Case study demonstrates healing of fistula-in-ano with Gunja Kshara Sutra, suggesting an effective treatment.
Background: Bhagandhara (fistula-in-ano) is considered one among ashtamahagadas1 due to its chronic anorectal condition with high recurrence and complications. Kshara Sutra is an established Ayurvedic para-surgical technique in treating Bhagandhara. Gunja is selected from among 22 kshara dravyas mentioned by susruta for this study due to having additional healing properties. Case: A 40-year-old male presented with pain and pus discharge in the perianal region for 2 months. Intervention: Gunja Kshara Sutra therapy was performed with regular follow-up. Result: The fistulous tract length was 8 cm and complete cut-through occurred in 46 days with no recurrence during 3-month follow-up. Reduction in pain, faster unit cutting time, and better wound healing. Conclusion: Gunja Kshara Sutra is an effective and patient-friendly alternative.
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Shareef D.*1, K. V. Vijaya Bhaskara Reddy*2, Renu Dixit*3 (2026) studied this question.
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