An Integrative Approach in the management of Bilateral Ischiorectal Abscess: A Case Report

Background: Ischiorectal abscesses frequently arise as complications of perianal abscesses. In contemporary medicine, management typically involves a two-stage procedure: initial incision and drainage (I&D), followed by secondary wound healing. In Ayurveda, this condition is recognized as Gudavidradhi, which is traditionally managed through Bhedan Karma (surgical incision) and Ropan Karma (healing measures). The case presented here was treated following this Ayurvedic protocol, utilizing Nimb-Patol-Erandmool Kwath for wound cleansing, Yashtimadhu-Lajjalu Tail for dressing, and internal herbal medications. Materials and Methods: This case study involves a 47-year-old male patient diagnosed with an acute bilateral ischiorectal abscess, Clinical features included severe pain, purulent discharge with foul odour, oedema, difficulty in walking and sitting. The condition was successfully managed through a comprehensive Ayurvedic regimen. Results: Significant clinical improvement was observed, with complete wound healing and resolution of associated symptoms. Discussion and Conclusion: The Ayurvedic approach, involving surgical and medicinal therapies rooted in traditional principles, proved effective in the management of a complex bilateral ischiorectal abscess. This case supports the potential of integrative Ayurvedic protocols in managing challenges in healing of Ischiorectal abscess.