100% treatment by Kshara Sutra treatment of fistula in Ayurveda

by Dr.Dheeraj Yadav | Oct 31, 2018 | Ayurveda, Fistula, Kshar sutra | 44 comments

100% Permanent Cure of Fistula in Ano through Kshar Sutra

Kshara Sutra is utilized in the treatment of fistula in Ayurveda.

KSHARA SUTRA

**Reimbursement and Cashless TPA Health Insurance for the Process Of Kshar Sutra is available now. In NCR, Ghaziabad and Noida**

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Kshara Sutra is a seton thread medicated with organic alkalis,such as Apamargakshara(Achyranthesaspera), Arkakshara(Caltropisgigantea) or Snuhikshara (Euphorbia lingularia). The alkali is repeatedly coated on the seton thread 15 – 21 times. Apart from this, natural antibiotic like haridra powder, guggulu, etc are also used to make Ksharasutra.

The mechanical action of the threads and the chemical action of the drugs coated , collectively do the work of cutting, curetting, draining, and cleaning the fistulous track, thus promoting healing of the track/ wound. This also acts both as the antiseptic and fibrotic agent to induce healing.

The process of healing starts from deeper tissues and moves towards the periphery. This can be applied and changed periodically till the thread cuts the fistulous tract. Since the sphincter heals by fibrosis, there is no incontinence.

Under local anaesthesia, the kshara sutra is inserted into the tract and the two ends of the thread are tied forming a loop. The alkalis coated on the thread are continuously released throughout the length of the track there by cutting, curetting, draining cleansing and healing the track.

This therapeutic action of the thread lasts for seven days. The old thread is then replaced with a new thread following the same procedure.

Depending on the length of the tract and the extent of damage, the kshara sutra may be changed up to 5 times. The changing of the thread is a simple procedure taking about 1 to 2 minutes and requires no anaesthesia.

BENEFITS OF KSHARA SUTRA

The procedure does not require hospitalization for more than 4 to 5 hours

The patient requires minimal bed rest and can resume daily activities within 12 – 24 hours

No painful dressings required

The drugs coated on the Kshar-Sutra are slowly and gradually released into the track and the wound, leaving no abscess overseen. These abscess are drained out by the action of the drugs.

The sphincteric muscles are not dissected and hence the possibility of incontinence is ruled out.

COMPLICATIONS OF FISTULA

Depending on the effectiveness of the treatment, fistula may result in infection or incontinence of stools.

RECURRENCE OF FISTULA

The re-occurrence rate of fistula treated with kshara sutra ligation procedure is less than 2%. This is because the medicines on the thread gradually and continually curate the payogenic membrane and fibrous tissue in the track and thus leave no pus pockets undrained.

In some cases, the fistula can reoccur despite having surgery. After having a fistulotomy, the re-occurrence rate rises to 21-60%. After an advancement flap procedure, the re-occurrence rate may be as high as 36% some says 60%.

Only and Only Kshar-Sutra is the worldwide recognized process for Fistula-in-ano for 100% treatment with an 99.96% accuracy as compared to other process .

आयुर्वेद का क्षार सूत्र अथवा क्षार कर्म द्वारा भगन्दर का सटीक इलाज हो जाता है, इसके लिये किसी expert क्षार सूत्र चिकित्सक की सेवायें लेना चाहिये

**Reimbursement and Cashless TPA Health Insurance for the Process Of Kshar Sutra is available now. In NCR, Ghaziabad and Noida**

E-mail: info@msarogyam.com Ph:+91 – 9219434343, Mo:+91 – 9412637645,

भगन्दर (Fistula) and Kshar Sutra

by Dr.Dheeraj Yadav | Jul 18, 2018 | Ayurveda, Fistula, Kshar sutra | 0 comments

भगन्दर (Fistula)

मात्रा और मात्रा ‘क्षार-सूत्र’ आयुर्वेदिक शल्य चिकित्सा ही भगन्दर (Fistula) मेें 100 प्रतिशत परिणाम देने वाली है जो कि सुश्रुत (Father of Surgery) , आयुष विभाग ;स्वास्थ्य एवं परिवार कल्याण मंत्रालय, भारत सरकार दिल्लीद्ध द्वारा प्रमाणित हैं एवं अब रिसर्च के बाद आध्ुनितक पद्वति द्वारा भी प्रमाणित हो चुकी है।

क्षार सूत्रा क्या है व कैसे काम करता है, जानेः-

धगे पर क्षार (Alkaline-PH9.5) सहित तीन आयुर्वेदिक औषध् िकी 21 कोटिंग की जाती है पहली 11 कोटिंग स्नुही अर्क से ;काटने का कार्यद्ध दूसरी 7 कोटिंग अपामार्ग क्षार से ;इंपफेक्शन को खत्म करने काद्ध तथा तीसरी 3 कोटिंग हरिद्रा से जो कि जख्म भरने का कार्य करती है अत क्षार सूत्रा द्वारा किये गये भगंदर की चिकित्सा में तीनों ही कार्य एक साथ चलते रहते है इसलिए भगन्दर दुबारा नही होता जबकि अन्य पेथी में पहले काटते हैं तथा बाद में दवा खिलाकर इंपफेक्शन रोकने व जख्म भरने की कोशिश की जाती है जो कि कभी सपफल होती भी है और अध्कितर नहंीं भी।

इसलिए अन्य पेथियों में भगंदर 50 प्रतिशत दुबारा हो जाते हैं। भगन्दर (Fistula) के लक्षणः- गुदा के पास पफंुसी का बार बार उभरना उसमें से पानी, पस या खून आना, दर्द, दवा खाने से आराम तथा बाद में पिफर वैसे ही हो जाना आदि।

अन्य पैथी

1- आॅपरेशन बेहोशी में होता है।
2- 5-7 दिन ;ठमक त्मेजद्ध या हास्पिटल में भर्ती रहना पडता है।
3-रोजाना पट्टी के लिए हास्पिटल जाना पड सकता है।
4- ;भ्पही ।तपजप.ठपवजपब द्ध खानी पडती है।
5- खून चढाना पड सकता है।
6- अगर भगन्दर बहुत गहारा ;भ्पही ।दंसद्ध है जो कि गुदा रिंग

(Sphinter) मल त्याग की क्रिया को नियंत्रित करने वालाद्ध के पार चला गया है तो आॅपरेशन के दौरान

ंिरंग कटने से मल रोकने की नियंत्राण शक्ति खत्म हो जाती है तथा मल अपने आप कपडों में निकल जाता है।

क्षार-सूत्र

1- केवल सुन्न करके होता है।
2- कोई आवश्यकता नहीं।
3- कोई आवश्यकता नहीं।
4- कोई आवश्यकता नहीं।
5- कोई आश्यकता नहीं।
6- क्षार सूत्रा को भगन्दर में डाल दिया जाता है तथा वह हर हफ्रते बदला जाता है

भगन्दर (Fistula) and Kshar Sutra

जिससे हर हफ्रते (1cm average) की दर से रास्ता काटता जाता है तथा पीछे का कटा रास्ता भरता रहता है जिससे ंिरग के एक दम के कट जाने का खतरा नहीे होता और न ही मल नियंत्रात को क्रिया में कोई बाध आती।

E-mail: info@msarogyam.com Ph:+91 – 9219434343, Mo:+91 – 9412637645,

Fistula-in-ano Treatment Diagnosis Classification Symptoms

by Dr.Dheeraj Yadav | Mar 31, 2018 | Ayurveda, Fistula, Kshar sutra | 1 comment

Fistula-in-ano Classification Symptoms Treatment

WHAT IS AN ANAL FISTULA? Anal fistula, or fistula-in-ano, is an abnormal connection or channel like structure, between the surface of the anal canal and the exterior perianal skin.

Fistula-in-ano: An Ayurvedic Perspective

Bhagandara (Fistula-in-ano): An Ayurvedic Perspective

Definition of Bhagandara (Fistula-in-ano):

(Bhaga= Vagina, Darana= tear, spitting)

ते तु भगगुदबस्ति प्रदेशदारणाश्च ‘भगंदरा’ इत्युच्यन्ते ।

अभिन्ना: पिडका:, भिन्नास्तु भगंदरा: ।। (Su. Ni. 4/3)

This creates a tear in the area of Bhaga (Vagina), Guda (Anal canal & rectum) and Basti (Urinary bladder), so this is called Bhagandara.

Particularly, in the earliar stage when this is not open, called ‘Pidakaa’ (furuncle). Later on it will get burst and forms the Bhagandara (Fistula-in-ano).

Probable Causative Factors:

Obesity
Heavy diet
Indigestion
Suppression of natural urges
Trauma
Unhygienic condition
Infection of the anal glands
Worm infestation
Ingestion of foreign bodies
Excessive horse riding or bicycle riding
Abrasion by stone, cloth and ground
Constipation
Excessive drinking of alcohol
Straining
Excessive coitus

Classification:

According to Dosha Involvement:
Ayurvedic classical texts have classified Bhagandara mainly in eight entities according to doshik involvement.
शतपोनक भगंदर (Shatponak Bhagandara)- Vāta dosha dominance
उष्ट्रग्रीव भगंदर (Ushtragriva Bhagandara)- Pitta dosha dominance
परिस्रावी भगंदर (Parisravi Bhagandara)- Kafa dosha dominance
शम्बूकावर्त भगंदर (Shambukavarta Bhagandara)- Tridosha dominance
उन्मार्गी भगंदर (Unmargi Bhagandara)- Aāgantuja /Traumatic
परिक्षेपी भगंदर (Parikshepi Bhagandara)- Vāta Pitta dosha dominance
ऋजु भगंदर (Rhiju Bhagandara)- Vāta Kafa dosha dominance
अर्शो भगंदर (Arsho Bhagandara)- Pitta Kafa dosha dominance

According to opening:

Sushruta (School of Ayurvedic Surgery) again classified each type of Bhagandara according to its opening whether presents externally or internally. He used the terms,
पराचीन (Parachina) or बहिर्मुखम् (Bahirmukham) – blind external and,
अवाचीन (Avachina) or अंतर्मुखम् (Antarmukham) – blind internal.

According to modern contrive:

According to modern texts, fistula-in-ano can be divided in two groups broadly, on whether the internal opening is below or above the ano-rectal ring respectively.
Low level fistula
High level fistula
Low level fistula can be further subdivided into subcutaneous type, submucous type, intersphincteric type, trans-sphincteric type and supra- sphincteric type.
High level fistula can be further subdivided into extrasphencteric or supralevator type, trans-sphencteric type and pelvi-rectal fistula.

Symptoms of Bhagandara (Fistula-in-ano):

The main symptoms are boil around the anus, anal discharge and pain in anal region.
Management (treatment) of Bhagandara (Fistula-in-ano):

Local treatment:
Aālepa (Paste of Ayurvedic herbal drugs)- for local application
Upanāha (Warm poultice)- for local application
Pariseka (Pouring of Ayurvedic decoctions)- for local application
Swedana (Hot fomentation)- for local application
Rakta vistravana (Blood letting)
Varti application (Application of wick of cotton cloth mix with Ayurvedic herbal oils)
General treatment:
Follow the ‘Ayurvedic life style’ (look forward on the home page of this site)
Apatarpana (Making the body thin by fasting)
Vamana & Virechana (Ayurvedic Panchkarma Therapy/Ayurvedic Detoxification Programme)

Para-surgical procedures:

Kshāra- sutra Therapy (Application of Alkaline Herbal Seton)
Rakta mokshan (Blood letting)
Agni karma (Thermal cauterisation)
Kshāra karma (Application of Ayurvedic herbal caustics)

Surgical procedures:

Bhedana karma- Fistulotomy
Chhedan karma- Fistulectomy

Anal fistulae originate from the anal glands, which are located between the two layers of the anal sphincters and which drain into the anal canal. If the outlet of these glands becomes blocked, an abscess can form which can eventually point to the skin surface. The tract formed by this process is the fistula.

Ancient Ayurveda surgeon, Susruta has described five types of Bhagandara(Sataponak, Ustragriwa, Parisrabi, Sambukawarta, Unmargi). They have been classified according to the vitiation of the three doshas and the shape & site of the fistula tract.

CAUSES OF FISTULA?

Anal fistulas commonly occur due to an anal abscess.
An abscess is a collection of pus and infected fluid. An anal abscess usually develops after a small gland, just inside the anus, becomes infected with bacteria.
A fistula may occur if an abscess has not completely healed, or if the infected fluid has not been entirely drained away.
An anal fistula may also develop as a result of:
a growth or ulcer (painful sore)
a complication from surgery
a congenital abnormality (a health problem that you were born with)
Anal fistulae are also a common complication of conditions that result in inflammation of the intestines. Some of these conditions include:
Irritable bowel syndrome (IBS): a chronic (long-term) disorder that affects the digestive system, causing abdominal pain, diarrhoea and constipation.
Diverticulitis: the formation of small pouches that stick out of the side of the large intestine (colon), which become infected and inflamed.
Ulcerative colitis: a chronic condition that causes the colon to become inflamed and can cause ulcers to form on the lining of the colon.
Crohn’s disease: a chronic condition that causes inflammation of the lining of the digestive system.

SYMPTOMS OF FISTULA

Anal fistulae can present with many different symptoms such as:
Pain
Discharge – either bloody or purulent
Pruritus ani– itching around the anus
Systemic symptoms if abscess becomes infected

DIAGNOSIS OF FISTULA

Diagnosis is by examination, either in an outpatient setting or under anaesthesia. The examination can be an Anoscopy.
Possible findings:
The opening of the fistula onto the skin may be seen
The area may be painful on examination
There may be redness
A discharge may be seen
It may be possible to explore the fistula using a fistula probe (a narrow instrument) and in this way it may be possible to find both openings of the fistula

Fistula Bhagandara best Treatment By Kshar Sutra

by Dr.Dheeraj Yadav | Mar 31, 2018 | Ayurveda, Fistula, Kshar sutra | 0 comments

Fistula is a deadly disease which occurs most commonly on the rectum.

A yellow liquid gets formed on the area which is very painful.

Bhagandara is the name by which fistula is known as in Ayurvedic practice. Three kinds of the disease are recognised with different treatments. One of the important therapies for curing fistula in Ayurveda is Kshar Sutra.

This involves cutting up some tissues and these take time to heal. Before performing this procedure, several herbs are given to the patient such as Kadali Kshar, Apamarg Kshar, Nimb Kshar, Papaiya Kshar and Snuhi Kshar.

Anal fistula is generally treated through surgery but it is known to recur after some time.

You need to be very conscious of this fact when looking to get your condition treated.

Ayurvedic remedies for fistula are known to cure the disorder for good. Several techniques and therapeutic procedures are available in Ayurveda that eliminate the problem from its root.

Although Kshar Sutra is a slow process on the whole but it is getting global recognition gradually as a very effective treatment for fistula. The great advantage in undergoing this treatment is that the patient does not need to be admitted to a hospital. He can carry on with his regular everyday work without any trouble.

and most of all 100% treatment without any recurrence.

Agnikarma is another treatment for fistula in Ayurveda. This involves use of hot iron or caustic agent for destroying the affected tissues.

Another Ayurvedic treatment for fistula is known as Enema. In this treatment, hot bath is given to the patient suffering from it. Lower body parts are involved in this therapy. A few other types of fomentation is also recommended. The patient needs to be constantly checked for any signs of suffering for diseases such as hypertension, diabetes, TB or any other.

The main reason for rise of this disease these days is the unhealthy lifestyle which people have started to lead. It is expected that with Ayurvedic remedies for fistula treatment becoming popular, the lifestyle recommended by the holistic system of medicine will also gain ground.