stdClass Object
(
    [id] => 17319
    [paper_index] => 202508-01-023684
    [title] => CLINICAL STUDY OF SAPTAPARNA KSHARA SUTRA IN THE MANAGEMENT OF BHAGANDARA (FISTULA-IN-ANO): A SINGLE CASE STUDY
    [description] => 
    [author] =>  Dr. Aihole Yogesh Ravasaheb , Dr. M.R.Hunagundi 
    [googlescholar] => 
    [doi] => 
    [year] => 2025
    [month] => August
    [volume] => 11
    [issue] => 8
    [file] => fm/jpanel/upload/2025/August/202508-01-023684.pdf
    [abstract] => Bhagandara (Fistula-in-Ano) is a chronic, painful, and recurrent condition of the anorectal region, which is described in Ayurvedic literature as one of the Ashta Mahagadas (eight grave disorders) by Acharya Sushruta. It is characterized by the formation of an abnormal tract between the anal canal and perianal skin, often associated with pain, pus discharge, swelling, and itching. In modern medical science, its management typically involves fistulectomy or fistulotomy, which can have complications such as damage to the anal sphincter, incontinence, delayed wound healing, and high recurrence rates. Ayurveda offers a unique approach to the management of Bhagandara through Kshara Sutra therapy, a para-surgical technique involving a medicated thread prepared with herbal alkalis and latex, which is passed through the fistulous tract. This method ensures continuous chemical cauterization, drainage, and healing of the tract while preserving sphincter integrity and minimizing recurrence. Traditionally, Apamarga Kshara Sutra has been the standard and widely studied option, validated by the Indian Council of Medical Research (ICMR). However, the search for alternative herbs has brought attention to Saptaparna (Alstonia scholaris), a potent medicinal plant known for its antimicrobial, anti-inflammatory, and wound-healing properties. With predominant Kashaya-Tikta rasa, Laghu-Ruksha guna, and Kapha-Pitta hara actions, Saptaparna holds promise as a viable alternative in Kshara Sutra preparation. This study aims to evaluate the effectiveness of Saptaparna Kshara Sutra in the management of Bhagandara and to explore its therapeutic potential as an alternative to the conventional Apamarga Kshara Sutra. 
    [keywords] => 
    [doj] => 2025-08-16
    [hit] => 
    [status] => 
    [award_status] => P
    [orderr] => 48
    [journal_id] => 1
    [googlesearch_link] => 
    [edit_on] => 
    [is_status] => 1
    [journalname] => EPRA International Journal of Multidisciplinary Research (IJMR)
    [short_code] => IJMR
    [eissn] =>  2455-3662 (Online)
    [pissn] => - --
    [home_page_wrapper] => images/products_image/11.IJMR.png
)
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