Multiple Fistula-In-Ano treated by Kshara Sutra - A Case Report

Fistula-in-ano is a chronic and troublesome disease encountered in general practice. It consists of 1.6% of all surgical admissions and leads to physical, psychological and social problems. The management includes various treatment modalities with variable outcomes. Ksharasutra is a medicated thread used in ano-rectal disorders particularly for the management of fistula-in-ano in Ayurveda. In this study Ksharasutra was prepared by Apamarga Kshara (Ash of Achyranthus aspera Linn.), Snuhi Ksheera (Euphorbia neriifolia Linn.) and turmeric powder (Curcuma longa Linn.). A patient with multiple fistula-in-ano was treated by application of Ksharasutra. This case study demonstrates the utility of Ksharasutra in Multiple Fistula-in ano