagnosed   of Fistula- in –Ano. Based on susrutha’s methods the part preparation was done with antiseptic lotion (Triphala decoction) and purgative is advised to clean her bowel ii previous night. Perianal region is cleaned  and index finger is introduce in the anus. The probe is passed and if tract is open one plain thread is tied through external opening to internal opening with eye of probe in one side of anus. If tract has not perforated the mucos membrane and end of the probe is felt by the finger it is perforated. Thus indirect fistulae are made direct and kshara sutra is applied. Changing  of the thread: It is done once in a week better in 7^th day. The fistula –in- ano  was completely healed within 2 month with Kshara Sutra application. Even thought the fistula- in .ano is very difficult to treat. This Kshara Sutra application   proves to be  effective , time saving, affordable, and acceptable treatment on fistula- in –ano. It can be managed with herbal application.

Key words :  Kshara Sutra, fistula- in –ano, Triphala decoction, Herbal Health Care Centre