From the onset of civilization, the human being suffered from various diseases and among the many an uncomfortable condition, Bhagandara was the one of the most important one. Acharya Sushruta, paid great attention towards Bhagandara. Sushruta while dealing the management of the disease employed surgical, parasurgical measures. In this study, inspite of Standard Ksharsutra i.e. Apamarga Ksharsutra, Arka kshar is replaced by Gomutra ghan. Where, Gomutra Ghan acts as bio-enhancer, anti-fungal, anti-microbial, anti-bacterial.
KEYWORDS: gomutra ghana sutra, bhagndar, fistula in ano
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