ROLE OF COMPARATIVE EFFICACY OF KSHARSUTRA AND SNUHI KSHEERA KSHARSUTRA IN THE MANAGEMENT OF FISTULA IN ANO

Bhagandara (Fisiula-in-ano) is the communication between anal canal, rectum and external surface, This occurs as a peri-anal boil or ischiorenal abscess, which on suppuration discharges pus. Later on when comnutnication occurs with rectum, feces and flatus are discharged. In modern surgery though most of the the surgeons depend on operative management for Fistula-in-ano, but due to its uncertainty in operative technique and so many post operative hazards, the recurrence otherwise the success rate is low. To alter such problems in the management of Fistula-in-ano it was thought to undertake a clinical trial with the Ksharasutra, which is a well known and established therapy in Ayurveda and can be carried out at out door clinics with minimum and simple instruments and material. Material and Method: A total number of 100 cases of Bhagandara (Fistula-in-ano) were selected randomly divided into two groups viz. Control (Group-I) and Treated (Group-II) having 50 cases each. In control group, the Standard Ksharasutra (Apamarga Ksharat+ Snuhi Ksheera + Haridra) was applied and in Treated group, the Ksharsutra prepared by Apmarga Ksharat+Snuhi Ksheera+ Arka Ksheera Haridra was applied. Observations And Result: The observations were made under various perameters and the most important is the Unit Cutting Time (UCT) in days/cm to Assess the exact duration of treatment. The average UCT in Treated group was just 5.33 days/cm in comparison to 6.60 days/ cm found in control.