Management of Hemangioma with Ksharasutra - A Case Study

It is benign vascular endothelial tumor, common in girls (3:1). In Ayurveda Hemangioma can be compared with Raktaja Granthi. The diagnosis is based on clinical examination and usually straight forward by visual inspection. The treatment of Hemangioma has to be done with endurance and careful selection of procedure according to the type and site of the disease; otherwise, it may lead to cosmetic derangement or recurrence of the ailment regarding the management of this disease, different types of treatment procedures are explained in contemporary science. In Ayurveda also, various treatment principles explained like administration of drugs internally, external application of drugs and parasurgical procedures [i.e., Raktamokshana (bloodletting), Ksharakarma (chemical cauterization), Ksharasutra (medicated thread ligation) and Agnikarma (thermal cauterization)]. These indigenous treatment methods are minimal invasive procedures which do not cause the scar formation, no recurrence and found to be more beneficial in the treatment of Hemangioma. This case study will reveal the management of hemangioma through Ksharasutra along with internal medications. A female patient of age 24-year complaints of small swelling on left breast. Patient was diagnosed case of hemangioma. After required investigations and local examination of swelling, patient was planned and treated with (Ksharasutra, Jatyadi Taila) Ayurvedic formulations as described in texts of Ayurveda

Management of Fistula In Ano with Ksharasutra - A Case Study

Fistula in ano is a disease known to the humanity since ancient times. For reasons that are unknown, non specific anal fistula are more common in men than women. The overall incidence is about nine cases per 100000 population per year in western Europe, and those in there third, fourth and fifth decades of life are most commonly affected. It is a chronic illness which is, though not fatal but quite discomfirting and troublesome to the patient and often puts deep impact on the quality of life of a patient. Despite many advances in medical field, it still poses big challenge to the surgeon as there is no suitable curative treatment available so far. For the same reason, Sushruta (500BC) has aptly described this disease as one of the Ashtamahagada. He was first person to describe, etiology, clinical feature and management of Bhagandara. He described Ksharasutra therapy in Bhagandara. A Female patient of age 65 years history of Ischiorectal abscess before 1month, she came on 10-7-2019 with the complaint of itching, pus discharge, mild pain in perianal region. Patient was a diagnosed case of Diabetes mellitus from 8years, Hypertension from 4 years, after investigations and local examination, patient was planned and treated with Ksharasutra