“An Open Label Single Arm Clinical Study on Revalidation of Sushrutokta Chandrachakra Incision Followed by Kshara Karma in Parisravi Bhagandara”

Bhagandara is a chronic illness which can be co-related to Fistula in Ano, though it is not fatal but quite discomforting and troublesome to the patient, imposes a psychological stress on the patient. According to Acharya Sushruta, Bhagandara is enumerated as one among the Ashtamahagada. Among its five types, Parisravi Bhagandara with vitiated kapha has symptoms like itching pustule in perianal region, exudates large amount of slimy fluid. Hence clinically can be correlated to Fistula in Ano. Chedana is the main line of treatment in Bhagandara. Acharya Sushruta has mentioned various incision types according to the dosha predominance. In Parisravi Bhagandara, Chandrachakra incision is exaplained, suitable for low anal fistulas. Following the incision, Ksharasutra procedure is performed to destroy unhealthy tissue, excise tract, prevent recurrence, and promote healing.