Abstract

*Dr. Mohit Bakshi

ABSTRACT

Among various diseases ayurveda has grouped eight of them that severly affect health and are often associated with troublesome complications and challenges to the medical science i.e. vatvyadhi, prameha, kustha, arsha, bhagandara, ashmari, mudgarbha, and udar roga are those eight diseases which are difficult to cure by nature[1]. In the present study attention is paid on the bhagandara. Etymologically it is derieved from “bhaga” and “daran”. Literally the word “bhagandara” means splitting around guda, yoni and vasti. In classics like Sushruta samhita, this disease start as pidika called as “bhagandara pidika” which suppurates and on bursting leads to bhagandara[2]. A very similar condition is described in modern science as fistula-in-ano. The fistula-in-ano is an abnormal hollow track or cavity that is lined with unhealthy granulation tissue that communication between the anal canal and the perianal skin. It usually results from an ano-rectal abscess, which burst spontaneously or opened inadequately. In Ayurveda treatment is classified into preventive measures which includes nidana parivarjan and curative which includes medical management and surgical management, though there are several types of treatment like medical, para surgical etc that have been described in ayurvedic classics, but the treatment of bhagandara is mainly surgical. In modern science treatment of fistula-in-ano is various types of surgical procedures which now also includes laser therapy.