AYURVEDIC MANAGEMENT OF PERIANAL ABSCESS FOLLOWING INCISION AND DRAINAGE: A CLINICAL APPROACH

Perianal abscess is an acute suppurative condition of the anorectal region resulting from infection of the anal crypt glands, leading to localized pus collection, severe pain, swelling, and systemic symptoms such as fever. Incision and drainage (I&D) is the standard and definitive management in modern surgery to evacuate pus and prevent the spread of infection. However, recurrence and progression to fistula-in-ano remain significant concerns. Ayurveda describes a similar condition under Gudavidradhi, a type of Vidradhi (abscess) caused predominantly by vitiation of Pitta and Kapha dosha along with Rakta dushti and Agnimandya. Post-operative Ayurvedic management aims to promote wound healing, reduce inflammation, purify blood, improve digestion, and prevent recurrence. This article discusses an integrative approach using Triphala Guggulu, Saptavishthi Guggulu, Arogyavardhini Vati, and Gomutra Prakshalana following surgical incision and drainage. The combined approach seeks to enhance tissue repair, minimize complications, and reduce the likelihood of fistula formation. Integrating Ayurvedic principles with surgical intervention may provide a comprehensive strategy for improved patient outcomes in perianal abscess management.