Published Paper Details:

Bhagandara (fistula-in-ano) is a chronic anorectal disorder included among the eight major incurable diseases (Ashtamahagada) in Ayurveda, characterized by recurrent pus discharge, induration, and chronic sinus formation. Classical texts emphasize simultaneous cleansing (Shodhana) and healing (Ropana) action in the managment of fistula in ano. Ksharsutra therapy, a medicated thread has been extensively recognized for its role in the management of chronic fistula, offering both cutting and healing action. Nyagrodhadi Taila, derived from the Nyagrodhadi group of herbs, enhances healing, reduces inflammation, and accelerates tissue regeneration. This review highlights the formulation, pharmacology, Mode of action, and intervation of Nyagrodhadi Taila with Ksharsutra therapy in the management of Bhagandara, emphasizing the role of Ksharsutra as a minimally invasive, effective, and recurrence-reducing modality in management of Bhagandara.