Abstract

CONCEPTUAL STUDY ON BHAGANDARA

Dr. Ajit Kumar Shasamal, Dr. N. P. Das, Dr. Sangita Prusty, Dr. Nihar Ranjan Mahanta

ABSTRACT

Bhagandara is defined as a suppurative secondary ulcerative manifestation to an eruption usually affecting „Bhaga’ (ano rectal, pelvirectal or perianal region) which can be simulated with “Fistula-in-ano”. It is a typical “saririkavrana”. The main cause or nidana of Bhagandara is infective in nature mainly involving the infected and inflamed condition of a crypt of Morgagni and infection from a hair-follicle or a sebaceous gland. Prolonged negligence leads to formation of fistula. The main symptom is pus discharge, Pain and tenderness in the perianal region. The classification according to Ayurveda is mainly based on the doshic involvement. And the modern classification is based on the area affected. Bhagandar is a common problem in today‟s life style and it is very difficult to treat because of its high rate of recurrence and delay in wound healing due to frequent chance of infection by sweat, fecal matter, soiling, discharges etc. The main principle of treatment in modern science is fistulectomy (complete opening of the tract). In Ayurvedic the basic principle of management runs through-Vedanashamaka, vranashodhaka, vranaropaka, lekhana karma, Shothahara, ausadhiprayog.

Keywords: Bhagandara, Fistula, Fistulotomy.