IN PADIATRIC PATIENT: A ROLE OF UDUMBARA KSHEER SUTRA IN ANO RECTAL FISTULA: AN AYURVEDIC REVIEW: A CASE STUDY

ANORECTAL

Bhagandara has been included in the Ashtamahagad (8 terrible ailments) by Acharya Sushrut. When it is in the Apakwa (non-suppurated) form, it initially appears as Pidika (boil/abscess), and when it becomes the Pakwa (suppurated) condition, it becomes Bhagandara. According to recent scientific definitions, it is connected to anorectal fistula. An abnormal track with an internal opening in the anal canal and/or rectum and an external opening in the perianal region is called an anal fistula. The treatment of fistulas is approached differently in Ayurveda. Every anal fistula responds favourably to various Kshar and Ksheer Sutra treatments. They are the medicated seton, nothing more. In order to cut, cure, drain, and clean the fistulous tract and promote track/wound healing, the Ksheer sutra mechanical action and chemical activity of medications coated on the thread combine. Although the use of Kshar Sutra was mentioned in the Bhruhattrayi, one of the main three Ayurvedic scriptures, its preparation process is not adequately described. The preparation process of Ksheer sutra was first revealed by Chakrapani Datta in his book Chakradatta in the eleventh century, as mentioned in Arsha and Bhagandara The traditional Kshar Sutra is the Apamarga Kshar Sutra, yet it has many drawbacks. To address these issues with Apamarga Kshar Sutra, several new Kshar Sutras as well as Ksheer Sutras have been written. Among these is Udumbara Ksheer Sutra, which was established in 1984 by M.K. Jalan and Prof. P.J. Deshpande. Acharya Sushrut mentions Udumbara as one of the Nyagrodhadi Gana Dravya. He explained that the Nyagrodhadi Gana Dravyas are Bhagandaranashak in Bhagandara Chikitsa.

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