A COMPARATIVE CLINICAL ASSESSMENT OF STANDARDIZED KSHARASOOTRA WITH AND WITHOUT SNUHI KSHARA IN THE MANAGEMENT OF BHAGANDARA W.S.R. FISTULA-IN-ANO

Bhagandara is one among the eight Mahaagadas described by Maharshi Sushruta. Acharya Sushruta has mentioned that all types of Bhagandara are difficult to treat. In modern medicine, a fistula-in-ano is an abnormal communicating tract between anal canal and peri-anal skin. It is also known for its significant risk of recurrence (0.7–26.5%) and high risk of impaired continence (5–40%) in modern surgery. Basing upon the clinical manifestations, fistula in ano can be correlated with Bhagandara clinical entity described by *Acharya Sushruta.*Ksharsootra is a very well -known alternative therapy for the management of Fistula-in-ano.In present study, Snuhi Kshara isselected on the basis of its Tikshna property to evaluate their clinical efficacy in fistula-in-ano and classical Snuhi Ksheera based Ksharsootra to evaluate its clinical efficacy in the management of fistula in ano. The Indian Council of Medical Research (ICMR) has validated it and WHO has accepted the effectiveness of this an Ayurvedic treatment modality in treating fistula in ano. So, Standardization of Kshara and Ksharsootra are prime need before their clinical application. This study has been planned for standardization of Snuhi Kshara, Ksharsootra and their comparative clinical assessment in the management of Bhagandara (fistula-in-ano).