E-ISSN 2455-3166
 

Review Article 


Current trends in the usage of Ksharakarma (Alkaline therapy) and Ksharasutra (Alkaline Seton) for managing Bhagandhara (Fistula -In –Ano)

Alok Kumar.

Abstract
Background: Anal fistula is an abnormal track with an external opening in the perianal skin region and internal opening in the modified skin or mucosa of anal canal or rectum. The description of Bhagandara described in Ayurveda can be correlated to anal fistula. Managing of high anal fistula is a very tedious job and fecal incontinence may be developed after surgery due to damage of anorectal ring. Kshara (alkali) work effectively on various stages of a wound and is helpful in treating fistula-in ano. Ksharasutra (alkaline seton) is a type of para surgical procedure described in Ayurveda classics.

Aim: The present review aims at analysing the current trends in the usage of Ksharakarma (alkaline therapy) and Ksharasutra in the management of fistula–in-ano.

Materials & Methods: The present study is a procedural review on techniques of application of Ksharakarma and Ksharasutra employed upon the patients with various types of fistula-in ano.

Observations: Four techniques employed in various types of fistula-in any were analysed. These include Apamarga Theekhsna Pratisarniya Kshara applied on nonspecific low anal subcutaneous fistula-in ano, Ksharasutra Varti (alkaline wick) applied on non-specific inter-sphincteric grade Grade II fistula-in ano where there was no internal opening, Multistage Ksharasutra technique employed in an inter-sphincteric grade Grade II fistula in ano with gradual extension of track and technique of Interception of fistula track by application of Ksharasutra (IFTAK) was employed in Grade IV fistula.

Conclusion: All the above four techniques employed were effective in managing fistula–in ano. The techniques described here are the modifications of classical procedures, which acts at different level and produce intended effect of healing the fistulous track without any complication or reoccurrence. However, larger comparative clinical studies may be required to further substantiate the effectiveness of these techniques.

Key words: Bhagandara, Fistula in ano, Ksharkarma, Ksharasutra


 
ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Alok Kumar
on Google
on Google Scholar
Article Statistics
 Viewed: 2537
Downloaded: 758
Cited: 0


How to Cite this Article
Pubmed Style

Alok Kumar. Current trends in the usage of Ksharakarma (Alkaline therapy) and Ksharasutra (Alkaline Seton) for managing Bhagandhara (Fistula -In –Ano). J. res. tradit. med. 2018; 4(2): 70-74. doi:10.5455/JRTM.2018/301581


Web Style

Alok Kumar. Current trends in the usage of Ksharakarma (Alkaline therapy) and Ksharasutra (Alkaline Seton) for managing Bhagandhara (Fistula -In –Ano). http://www.tmjournal.org/?mno=301581 [Access: July 19, 2019]. doi:10.5455/JRTM.2018/301581


AMA (American Medical Association) Style

Alok Kumar. Current trends in the usage of Ksharakarma (Alkaline therapy) and Ksharasutra (Alkaline Seton) for managing Bhagandhara (Fistula -In –Ano). J. res. tradit. med. 2018; 4(2): 70-74. doi:10.5455/JRTM.2018/301581



Vancouver/ICMJE Style

Alok Kumar. Current trends in the usage of Ksharakarma (Alkaline therapy) and Ksharasutra (Alkaline Seton) for managing Bhagandhara (Fistula -In –Ano). J. res. tradit. med. (2018), [cited July 19, 2019]; 4(2): 70-74. doi:10.5455/JRTM.2018/301581



Harvard Style

Alok Kumar (2018) Current trends in the usage of Ksharakarma (Alkaline therapy) and Ksharasutra (Alkaline Seton) for managing Bhagandhara (Fistula -In –Ano). J. res. tradit. med, 4 (2), 70-74. doi:10.5455/JRTM.2018/301581



Turabian Style

Alok Kumar. 2018. Current trends in the usage of Ksharakarma (Alkaline therapy) and Ksharasutra (Alkaline Seton) for managing Bhagandhara (Fistula -In –Ano). JOURNAL OF RESEARCH IN TRADITIONAL MEDICINE, 4 (2), 70-74. doi:10.5455/JRTM.2018/301581



Chicago Style

Alok Kumar. "Current trends in the usage of Ksharakarma (Alkaline therapy) and Ksharasutra (Alkaline Seton) for managing Bhagandhara (Fistula -In –Ano)." JOURNAL OF RESEARCH IN TRADITIONAL MEDICINE 4 (2018), 70-74. doi:10.5455/JRTM.2018/301581



MLA (The Modern Language Association) Style

Alok Kumar. "Current trends in the usage of Ksharakarma (Alkaline therapy) and Ksharasutra (Alkaline Seton) for managing Bhagandhara (Fistula -In –Ano)." JOURNAL OF RESEARCH IN TRADITIONAL MEDICINE 4.2 (2018), 70-74. Print. doi:10.5455/JRTM.2018/301581



APA (American Psychological Association) Style

Alok Kumar (2018) Current trends in the usage of Ksharakarma (Alkaline therapy) and Ksharasutra (Alkaline Seton) for managing Bhagandhara (Fistula -In –Ano). JOURNAL OF RESEARCH IN TRADITIONAL MEDICINE, 4 (2), 70-74. doi:10.5455/JRTM.2018/301581





Most Viewed Articles
  • Efficacy of Erand Sneha (Castor Oil) in the management of Amavata (Rheumatoid arthritis) with respect to its Sama Stage
    Gauridutt Mishra *, Darshana H Pandya
    J. res. tradit. med. 2017; 3(2): 28-35
    » Abstract

  • URAMARUNNU - A TRADITIONAL AYURVEDIC PAEDIATRIC PRACTICE
    INDU SABU, KRISHNA RAO SATHYA
    J. res. tradit. med. 2017; 3(3): 91-97
    » Abstract

  • Shashti Upakrama (Sixty Procedures) in the management of Vrana (Wound) - A Review
    Rajneesh V Giri
    J. res. tradit. med. 2017; 3(4): 109-116
    » Abstract

  • Concept of Chakshushya in the Materia Medica of Ayurveda
    Tarkeshwar Sukhadev Wankhade* , Pravin Raghunathrao Joshi, Suraj Laxmansingh Thakur, Mante G B
    J. res. tradit. med. 2017; 3(2): 55-63
    » Abstract

  • Pharmaceutico - Analytical Study of Shrugatakadi Taila using the concept of Taila Murchhana (Oil Processing)
    Juhi Ubale* , Anita Wanjari, Bharath Rathi, Dhirajsingh Rajput
    J. res. tradit. med. 2017; 3(2): 36-42
    » Abstract

  • Histological validation of Pleeha (Spleen) as one of the Mulasthana (Origin) of Rakta Vaha Srotas (Circulatory System)
    Gaurav Soni*, Neelam
    J. res. tradit. med. 2017; 3(1): 18-22
    » Abstract

  • Indigenous knowledge of medicinal plants and perception of managing disease among the Yanadi Tribe of Veyi Lingala Kona
    Chandrika Thalari*, Palapandala Thiripalu
    J. res. tradit. med. 2017; 3(1): 12-17
    » Abstract

  • Pharmaceutical Standardisation of Kukkutanda Tvak Bhasma (Incinerated Egg Shell)
    Ghanshyam Mahulkar * , Bharat Rathi
    J. res. tradit. med. 2017; 3(2): 43-50
    » Abstract

  • The ‘four’ stratagem of Traditional Indian Medicine – Ayurveda
    Jyothy Kothanath Bhaskaran
    J. res. tradit. med. 2017; 3(4): 98-100
    » Abstract

  • Fourier Transforms Infrared Spectroscopy Study on Shadguna Makaradhwaja - An Ayurvedic Mercurial Drug Compound
    Vaibhav Charde*, Kishor Patel, Rohit Gokarn, Dhirajsingh Rajput, Biswajyoti Patgiri, Pradeep Kumar Prajapati
    J. res. tradit. med. 2016; 2(4): 94-98
    » Abstract

  • Most Downloaded
  • A Review on Smriti (Memory) and its Affiliates in Ayurveda
    Pallavi Ashok Ghadage, Niranjan Yethdaka, Narendra Trivedi
    J. res. tradit. med. 2017; 3(5): 143-150
    » Abstract

  • Prevention & Management of Autism – An Ayurvedic Perspective
    Brahm Dutt Sharma*, Khushal Chouhan
    J. res. tradit. med. 2016; 2(4): 117-121
    » Abstract

  • URAMARUNNU - A TRADITIONAL AYURVEDIC PAEDIATRIC PRACTICE
    INDU SABU, KRISHNA RAO SATHYA
    J. res. tradit. med. 2017; 3(3): 91-97
    » Abstract

  • Early Clinical Diagnosis of Fever (Jwara) in Children – A Case Study
    Jyothy Kothanath Bhaskaran*, Srihari Sheshagiri
    J. res. tradit. med. 2016; 2(6): 170-172
    » Abstract

  • Phytoestrogens Medicinal Herbs - Safe and Effective Alternative to Hormone Replacement Therapy in Menopausal Syndrome
    Priyanka Kulkarni*, Pramod Khobragade
    J. res. tradit. med. 2016; 2(5): 147-150
    » Abstract

  • Effect of Virechana in the management of Oligoasthenozoospermia (Shukradushti): A Case Report
    Rajdip R. Rao*, Anup B.Thakar, Nilesh N.Bhatt, Rahul Gandhi, Jayesh Odedra, Kalpana S Patel
    J. res. tradit. med. 2016; 2(6): 166-169
    » Abstract

  • Anti-obesity and Anti-hyperlipidemic activity of Processed Honey - A Randomised, Open labeled, Controlled Clinical Study [English]
    Satish Pai, Chetana Bhadrapura Shivappa, Aparna Surendra
    J. res. tradit. med. 2018; 4(2): 40-48
    » Abstract » doi: 10.5455/JRTM.2018/816

  • Cost Effective Cultivation of Centella asiatica Linn. (Mandukparni) – A Pilot Study
    Pramod Khobragade*, Minal Khobragade
    J. res. tradit. med. 2016; 2(5): 135-137
    » Abstract

  • Application of Tantrayukti (Means of Interpreting Science) in Research Methodology
    Anil D. Avhad*, Manjiri Walinjkar, Hitesh A. Vyas, R.R. Dwivedi
    J. res. tradit. med. 2016; 2(3): 81-86
    » Abstract

  • Historical and Ethno-Medical Review on Bilva (Aegle marmelos Corr.)
    Neha Parmar*, Suman Singh, Bhupesh Patel
    J. res. tradit. med. 2016; 2(5): 138-146
    » Abstract

  • Most Cited Articles
  • Literature Review of Suram(Fever) in Siddha Medicine
    Thayalini Thileepan
    J. res. tradit. med. 2018; 4(1): 21-25
    » Abstract » doi: 10.5455/JRTM.2018/298118
    Cited : 1 time [Click to see citing article]

  • Clinical Evaluation of Dashmularishta (Ayurvedic formulation) in Restoring Normal Health of Postpartum Females
    Manjari Dwivedi, J.L.N Sastry*, Rajiv K Rai, Sasibhushan Vedula
    J. res. tradit. med. 2016; 2(3): 56-61
    » Abstract
    Cited : 1 time [Click to see citing article]

  • Fourier Transforms Infrared Spectroscopy Study on Shadguna Makaradhwaja - An Ayurvedic Mercurial Drug Compound
    Vaibhav Charde*, Kishor Patel, Rohit Gokarn, Dhirajsingh Rajput, Biswajyoti Patgiri, Pradeep Kumar Prajapati
    J. res. tradit. med. 2016; 2(4): 94-98
    » Abstract
    Cited : 1 time [Click to see citing article]