Clinical efficacy of svarnkshiri tail pichu with ksharsutra in the management of bhagandara

Abstract

Bhagandara i.e. Fistula in ano is one of the Asthomahagadha Vyadhi described by Sushruta which is difficult regarding its management. Fistula in Ano is disease of Ano rectum which characterised in humans by single or multiple sinuses with purulent discharge in the perianal region.The disease has been described in Sushrut Samhita and another Samhitas. Though it is a one of the Asthomahagadha Vyadhi the medical profession therefore has always been on the alert to devise and provide procedures and methods surgical or otherwise which could control disease effectively.The present study has been carried out to study the clinical efficacy of Svarnkshiri Tail Pichu with Ksharsutra in the management of Bhagandara was aimed to observe the efficacy of trial drug in Bhagandara.The clinical study was conducted on 60 patients selected randomly and divided into 2 groups based on the drug for the clinical trial. First group was treated with Ksharsutra with local application of Swarnkshiri Tail Pichu.Second group was treated with Ksharsutra only as controlled group.The clinical assessment was done on the basis of grading criteria with specific symptology     of Bhagandara like Gudasrava, Gudashula, Gandha, Gudashotha and length of thread obtained at every sittings.Then mean scores levels of these symptoms before and after the treatment of 2 groups where subject for student paired 't' test for statistical analysis. The results were statistically and clinically significant not only to cure but also to prevent recurrence of the Bhagandara.