A CLINICAL CASE STUDY ON THE EFFECTIVENESS OF GUNJA KSHARA SUTRA IN THE MANAGEMENT OF BHAGANDHARA (FISTULA-IN-ANO): A CASE STUDY

Background: Bhagandhara (fistula-in-ano) is considered one among ashtamahagadas¹ due to its chronic anorectal condition with high recurrence and complications. Kshara Sutra is an established Ayurvedic para-surgical technique in treating Bhagandhara. Gunja is selected from among 22 kshara dravyas mentioned by susruta for this study due to having additional healing properties. Case: A 40-year-old male presented with pain and pus discharge in the perianal region for 2 months. Intervention: Gunja Kshara Sutra therapy was performed with regular follow-up. Result: The fistulous tract length was 8 cm and complete cut-through occurred in 46 days with no recurrence during 3-month follow-up. Reduction in pain, faster unit cutting time, and better wound healing. Conclusion: Gunja Kshara Sutra is an effective and patient-friendly alternative.