A randomised controlled clinical study of Aragvadhadi Ksharsutra and Apamarga Ksharsutra in the management of Bhagandara.

The study will be conducted after obtaining permission from the Institutional Ethics Committee and will be registered in CTRI, India. • As per Inclusion / Exclusion criteria patient will be selected. • Whole research procedure and aim will be clearly informed to patients and consent form will be signed and CRF will be filled. • Conduct of procedure: Patient will be examined in OPD on the day of first visit with necessary Investigations. After Investigations and deemed fit the patient will be counselled for enrollment in the study. • Procedure will be explained to the patient that ksharsutra will be applied and tied to the fistula, and is kept for one week, the kshar sutra will be changed weekly.  any unexpected risk occur during the trial as an outcome of research purpose. All the possible care will be taken by hospital till patient is normalized. • Some subjects might experience symptoms like pain,  burning Sensation,Itching etc, in such a case, cause will be found out and proper treatment will be advised. • Patient will be observed and if patient is not following the treatment protocol or not willing to continue treatment can be considered as a drop out.