COMPARATIVE CLINICAL STUDY ON EFFECT OF PAPAYA KSHEERASUTRA WITH APAMARGA KSHARASUTRA IN THE MANAGEMENT OF BHAGANDARA (FISTULA IN ANO)

Shyam Purushottam Warma*, Shivani Anilkumar Chouksey and Prasanna Narasimha Rao

ABSTRACT

Background: Bhagandara (Fistula-in-ano) is a common disease occurring in Ano-rectal region it is considered as one among the Mahagada (very difficult to cure). Aim and Objective: To compare the efficacy of Papaya Ksheera Sutra & Apamarga Kshara Sutra in the management of Bhangandara (Fistula in Ano). It consist of Papaya latex extract (Papain) Haridra (Curcuma longa). Materials and Methods: In this study, 40 patients of Bhagandara (Fistula in Ano) were selected and randomly allocated into two groups. In Control group (n = 20), Apamarga Kshara Sutra (Thread of Achyranthes aspera linn.) application was done and in treated group (n = 20), Papaya Ksheera Sutra (thread of Carica Papaya extracts) application was done. The study was open prospective interventional clinical trial. Patients were assessed for 1.Unit Cutting Time of fistulous track,2. Pain, 3.Discharge, 4.Healing of the wound after cut through. Results: Patient in treated group, with Papaya Ksheera Sutra (PKS) took more time for unit cutting time of fistulous track than control group of Apamarga Kshara Sutra (AKS), In patients with group PKS have better relief in pain and irritation at the wound site than group AKS, In group PKS have better reduction in size of wound & discharge than group AKS. Conclusion: The study concluded that Papaya Ksheera Sutra is a effective of choice for the management of Bhagandara (Fistula in ano)

Keywords: Bhagandhara, Papaya Ksheera Sutra, Apamarga, Haridra, Fistula in ano.