A COMPREHENSIVE STUDY OF BHAGANDARA (FISTULA) TREATMENT THROUGH KSHARA KARMA WITH THE GUIDANCE OF MODERN RADIOLOGY IMAGING

Bhagandara, also known as fistula-in-ano, is a widespread anorectal condition marked by an unusual connection between the anal canal and the skin surrounding the anus. Its recurrent nature makes treatment difficult. In Ayurveda, Kshara Karma, which involves the application of a caustic alkali, is promoted as a minimally invasive method for managing fistulas, yielding effective results and lower rates of recurrence. This review combines traditional Ayurvedic concepts of Kshara Karma with contemporary radiological imaging techniques such as MRI fistulogram, CT scans, and ultrasound to improve both diagnostic precision and treatment effectiveness.