kshar sutra karma in treatment of bhagander is now an accepted technique. Apamarga kshar sutra is considered as a standard kshar sutra but it has some drawbacks. Apamarga ksharsutra sometimes produces severe pain and burning sensation during therapy and availability of apamarga is also difficult throughout year as apamarga is seasonal plant. In order to overcome these disadvantages of apamarga kshar sutra several other kshar sutra has been tried by different research scholars. In present study palasha kshar sutra is selected to make the therapy more popular in children, female and elders, as apamarga kshar produces severe burning pain during therapy and it is difficult for these types of patient to continue the therapy. This study has proven that palasha kshar sutra is equally good as apamarga kshar sutra with marked reduction of symptoms like pain, burning sensation, irritation and other skin reactions. So palasha kshar sutra is considered as a better alternative for standard apamarga kshar sutra.
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