What Is An Anal Fistula?A fistula in ano is a tunnel like- pipe like track, developed in the perennial region, usually having one or more external openings around the anus leading to an internal opening in the mucosa of the anal canal or the rectum. Anal fistula is termed "Bhagandara" in Ayurveda. In Ayurveda fistulas, like other diseases have been classified according to the vitiation of one per more of the three doshas i.e. the vata, the Pitta & the kapha. They have been classified also according to the shape & site of the track of the fistula. Special treatment for such different kinds of fistulas is mention in detail. It is worth noting that the complex & most challenging horse shoe fistula ( complex Ischio-rectal fistula)has been dealt with in detail in Sushruta a classical Ayurveda text) even as early as 300 ad. The Ksharsutra treatment was probably first advised per this type of fistula named Parikshepi Bhagandara by Sushurta. This Ksharsootra treatment, with a little modification has proved its worth even in modern times. Anal fistula, a rare condition, is a chronically inflamed, abnormal tunnel between the anal canal and the outer skin of the anus. It often drains watery pus, which can irritate the outer tissues and cause itching and discomfort.

The Ksharasutra was first mentioned by the Father of Surgery Sushruta in his text named SUSHRUT - SAMHITA for the treatment of sinus, fistula- in - ano, excision of small benign tumour etc. The standard kshar sutra is prepared by repeated coatings of latex of Euphorbia nerifolia, ash of Achyranthus aspera and haridra powder over a surgical linen thread. This thread is spread throughout lengthwise in hangers. Each thread on the hanger is then smeared with snuhi latex with the help of gauze piece soaked in the latex. This wet hanger is transferred in kshar sutra cabinet. This process is repeated till seven coatings of snuhi ksheer and apamarg kshar is achieved. Final three coating are completed with snuhi ksheera' and fine powder of turmeric in the same fashion. Thus twenty-one coatings over the thread are completed. Ksharsutra offers an effective, less traumatic ambulatory and safe alternative treatment for fistula in ano & sinuses with excellent success rate. Does not require hospitalization and hence saves man hours for the Doctor & Patient. Indian Council of Medical Research has published the results of Ksharsutra in Indian Journal of Medical research in June 1991, has stated that Ksharsutra is a better treatment compared to other surgical methods.Ksara Karma is one of the most important para-surgical procedures. The word kshar means concentrated or strong salts and alkalis made mainly out of herbs. Sometimes even minerals are used to prepare a kshar. When applied locally, kshar is capable of carrying out the function of incision, excision, and scraping hence the name. Kshar karma is tridoshashamak it subdues all the three vitiated Doshas. It is versatile, because even such places that are difficult in approach by ordinary measures can be treated by Kshara Karma. It is more effective than the other modalities of treatment, because they can be administered both internally and externally. Kshara Karma is useful as the substitute of surgical instruments, because they can be used safely on the patients who are afraid of surgery.

Fissure in AnoBLEEDINGPAINDISCHARGECLICK BELOWPILES / HEMORRHOIDS++++++PilesANAL FISSURE+++++++FissureANAL FISTULA+++++++FistulaWhat Is An Anal Fissure? This is a very common Ano rectal disease causing a lot of suffering to the patient. It consist of a tear or a crack in the skin lined part of the anal canal. It usually found in young and middle age people but some times even in children. Though a small crack, the pain and suffering inflicted by it is of great magnitude. Beside, more often than note, it dose not heal permanently and keeps on showing its effects continually .