Shataponak bhagandara (fistula in ano with multiple openings)
Journal name: Ayushdhara
Original article title: Shataponak bhagandara (fistula in ano with multiple openings)
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Original source:
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*Anantkumar Shekokar
Professor and H.O.D, Dept. of Shalya Tantra, SVNHT'S Ayurved Mahavidyalaya, Rahuri Factory, Ahmednagar, Maharashtra, India
Kanchan M Borkar
Reader, Dept. of Shalya Tantra, SVNHT'S Ayurved Mahavidyalaya, Rahuri Factory, Ahmednagar, Maharashtra, India
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Shataponak bhagandara (fistula in ano with multiple openings)
Year: 2014
Copyright (license): CC BY-NC-SA 4.0
Download the PDF file of the original publication
Summary of article contents:
Introduction
The article presents a case study of a 55-year-old male patient diagnosed with Shataponak Bhagandara, which correlates to fistula in ano with multiple openings in modern surgical terminology. The patient exhibited a range of symptoms including difficulty in sitting and walking due to severe pain, pus discharge, itching, intermittent bleeding, swelling in the perianal region, and mild fever. Upon examination, multiple external openings were identified, and a fistulogram confirmed the presence of a low anal fistula with these multiple connections.
Ksharasutra Treatment Process
A key aspect of the patient's treatment involved the Ayurvedic procedure known as Ksharasutra. This minimally invasive technique was performed under spinal anesthesia, and it involved the use of a medicated thread that was changed weekly for a duration of ten weeks. The Ksharasutra procedure aims to facilitate healing by utilizing the properties of the medicated thread, which helps in cutting through the pathological tissue while also promoting drainage and healing of the fistulous openings. This treatment approach is noted for its effectiveness in managing complications associated with fistulas.
Importance of Bhagandara and Ksharasutra
Bhagandara refers to the specific condition of fistula in Ayurveda, characterized by its complex nature and multiple openings. The article emphasizes the significance of understanding both the disease and the treatment approach for ensuring patient safety and effective recovery. By discussing Ksharasutra preparation and application, the authors highlight its innovative role in contemporary medicine alongside traditional practices. The analysis also delves into various studies that suggest the comparative efficacy of different types of Ksharasutra, which further supports its clinical relevance in treating such conditions.
Conclusion
In conclusion, the case study underscores the effective integration of Ayurvedic practices, particularly the Ksharasutra technique, in the management of Shataponak Bhagandara. The findings support the idea that this treatment not only addresses the immediate symptoms but also prevents potential complications associated with the condition. Overall, the article illustrates the value of combining traditional and modern medical approaches to improve patient outcomes in cases of complex anal fistulas.
FAQ section (important questions/answers):
What are the symptoms of Shataponak Bhagandara?
Symptoms include severe pain, pus discharge, itching, intermittent bleeding, swelling in the perianal region, and mild fever. Patients may also experience difficulty in sitting and walking due to the discomfort caused by these symptoms.
How is Shataponak Bhagandara diagnosed?
Diagnosis involves a physical examination to find multiple external openings around the anus. A Fistulogram is then performed, revealing the internal connections of these openings, confirming the diagnosis of Shataponak Bhagandara, analogous to fistula in Ano with multiple openings.
What is the Ksharasutra procedure for treating this condition?
The Ksharasutra procedure is a minimally invasive Ayurvedic treatment performed under spinal anesthesia. A medicated thread is inserted, and it is changed weekly for a duration of 10 weeks. This procedure aims to prevent complications and cure the condition.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Shataponak bhagandara (fistula in ano with multiple openings)”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Ksharasutra (Ksarasutra, Kshara-sutra):
Ksharasutra refers to a traditional surgical technique in Ayurvedic medicine used for treating anal fistulas. This minimally invasive procedure involves the application of an alkaline thread (kshara) to the fistulous tract, which gradually cuts and heals the tract without the need for extensive surgical intervention. It's noted for its efficacy and minimized complications.
2) Bhagandara (Bhagamdara):
Bhagandara is an Ayurvedic term that correlates with the modern medical condition known as fistula-in-ano, particularly characterized by multiple openings. In ancient texts, it describes a disease with symptoms including severe pain, discharge, and swelling in the perianal region, similar to those observed in the patient case described.
3) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
Shalya-tantra is one of the eight branches of Ayurveda, specializing in surgical techniques and procedures. This branch deals with surgical intervention, including techniques like Ksharasutra for treating conditions such as Bhagandara. The term highlights the Ayurveda focus on surgical expertise and minimally invasive procedures.
4) Maharashtra (Maharastra, Maha-rashtra):
Maharashtra is a state in Western India where the depicted case study took place. The specific Ayurved institution, SVNHT’s Ayurved Mahavidyalaya, is located in Rahuri, Maharashtra. The state's mention contextualizes the geographic and cultural setting of the Ayurvedic medical practice described in the case.
5) Tantra (Tamtra, Tantrism):
In this context, 'Tantra' refers to the systematic framework or technique within Ayurveda. It forms part of the compound word 'Shalya-tantra', emphasizing specialized knowledge and skill in surgical practices. The term underscores the procedural and methodological aspects of Ayurvedic treatment.
6) Shalya (Salya):
In the compound 'Shalya-tantra', 'Shalya' translates to 'surgery' or 'surgical instruments'. The term indicates the surgical component of the therapeutic practices described, focusing on invasive and non-invasive procedures to treat physical ailments like fistulas.
7) Ahmednagar:
Ahmednagar is a city in Maharashtra where the SVNHT's Ayurved Mahavidyalaya is located. Mentioning Ahmednagar situates the medical case within a specific locality, highlighting where the treatment and observations were conducted, providing context for the described medical practices.
8) Swelling:
Swelling is one of the key symptoms experienced by the patient with Bhagandara (fistula-in-ano). This term highlights the inflammational aspect of the condition, indicating localized edema in the perianal region which contributes to the pain and discomfort described in the case study.
9) Kanchan:
Kanchan M Borkar is one of the authors of the journal article and is a Reader in the Dept. of Shalya Tantra at SVNHT's Ayurved Mahavidyalaya. Mentioning Kanchan attributes the study and provides credibility, emphasizing the academic and professional context of the findings.
10) Disease:
Disease in this context refers to Bhagandara, an ailment characterized by fistula-in-ano with multiple openings. Describing it helps to outline the particular health condition that is being treated using traditional Ayurvedic techniques like Ksharasutra, underscoring the clinical focus of the case study.
11) India:
India is the country where Ayurveda originated and where the described treatment took place. Mentioning India situates the study within the broader tradition of Ayurvedic medicine, highlighting the cultural and historical context crucial for understanding the practices like Ksharasutra.
12) Ayus (Ayush):
AYUSH stands for Ayurveda, Yoga, Unani, Siddha, and Homeopathy, representing traditional Indian systems of medicine. The journal in which the case study is published focuses on research within these systems. The term underscores the broader medical discipline embracing diverse traditional health practices.
13) Fever:
Fever is one of the symptoms experienced intermittently by the patient with Bhagandara, indicating an inflammatory response or infection related to the fistulous condition. Mentioning fever highlights the systemic impact of the local disease and the necessity for addressing such symptoms in treatment.
14) Pain:
Pain is a primary symptom associated with Bhagandara, severely affecting the patient’s ability to sit and walk. It underscores the debilitating nature of the condition and the importance of effective treatment to relieve pain, highlighting one of the clinical goals of using Ksharasutra.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Shataponak bhagandara (fistula in ano with multiple openings)’. Further sources in the context of Science might help you critically compare this page with similair documents:
Fistula in ano, Case report, Mild fever, Pus discharge, Comparative efficacy, Spinal anesthesia, Fistulogram, Perianal region, Ayurved Mahavidyalaya, Clinical images.