Glamorous Result of Udumbara Ksheer Sutra in the Management of Simple Fistula-in-ano (bhagandara) - A Case Report

In Ayurveda, Bhagandara is mentioned as one among Ashtamaharoga because of its callous attitude. Acharya Sushruta recommends a multi-dimensional approach in the treatment which has been found very effective in the management of Bhagandara. Among these Ksharasutra has emerged as safe and non-recurrence therapy, accepted. Though effective, it causes pain and discomfort to the patient during the treatment period and needs longer duration. In contrary one can limit the Kshrasutra application avoiding long duration. In the case presented here was provoked by fate research, in which a 39 years male patient diagnosed as Bhagandara was subjected to Udumbara ksheer sutra application under local anesthesia. The changing of Ksheer sutra was repeated every week for 3 to 4 sittings. After the third sitting any mode of discharge was absent which indicated the absence of infection. For some reason, patient discontinued the treatment. He came after 2 years for some other complaints, on P/R examination no sign of fistula was observed. On history he revealed the applied thread got worn out by itself after 3 weeks of last application, subsequently the fistula got healed. This accidental finding provoked similar trials on 2 more patients, which proved to be successful. One of such cases is discussed.