Bhangadara ( Fistula - In - Ano )

Bhangadara ( Fistula - In - Ano  )

An anal fistula is a small channel that can develop between the end of the bowel and the skin near the anus . An anal fistula can bleeding and discharge when passing stools and can be painful.

Clinical Features

1 Pain which is usually constant . throbbing and worse when sitting down.

2 Skin irritation around the anus. Including swelling . redness and tenderness.

3 Discharge of pus .

4 Constipation or pain associated with bowel movements

5 Fever.

Principal of Treatment

1 Shodhana

2 Ropana

3 Vidhradhi Nashka chikitsa.

4 Kashrasutra

5 Agni Karma.

Rx.

Shodhana Chikitsa

1 Snehana - Dhanvantari Ghirtha.

2 Svedana - Bashpa Sveda .

3 Vamana -Madanphaladi Yoga.

4 Virechana - Manibhadra Avaleha or Guda .

5 Raktamokshana - Leech.

Shamana Chikitsa

1 Kaishora Guggul 2 vati BD before meals warm water.

2 Triphala Guggulu 4 vati OD night after meals  with warm water.

3 Amrita Bhallataka Leha 6 - 12 gm BD with milk after meals

4 Varunadi Kwath 20 ml TID after meals with warm water

5 Argvadhadi Kashaya 20 ml BD with warm water  after meals..

Pathya ( Indications )

1 Rest . Foot end elevation.

2 Drink plenty of fluids at least eight glass per day.

3 Eat a high - Fiber diet and fruits . Vegetables and whole grains.

4 Use stool softeners to prevent straining.

Apthya ( Contraindications )

1 Hot , Spicy , salty diet , constipation food .