CLINICAL COMPARATIVE STUDY ON THE EFFECT OF PAPAYA KSHEERA BASED NIMBA KSHARASUTRA AND STANDARD APAMARGA KSHARASUTRA IN BHAGANDARA (FISTULA-IN-ANO)

Bhagandara is considered as one among the Mahagada in Sushruta Samhita.Kshara Sutra Therapy is a Simple and safe parasurgical procedure, cost-effective and ambulatory, minimal recurrence rate, no surgical complications like incontinence, stenosis and stricture.Snuhi Ksheera based Apamarga Ksharasutra is proved effective treatment in the management of Fistula-in-ano.But, burning sensation, local irritation during the course of therapy and difficulty of manufacturing process has limited its use.To explore a better substitute of Standard Apamarga Ksharasutra, the