A Case Discussion on Effect of Palasha Kshara Sutra in the Management of Bhagandara [Fistula-In-Ano] With Special Reference to its Antimicrobial Effect

Kshara Karma is a one of the parasurgical procedure in Ayurveda. In this study Palasha Kshara Sutra is used in Bhagandara (Fistula-in-ano ). Though, Apamarga Kshara Sutra is highly effective in the management of Fistula-in-ano. But pain, irritation, difficulty in preparation has limited its use. Thus, various type of Kshara Sutra tried with their efficacy in different angle. In this present study effort will be made to define the probable mode of action of Palasha Kshara sutra in Fistula-in-Ano. This is equally effective with less pain and easy to prepare because a single plant is enough and not a seasonal plant. A 50 yr old male presented with complaints of painful swelling with pus discharge in the anal region since 3 days has been presented her