Fistula-in-ano is known very well for its recurrence. Many modalities have been deveopled in current era , but none of it didn’t gives a guarantees to avoid its recurrence. In Ayurveda, Kshar sutra therapy is a widely known and most popular across world. Kshar sutra therapy is known for its success among all ayurvedic surgeon, despite being having so many advantages, there are some problems which are associated with kshar sutra application e.g, burning sensation, local irritation, pain to patient. In Gadnigrah text, written by Sri Vaidya Soḍhala, a Kaaladi varti is mentioned in Bhagandar adhikar. Here a kaaladi sutra which is non-caustic is developed on this knowledge and pilot study was done on a patient. Here is a case of fistula-in-ano in a 42 years female patient was examined in Shalya OPD and a pilot study done with Kaaladi Sutra, considering it an alternative to Kshar sutra in treatment of Bhagandara as it cuts and curettes the unhealthy tissue present inside the fistulous tract with decrease in burning sensation , pain, and irritation as compared to conventional kshar sutra .
Dr. Aishwarya Gupta*1, Prof. Suman Yadav2, Dr Ashutosh Kumar Yadav3 (Sun,) studied this question.