Comparative Clinical Study of Palasha Kshar Sutra and Apamarga Kshar Sutra in the Management of Fistula in Ano

Abstract

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.

Antibacterial Activity of Ksharasutra (Medicated Setone), in the Management of the Fistula in Ano

“…Ksharasutra therapy of fistula seems to make good use of chemical cauterization with a medicated thread. As binding agent of the thread Euphorbia antiquorum latex is natural mild herbal base which performs the uniform and smooth cutting of normal tissue and the abnormal granulation as well and thereby reduces the depth of fistula with no or least recurrences 12 The diverse composition of the latex, which includes toxic compounds as well as other potentially bioactive molecules such as diterpenes and triterpenes could be responsible for the antibacterial and anti-fungal activity 13,14 Clinical efficacy of Apamaraga ksharasutra has been proved in this study and our findings tally with previous study 15…”