• Dr. Maya Balasaheb Nagapurkar
• Dr. Kumudini Sukadev Sawale

Ksharasutra, an ingenious para-surgical innovation of Ayurveda, represents a unique and effective treatment modality for Bhagandara (Fistula-in-Ano). Mentioned by Acharya Sushruta in Sushruta Samhita, it is considered one of the most successful and minimally invasive therapies in Ayurvedic Shalya Tantra. The procedure involves the use of a medicated alkaline thread prepared by repeated coating with Apamarga Kshara, Snuhi Ksheera, and Haridra Churna. It acts by simultaneous Ksharana (chemical debridement), Chedana (excision), and Lekhana (scraping) actions, promoting healing from the base. Modern surgical science identifies Ksharasutra therapy as a safe, economical, and effective alternative to conventional fistulectomy or fistulotomy procedures. The medicated thread gradually cuts through the tract, disinfects it, and promotes granulation tissue formation without causing extensive tissue loss. Thus, Ksharasutra provides faster healing, minimal recurrence, and negligible complications compared to surgical approaches. This review attempts to elucidate the conceptual foundation, mechanism of action, preparation process, and clinical relevance of Ksharasutra in Bhagandara, while correlating its principles with modern surgical and pathological perspectives.

Ayurveda, fistula in ano, bhagandar, Ksharasutra, fistulotomy

"A COMPREHENSIVE REVIEW ON KSHARASUTRA: AYURVEDIC PRINCIPLES AND ITS CLINICAL APPLICATION IN BHAGANDARA (FISTULA-IN-ANO)", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.12, Issue 11, page no.d117-d121, November-2025, Available :http://www.jetir.org/papers/JETIR2511316.pdf

"A COMPREHENSIVE REVIEW ON KSHARASUTRA: AYURVEDIC PRINCIPLES AND ITS CLINICAL APPLICATION IN BHAGANDARA (FISTULA-IN-ANO)", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.12, Issue 11, page no. ppd117-d121, November-2025, Available at : http://www.jetir.org/papers/JETIR2511316.pdf