Abstract

Dr. Gajendra Singh Sengar*, Dr. Shraddha Sakhare, Dr. Rajendra Dixit and Dr. Vivek Tiwari

ABSTRACT

Ayurveda is a age old science and Shalya Tantra by Acharya Sushrut written as Sushrut Samhita can be compared to any book on Surgeries written centuries later. In the context of Chikitsa Acharya has described all sorts of surgical managements and some of them still have no comparisons. Anorectal diseases like Arsha & Bhagandara are callous to be cured and among them Bhagandara (Fistula-in – Ano) is considered under Ashta Maharogas . Fistula- in -Ano at modern parlance is a common Anorectal condition prevalent in population worldwide and its prevalence rate is 15-16% of all Ano rectal Surgical admission in India second highest after Haemorrhoids. Horse Shoe Fistula is one among them that indicates the unusual pathway of spread of an abscess originating in the deep posterior anal space, manifesting with multiple openings which can be correlated to Parikshepi bhagandar described by Acharya Vaghbhata. The treatment of such fistula is more complex due to the possibility of faecal incontinence and delayed healing. This case study is of 48 year old male patient, presented with external openings at 7 „o? clock on right side and 5 „O?clock on left side with pus discharge since 1 year. The patient was successfully treated using Ksharsutra without any complications in as span of 2 months. Ksharsutra therapy can be done is small set up with minimal equipment and moreover the patients remain ambulatory during whole course of treatment. It is such a safe, simple and sure short of treatment for Anal Fistula.