“An Open Label Single Arm Clinical Study on Revalidation of Sushrutokta Chandrachakra Incision Followed by Kshara Karma in Parisravi Bhagandara”
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Abstract
Bhagandara is a chronic illness which can be co-related to Fistula in Ano, though it is not fatal but quite discomforting and troublesome to the patient, imposes a psychological stress on the patient. According to Acharya Sushruta, Bhagandara is enumerated as one among the Ashtamahagada. Among its five types, Parisravi Bhagandara with vitiated kapha has symptoms like itching pustule in perianal region, exudates large amount of slimy fluid. Hence clinically can be correlated to Fistula in Ano. Chedana is the main line of treatment in Bhagandara. Acharya Sushruta has mentioned various incision types according to the dosha predominance. In Parisravi Bhagandara, Chandrachakra incision is exaplained, suitable for low anal fistulas. Following the incision, Ksharasutra procedure is performed to destroy unhealthy tissue, excise tract, prevent recurrence, and promote healing.
Meterials And Methods:
Subjects fulfilling the Diagnostic criteria approaching OPD and IPD of JSS Ayurveda Medical college and Hospital, Mysuru. Medical camps and other referrals were considered. An open-label single arm clinical study was adopted for this study, comprising of 30 subjects. The subjects were selected based on specific diagnostic, inclusion and exclusion criteria. They were treated with Chandrachakra ‘Circular’- shape incision, which was made around the external opening of the fistulous tract, this was followed by Ksharasutra procedure.
Results:
Based on the assessment criteria and overall outcomes of the treatment, implementing the Sushrutokta Chandrachakra incision followed by excision of the fistulous tract and Ksharasutra procedure yielded better results in terms of postoperative pain reduction, discharge control and wound healing. The study showed highly promising results in reducing the size of the wound, induration and development of healthy granulation tissue along with early healing of the wound.