Ayurvedic Management of Anal Fistula
Alternative Medicine

Ayurvedic Management of Anal Fistula

Written by
Dr. Gandhidas S Lavekar
and medically reviewed by iCliniq medical review team.

10 Jul 2019  -  1 min read

Abstract

Abstract

This article discusses in detail about kshar sutra, a unique therapy and a minimal invasive para surgical measure practiced in the management of anal fistula or Bhagandara cases.

The Kshara karma is one of the Anushastra karma, a minimal invasive para-surgical measure. Ksharsutra is the method of Ksharakarma mainly employed in fistula-in-ano (anal fistula) and hemorrhoids (piles). This unique method has many advantages over conventional surgical methods, as this is an ambulatory and cost effective method.

What is Fistula-in-ano?

  • Fistula-in-ano is a disease of the anorectal region and the description of which could be traced from dates back from Ayurvedic treatise - Sushruta Samhita.
  • It is prevalent and occupies the second position amongst all anorectal diseases after the haemorrhoids.
  • Fistula-in-ano is a track which opens, deeply in the anal canal or rectum and superficially on the skin around the anus.
  • Sometimes, the track may have a single opening, which is called, as sinus.
  • Generally, this track develops from anorectal abscess (Bhagandara pidika) that bursts spontaneously or is drained inadequately.
  • An anal fistula may occur with or without symptoms. There may be intermittent swelling with pain, itching, discomfort and discharge of pus in the perineal or perianal region.
  • This track does not heal due to frequent discharge, presence of unhealthy granulation and lack of rest to the part.
  • This is purely a surgical condition and certain operative procedures are usually associated with complications like loss of gluteal cushion, infection, and recurrence and require prolonged hospitalization.
  • Research studies conducted on fistula-in-ano at various renowned medical institutions worldwide revealed higher rate of recurrence after surgery.

Ksharsutra - Ayurvedic Para Surgical Measure for Anal Fistula

  • Though several operative procedures have been described for the treatment of fistula-in-ano, Ksharsutra (a unique minimal invasive ayurvedic para surgical measure) has been advocated as a treatment of choice by ancient ayurvedic scholars.
  • Ksharsutra is prepared by repeated smearing of alkali of Achyranthes aspera plant, latex of Euphorbia neriifolia and turmeric powder on a surgical linen thread, which possesses proteolytic, caustic and antiseptic properties and promotes simultaneous wound healing.The ksharsutra therapy provides cutting and healing process simultaneously.
  • The ksharsutra is inserted into the fistulous tract under suitable anesthesia with the help of a specially designed probe and is replaced with a newer ksharasutra on every 7th day till the fistulous tract is completely healed up.
  • Application of ksharsutra in cases of fistula-in-ano is a minimal invasive, simple, cost effective procedure.
  • This needs no hospitalization and can be carried out at OPD levels.

This measure was revived, developed and standardized in early seventies by eminent scientists. Considering the importance and unique nature, further validation was done by ICMR (Indian Council of Medical research) through randomized, double blind, multi-centric clinical trials. These revealed that the recurrence rate in patients of fistula-in-ano treated with ksharsutra therapy was just 4 percent while about 11 percent in patients treated with surgery. The research studies over the years, added a scientific basis to this art, as an effective, amble and viable alternative to surgery with better compliance. Ksharsutra can also concomitantly be applied in patients suffering from fistula-in-ano or anorectal diseases associated with diabetes, hypertension, neurogenic disorders, cardiac diseases and also in tuberculous/cancerous fistulae.

The Central Council for Research in Ayurveda and Siddha (CCRAS) has standardized the method of preparation of ksharsutra and patented. The efficacy studies at CCRAS institutes revealed 93 % cure rate with minimal recurrence.

Consult an ayurveda specialist online for queries regarding ayurvedic management of anal fistula --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist

Last reviewed at:
10 Jul 2019  -  1 min read

RATING

37
Ask a QueryAsk a Query Consult by PhoneConsult by Phone Video ChatVideo Chat

Related Questions & Answers


What should I apply for anal itching?
Query: Hello doctor, I feel very itchy around the anus. It feels like I need to press around the periphery for it to stop. There is no pain, just irritation. I have had hemorrhoids once before, but this is not the same. I do not feel any pimples or problems in opening bowel. I tried Glyvenol cream for a f...  Read Full »
Dr. Aamir Mohd
Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. You should apply Calamine lotion at the place where it is itching thrice a day for a week and take tablet Loratadine 10 mg once a day for a week. I would like to review after a week and please send me the picture of it. Revert back with the photographs to an internal ...  Read Full »
 
Trending Articles Trending

Do you have a question on Anal Itching or Anal Pain?

Ask a Doctor Online

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.
About the Doctor

.,
...
 

Fee: