TRADITIONAL AYURVEDIC APPROACH TO FISTULA-IN-ANO WITH SNUHIKSHAR SUTRA: A CASE STUDY

Background: Fistula-in-ano is the mostmischievous disease among all ano-rectal diseases that has become a challenging task and difficult to treat due to its recurrence rate.Sushruta has beautifully mentioned its types and etiopathology in nidansthan and its treatment in chikitsa sthan. Objective: To evaluate the efficacy of SnuhiKshar Sutra in managing intersphincteric fistula-in-ano. Method: A 49 years old male with a one-year history of perianal purulent discharge and discomfort was treated at Government Ayurvedic College Varanasi. The procedure involved track probing, sentinel tag excision and weekly SnuhiKshar Sutra replacement, supplemented by Triphalaguggulu, Haritakichurna, Jatyadi tail and antibiotics. Results: Complete track cutting and healing occurred in 26 days with minimal scarring and no recurrence at one month follow up. Conclusion: SnuhiKshar Sutra is a safe, effective and minimally invasive Ayurvedic treatment for bhagandara preserving anal sphincters and thus reducing complications.