A SYSTEMIC REVIEW ON BHAGANDARA (FISTULA -IN -ANO) WITH THE MANAGEMENT OF KSHARASUTRA

Abstract

Acharya Sushruta identified Bhagandara as one of the Ashtamaharoga, a severe and challenging condition to treat. Ayurvedic texts provide a comprehensive account of Bhagandara’s etiopathogenesis, symptoms, forms, preventive measures, and treatments. Initially, modern surgical interventions such as fistulotomy and fistulectomy were deemed effective, but issues like incontinence and recurrence led many patients to seek Ayurvedic therapies, particularly the Ksharasutra treatment. This traditional method, rooted in ancient practices, has proven to be an effective and globally recognized solution for managing Bhagandara.

Keywords: Bhagandara, Vibhitaka, Fistula-in-Ano.