Basic fundamentals of ksharsutra therapy with special reference to fistula in ano

Fistula-in-ano is also known as Bhagandar according to Ayurveda, In- general, Fistula can be defined as a communicating tract between two epithelial surfaces commonly between a hollow viscous and the skin (external fistula) or between two hollow viscera (internal fistula). The Fistula-in-ano can be classified into two categories viz.low level fistula and high level fistula.According Ayurveda types are as per their morphological structure ie. Shatponaka, Ushtragreeva, Parisraavi, Shambukavarta, Unmargi. Ksharsutra application is the best methods of treatment in the management of such condition and can be used based on condition or degree and severity of the disease. It can be successfully practiced in present days as it is very cost effective.