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Ayurvedic Management of Anal Fistula

Written by
Dr. Gandhidas. S. Lavekar
and medically reviewed by iCliniq medical review team.

Published on Jun 18, 2015 and last reviewed on Aug 02, 2019   -  2 min read


This article discusses in detail about kshar sutra, a unique therapy and a minimal invasive para surgical measure practiced in the management of anal fistula or Bhagandara cases.

Ayurvedic Management of Anal Fistula

The Kshara karma is one of the Anushastra karma, a minimal invasive para-surgical measure. Ksharsutra is the method of Ksharakarma mainly employed in fistula-in-ano (anal fistula) and hemorrhoids (piles). This unique method has many advantages over conventional surgical methods, as this is an ambulatory and cost effective method.

What is Fistula-in-ano?

Ksharsutra - Ayurvedic Para Surgical Measure for Anal Fistula

This measure was revived, developed and standardized in early seventies by eminent scientists. Considering the importance and unique nature, further validation was done by ICMR (Indian Council of Medical research) through randomized, double blind, multi-centric clinical trials. These revealed that the recurrence rate in patients of fistula-in-ano treated with ksharsutra therapy was just 4 percent while about 11 percent in patients treated with surgery. The research studies over the years, added a scientific basis to this art, as an effective, amble and viable alternative to surgery with better compliance. Ksharsutra can also concomitantly be applied in patients suffering from fistula-in-ano or anorectal diseases associated with diabetes, hypertension, neurogenic disorders, cardiac diseases and also in tuberculous/cancerous fistulae.

The Central Council for Research in Ayurveda and Siddha (CCRAS) has standardized the method of preparation of ksharsutra and patented. The efficacy studies at CCRAS institutes revealed 93 % cure rate with minimal recurrence.

Consult an ayurveda specialist online for queries regarding ayurvedic management of anal fistula -->

Last reviewed at:
02 Aug 2019  -  2 min read




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