A wonder medicated thread in the management of Vagino-Anal Fistula - A Case Report

Abstract

In Ayurveda, Bhagandara (Fistula-in-ano) is considered as one of the Ashta Mahagaroga (8 major disease) by Acharya Sushruta due to high recurrence rate. In the present era anorectal disorders are increasing, due to sedentary life style and others factors. The word Bhagandara is composed of 2 words Bhaga and Darana. The formation of Pidika leads development of Bhagandara it is characterized by opening around the Guda Pradesha with painful discharge. Acharya Charaka mentions the line of treatment for Bhagandhara as Virechana followed by Paatana (Excision) or if Pakwa, Bhedana by Ksharasutra application. In India the Ksharasutra is having high success rate (96.67%) in the management of Bhagandhara (Anal fistula). A case of 36 years old female patient consulted with complaints of boil in the perianal / vaginal region associated with pain & foul-smelling discharge, was diagnosed as Vagino-Anal Fistula and treated with Ksharasutra therapy, along with some oral medications. Patient recovered well with complete excision of tract within a span of 4 months. Thus, Ksharasutra is very effective in treating this condition, with minimal surgical intervention.