STANDARDIZATION AND CLINICAL EVALUATION OF NIMBA KSHARSUTRA IN THE MANAGEMENT OF BHAGANDAR (FISTULA IN ANO)

Fistula-in-ano is one of the most common and notorious disease among all anorectal disorder. It is recurrent in nature which makes it more and more difficult for treatment. It produces inconveniences in routine life. It causes discomfort and pain that creates problem in day to day activities. Ksharsutra has been proved as a big revolution in the treatment of fistula in ano. It is the need of time to do further researches on ksharsutra to get more efficient ksharsutra.In the present research work prepared Nimba ksharsutra was standardized as mentioned by Proff. S. S. Handa. 40 diagnosed cases of fistula in ano were selected from the OPD/IPD of anorectal unit of shalyatantra department of National Institute of Ayurveda Jaipur. Total patients were divided into two groups. The patients of Group A were treated with standard ksharsutra and the patients of Group B were treated with Nimba ksharsutra. Nimba ksharsutra showed better results in unit cutting time, pus discharge, burning sensation and itching.