MANAGEMENT OF GUDA VIDRADI LEADING TO PARISRAVI BHAGANDARA (FISTULA-IN-ANO) BY BHEDANA KARMA FOLLOWED BY KSHARA SUTRA: A CASE STUDY

Guda vidradhi (Anal abscess) is described by Acharya Sushruta under Antar vidradhi. Vidradhi remains as a localized painful condition, with all the features of Vrana shotha (inflammation) with severe pain, tendency of early suppuration. Guda vidradhi is co-related with anal abscess on the basis of symptom. A perianal abscess is an infection in a mucous- secreting gland in the anal canal around anus. Fistula-in-Ano is an epithelial-lined tract connecting the anal canal to perianal skin. Parisravi Bhagandara is a type of bhagandara told by Acharya Sushruta caused by predominance of kapha dosa. Parisravi Bhagandara is treated by Chitraka based kshara sutra, which is cost effective and requires less hospitalization. Ayurveda as well as modern science described same line of treatment in the presence of pus. Acharya Sushruta mentioned that Bhedana Karma at the most prominent part for evacuation of dosha. Kshara sutra procedure was carried out on 40 years old female patient suffering from Guda Vidradi leading to Parisravi Bhagandara. After the complete cut through of fistulous track and wound healing, there were no complaints of pus discharge or pain. Bhedana Karma followed by Chitraka based Kshara Sutra in management of Guda Vidradi leading to Parisravi Bhagandara has significant results when compared with contemporary sciences. Kshara sutra can be carried out in OPD’s, with less complications, minimal scar after healing and cost effective when compared with contemporary sciences.