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ORIGINAL ARTICLE
Year : 2020  |  Volume : 8  |  Issue : 3  |  Page : 177-184

Comparative study of Nyagrodha Ksheer Sutra and Snuhi Ksheer Sutra in the management of Bhagandar (Fistula-in-Ano)


1 Department of Shalyatantra, Mahatma Gandhi Ayurved College Hospital and Research Centre (MGACH & RC), Salod, Maharashtra, India
2 Department of Rasa Shastra and Bhaishajya Kalpana, Mahatma Gandhi Ayurved College Hospital and Research Centre (MGACH & RC), Salod, Maharashtra, India

Correspondence Address:
Dr. Dhananjay D Deshmukh
Department of Shalyatantra, Mahatma Gandhi Ayurved College Hospital and Research Centre (MGACH & RC), Salod, Wardha 442001, Maharashtra.
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JISM.JISM_30_20

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The term Bhagandhar is a condition that causes Daran (cutting) of Bhag (vulva), Guda (anus), and Bastipradesh (perianal region) at first, it is present as Pidika in Apakwa or un-suppurated condition and when it becomes Pakwa or suppurated, it is called as Bhagandar.It is correlated with fistula-in-ano, as described in modern medical science. Fistula-in-ano is defined as an inflammatory tract that is lined by unhealthy granulation tissue, having its external opening in the perianal region and internal opening in the anal canal or rectum. Various surgical as well as parasurgical treatments are in rage to treat anal fistula but they have certain limitations and risk of recurrence. In this study, an effort was made to derive a standard and easily accessible treatment for fistula-in-ano. Snuhi Ksheer Sutra application is a proved effective treatment for Bhagandhar, but Snuhi creates many problems during the preparation of the thread. Nyagrodha Ksheer was used in the present research work, as it is available in abundance and in all seasons and its latex can be easily extracted. Nyagrodha Ksheer possesses Vranaropak and Krimighna properties and it acts on the basis of its Shodhan (wound cleaning) property. By comparing the advantages of Nyagrodha Ksheer Sutra with those of Snuhi Ksheer Sutra, it can be concluded that Nyagrodha Ksheer Sutra may be used as a good alternative of Snuhi Ksheer Sutra in the management of Bhagandar.


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