Fistula in Ano Treatment

MISHRA’S KSHAR SUTRA CENTRECENTRE OF EXCELLENCE FOR AYURVEDIC MANAGEMENT OF PILES, FISTULA, HEMORRHOIDS TREATMENT

+91-8587067685 www.drmishraksharsutra.webs.com www.facebook.com/mishra.ksharsutra [email protected]

CHRONIC & RECURRING PILES, HEMORRHOIDS, FISTULA IN ANO, PILONIDAL SINUS ?

NOT CURED YET EVEN AFTER REPEATED SURGERIES????

CHRONIC & RECURRING PILES, HEMORRHOIDS, FISTULA IN ANO,PILONIDAL SINUS ?

NOT CURED YET EVEN AFTER REPEATED SURGERIES ????



MISHRA’S KSHAR SUTRA CENTRECNETRE OF EXCELLENCE FOR ANORECTAL DISEASES

PRESENTS

JUST 30 MINUTES MINOR O.T. AMBULATORY KSHAR SUTRA THERAPY & GO HOME

SIMPLE! SAFE! SURE NATURAL CURE!

SAY NO TO SURGERY & PAINFUL DAYS OF HOSPITALIZATION!

WHAT ARE YOU WAITING FOR .



TAKE A TOUR WITH THIS EYE OPENING PRESENTATION

&CHANGE YOUR YEARS OLD OPINION ABOUT PAINFULL CURE PROCEDURE

SMILE BIG ! NOW YOU HAVE A REASON FOR IT



WHO WE AREMishra’s Kshars Sutra Centre Is an State Of The Art & Professionally ManagedCentre Of Excellence for Ayurvedic Kshars Sutra Therapy For Hassle free Long term Cure OfChronic & Recurring Ano rectal diseases e.g. Piles, Fistula In Ano, Fissure In Ano, PilonidalSinus.

We are committed to provide relief from pain full surgical & risky procedure of treatment of Piles(HEMORRHOIDS),Fistula In Ano, Fissure In Ano & Pilonidal sinus, Perianal Abscess.

We Offers unique bundle of long term/painless health benefits/procedures to those patients whoare suffering of Acute/Chronic & Recurring Anorectal diseases & is seeking hassle free non-surgical/para surgical,long term health benefits naturally.

We offers 360 degree quality norm for patients those who are seeking for kshar sutra therapyfrom attending to patients to final cure of patients.



OUR USP OVER OTHERS State Of the Art Kshar Sutra Therapy Centre for Piles, Fistula In Ano, Fissure, Pilonidal

Sinus & other ANORECTAL DISEASES.

All treatment / therapy facilities Under One Roof.

Well qualified BAMS Kshar Sutra Therapy specialist Doctors carrying several YearsInvincible therapy expertise.

Almost Painless Therapy procedure with all the goodness of ancient ayurvedic healingconcepts with modern tools & techniques.

Almost Nil/Negligible Surgical Incision/Excision.

Just 30 minutes Ambulatory procedure in Minor OT conditions. Patients remain Fullyawaken during procedure.

No Hospitalization required at all. Patient may go home immediately.

VERY HIGH (95%) success rate. Minimum/Nil Risk, Chances of recurrence & other longterm hazards due to quality execution of procedure.

Chances Of Incontinence is practically nil since chances to damage to sphincter musclesis nil which is major limiting factor in modern surgery.

Our Invincible expertise to provide therapy to all age group/sex & those who are not fit forsurgery e.g. cardiac patients, low HB, diabetic patients etc.



FACILITIES AVAILABLE UNDER ONE ROOF Well Qualified BAMS-KSHAR SUTRA THERAPY specialist doctors carrying several years

practical expertise in providing Therapy.

Well trend staff for Overall Support to patients during entire course of therapy.

A 10 Bed Hospital in same Premises with AC Major/Minor O.T. facilities as perrequirement/selection of Patient.

24 x 7 Hrs emergency services & availability Of Therapy specialist / other specialist Ondemand/requirement.

Pathological facilities in same premises .Other Leading pathology centres e.g. Dr. Lal pathLab, Ranbaxy etc on walking distance.

24 x 7 Hrs telephonic patient care facility starting appointment to duration of course.

Availability of paid ac/non ac taxi Services from nearby taxi stand along with parkingarea.

Availability of Chemist Stores in nearby locations.

Availability of lodging / fooding facilities for outstation patients in nearby walkingdistance good hotels.

Excellent Time Management To maintain Nil/Negligible waiting time for Each Patients.

Above All a True Expert Healing Approach By Dedicated Team Of Professionals For Better Care To Better Cure.

OUR RICH TESTIMONIAL & PATIENTS OWN WORDS BETTER EXPLAINS ABOUT OUR QUALITY

COME ! FEEL THE HEALING DIFFRENCE WITH US!



CALL US + 91-8587067685 / email us for detail—[email protected]

Chronic & Recurring Piles / HEMORRHOIDS, Fistula, Fissure, Pilonidal Sinus, Anorectal diseases ?

AVOID SURGERY! BETTER CURE THEN SURGERY! SIMPLE! SAFE! SURE!

JUST 30 MINUTES MINOR O.T. AMBULATORY THERAPY & GO HOME !

COME! FEEL THE HEALING DIFFERENCE WITH US!

MISHRA’S KSHAR SUTRA CENTRECentre Of Excellence For Ayurvedic Management of Ano Rectal Diseases.

STATE OF THE ART AYURVEDIC CENTRE WHERE ANCIENT AYURVEDIC HEALING CONCEPTS MEETS WITH MODERN TOOLS & TECHNIQUES



EXTRAORDINARY BENEFITS OF KSHAR SUTRA THERAPY OVER OTHERS

It’s Almost SIMPLE ! SAFE ! SURE cure for ano rectal / Fistula In ano diseases.

It’s Just 30 Minutes Minor OT Ambulatory process & patients may Go Home immediately.

No major Surgical Incision/excision is required.

No need of hospitalization required.Patients may maintain his regular life style/routine work .

Very High Success rate (95-98%) has been reported clinically by different medical bodies,research Institutes etc.

Chances of Incontinence due to damage to Sphincter Muscles are PRACTICALLY NIL. Whichmay be a major limiting factor for modern surgery & due to this Fecal Incontinence/AnalIncontinence / inability to control solid or liquid stool may be possible. Due to this patientsmay be forced to use diaper lifelong.

It’s even safe for those patients who are not fit for surgery due to other health complicationse.g. cardiac problem, High BP, Old age factor, Low HB level/anaemia, Diabetic problems etc.

One & only scientifically proven effective, Natural therapy especially for chronic & recurringcases because modern surgery does not have cure for these health problems.

“REDISCOVER YOUR HEALTH NATURALLY WITH US”

**Kshar Sutra Therapy -Natural Ayurvedic therapy and does not carry any long term risk / hazards like inmodern surgery where chances of incontinence/recurrence/anal canal narrowing may be very high & which

may requires a proper/repeated surgical procedure.

*** Very effective especially for chronic & recurring cases when modern surgery gets failed.

For More about authentication of therapy & about us - visit our websites / Facebook.

Let’s see Some Other documented reports about Kshar Sutra Therapy



Kshara sutra Therapy : Wikipedia Reports :From Wikipedia, the free encyclopedia

Kshara is a kind of medication described in Ayurveda Texts for the management of various disorders . Theword Kshara( ) is derived from the root Kshar( ), means to melt away or to perish ( ). Acharya

Sushruta defines as the material which destroys or cleans the excessive/the morbid doshas (Kshyaranat

Kshyananat va Kshara). According to the preparation we can consider it to be caustic materials, obtained

from the ashes after distillation and are mostly alkaline in nature.[1][2]

Types of Kshara

According to the administration it is of two type 1. Paniya Kshara(for internal Medication) and 2. Pratisaraniya

Kshara'(external application). The Paniya Kshara is mostly used for the treatment of diseases like artificial

poison, abdominal lump, indigestion, calculus etc. The Pratisaraniya Ksara is used to apply on tumors, piles,

fistula in ano, skin diseases etc.[3]

Drugs Used

Many drugs have been advised by Sushruta and other Ayurvedic texts for the preparation of Kshara. The

important among them are - Palasa- Butea monosperma, Erythrina indica, Terminalia belerica, Cassia fistula,

Plumbago zeylanica, Holarrhena antidysenterica etc.

Method of Preparation

According to the three types of Ksharas are prepared on the basis of their strength. 1. Mild - Mridu, 2.

Moderate - Madhyama and 3. Strong - Tikshna .The general procedure can be narrated as -

'Mridu' Bhașmīkaraņa (conversion to ash) Adding to water(1:6 ratio) Filtration(21 times) Distillation(boiling

the ksarajala still all water evaporates) collection (process called lixiviation) 'Madhyama' Here the procedure

is same some extra powders of Katasarkara Bhasma sarkara Ksheerapaka, Samkhanabhi( gravels of lime

and ash,oyester-shell & core of conch-shell) are added to the boiling ksharajala before distilling it.

'Tikshna' Similar to madhyama kshara here added is the powders of drugs like Chitraka, danti, vacha etc.

inplace of the lime stones.

Kshara Sutra

Main article: Kshar-Sutra

"Kshar Sutra" ( ) is a sanskrit phrase in which Kshar ( ) refers to anything that is corrosive or

caustic; while Sutra( ) means a thread.It is described by many Ayurvedic texts which originated and



flourished in India. It is one among popular Ayurvedic treatment modality in the branch of Salyatantra

followed by Susruta.

The Ksharsutra was first mentioned by the "Father of Surgery" Sushruta in his text named SUSHRUT -

SAMHITA for the treatment of Nadi Vrana(sinus), Bhagandara (fistulain - ano), arbuda(excision of small

benign tumour) etc..Although Brihattrayi- the chief three texts of Ayurveda mention the use of kshara

sutra,there is no description of their preparation properly. It was Chakrapani Dutta in late eleventh century in

his book Chakradatta, first mentioned the method of preparation with a clear-cut indication of its use

in bhagandara andarsha(haemorrhoid). In his book Chakradutta explains the method that by smearing a

sutra (thread) repeatedly in the latex of snuhi() and haridra(turmeric) powder makes the kshara sutra. Later

authors like Bhavamishra, Bhaisajyaratnavali etc. also mention the same method. But because of brevity of

preparation and inadequate explanation of procedure of application, it lost its popularity among Ayurvedic

surgeons. Later in Rasatarangini a better preparation procedure was introduced still the credit of making it

practically in use goes to Prof. P.J.Deshpandey and his coworkers. They rediscovered and standardized the

ksharasutra in the present era . The Dept. of Shalya- Shalakya, Faculty of Ayurveda, IMS, BHU should be

credited for the abundant use and popularization of this technique. [4]

Method of preparation

The standard kshar sutra is prepared by repeated coatings of snuhi ksheera (latex of Euphorbia Nerrifolia),

apamarg kshara (ash of Achyranthus aspera) and haridra powder over a surgical linen thread no. 20. This

thread is spread throughout lengthwise in hangers. Each thread on the hanger is then smeared with snuhi

latex with the help of gauze piece soaked in the latex. This wet hanger is transferred in kshara sutra cabinet.

The same process is repeated next day. Eleven such coatings with snuhi ksheera alone should be

accomplished. The twelfth coating is done by first smearing the thread with ksheera and in wet condition

thread is passed through the apamarg kshar. It is again transfer into the cabinet for drying. This process is

repeated till seven coatings of snuhi ksheer and apamarg kshara are achieved. The final three coatings are

completed with snuhi ksheera and fine powder of turmeric in the same fashion. Thus twenty-one coatings

over the thread are completed.,[5][6]

Mode of Action

Kshar Sutra is now a popular treatment modality in India for the management of fistula in ano. Many Clinical

trials have done all over in different institutes to evaluate the action. In countries like Srilanka and Japan also

many clinical trial has already done and established it. Precisely the action of Kshara sutra is thought to be

due to its healing and cleansing effect according to Ayurveda. It can be suggested that due to the anti

microbial action, and as a saton it allows the proper drainage of pus from the fistula, that leads to a

proper healing. On the other hand the cutting effect of thread incises the skin gradually without a



surgical incision. Many studies confirms that it is more effective in the way of reducing hospital stay

and less infection than the conventional seton therapy.Researches suggests that it is having the

action of Excision, Scrapping, Draining, Penetrating, Debridement, Sclerosing and Healing. It is

Bactericidal and Bacteriostatic.,[7] paniya kshara act through changing internal environment of body

(prakit vighata concept of ayurveda).

Types of Kshar Sutra

In the textual reference of Chakradatta and Rasatarangini we get only indication of the thread made up

of Snuhi, apamarga and Turmeric. Susruta describes about many kind of Kshars like Karaveera, Palasa,

Kadali etc. in Susruta Samhita. So many studies have already carried out with variations in the Kshara and

the latex. The most remarkable are Guggulu Ksharasutra, Udumbara KS, Gomutra KS, Papaya KS, KS with

REPORTS BY- PRESS INFORMATION BUREAUE, GOVT. OF INDIA

AYURVEDA OFFERS SIMPLE, PAINLESS CURE FOR FISTULA -IN-ANOFistula-in-Ano is a painful disease of the ano-rectal region, causing lot of suffering and inconvenienceto the patient. It mainly present with itching, pain, discharge from the opening somewhere around theanal region (perineum). Modern surgical management involves surgery and prolonged hospitalisation.The recurrence rate is quite high under this procedure. Introduction of the ancient Kshar sutra therapy

has given new impetus to the management of this problem.

In Kshar sutra, patient does not require hospitalisation and remains ambulatory. Recurrence rate isnegligible and it is quite effective in high anal and ano-rectal variety of Fistula-in-Ano which otherwise

requires complicated surgical procedure like Colostomy.

This practice of Kshar sutra has been adopted not only by the practioners of ayurveda but also by thepractioners of modern medicine. Efficacy of this procedure has been proved by various studies

conducted by ICMR and the Central Research Institutes for Ayurveda at New Delhi and Mumbai areworking on further improving

this technique.------

Wonder Cures of AyushAyurveda – Kshar Sutra (medicated thread surgery) for anal fistula; Panchakarma for

neurological disorders; Rasayana medicines for healthy ageing. Yoga and Naturopathy – for life-styledisorders including cardiac problems, obesity. Unani – remedies for leucoderma (white patches).Siddha – medicated oil for psoriasis. Homeoepathy – drugs for allergic disorders. (PIB Features)

*Inputs from Department of Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy



SCIENCE LINK JAPAN REPORTS-A LEADING MAGAZINE FROM JAPAN

Treatment of fistula in ano by a medicated thread (Kshara sutra) ofchemical curette-review and follow-up study of 182 cases.Title: Treatment of fistula in ano by a medicated thread (Kshara sutra) of chemicalcurette-review and follow-up study of 182 cases.Author: Kenji Tazawa; Takuji Fujikawa; Shigeru Takemori; Katuya Yamamoto; Mituyoshi Shimoda;Shigemi Katuki; Takakazu Kawanishi; Toshio Saiki; Hideki Arai; Masao Fujimaki; Masao Hattori; TsuneoNamba; Masahiko Kawahara (Dept. Surg., Toyama Med. & Pharma. Univ.; Cell-Resour. Engin. Wakan-Yaku, Toyama Med. & Pharma. Univ.; Develop. Med. Resour. Wakan-Yaku, Toyama Med. & Pharma. Univ.;Res. Lab, Cent., Toyama Med. & Pharma. Univ.)Source: Drug Delivery System; ISSN:0913-5006; VOL.7; NO.3; PAGE.209-215; (1992)Pub.Country: Japan

Language: JapaneseAbstract: Hippocrates described the use of seton to cure fistula in ano. The first surgicallay open of anal fistula was performed in 1337. The routine surgical treatment employedtoday is fistulectomy and fistulotomy. Thus, in principle the surgical treatment of fistula inano has remained the same without much improvement. The need of prolongedhospitalization, chances of recurrence and anal incontinence in some of the cases of highlevel fistula have encouraged us to try out a new indigenous ambulatory treatment of fistulain ano. Treatment of 221 cases of anal fistula by application of Kshara sutra, one of theAyurvedic treatment were performed in our clinic from July 1985 to March 1991 in Japan.Kshara sutra used in this series were prepared by Dr. Upali Pilipitiya in Sri Lanka and werecotton surgical thread impregnated with latex of Euphorbia antiquorum powder of rhizomesof Curcuma longa and alkaline powder ofAchyranthes aspera. Of the 182 cases over 1 yearfollow-up, the youngest patient was 1 year old and the oldest was 83 years of age. Thefistulous tract was cut through between 1∼5 week in average depending upon the initiallength of tracts. The average of cutting was 11 mm. every week. There have been 9 patients(4.9%) of recurrence, 7 patients of pus pocket formation and a patient of slight anal deformityin the follow-up so far. Clinical experience with the 182 patients indicates that fistula in anocan be safely treated by this technique of biochemical curette with excellent results.Furthermore the recurrences and morbidity are practically negligible. Our uniformly goodresults suggest that biochemical medicated caustics of Kshara sutra may be responsible forthe drug delivery system of chemical fistulectomy. This treatment can also be employed toseverely ill patients of hypertension, diabetes and heart disease.



COMPETETIVE BENEFITS ANALYSISKSHAR SUTRA THERPY VS. MODERN SURGERY



REMEMEBERNO OTHER THERAPY/SURGERY OFFERS SUCH A GREAT BUNDLE OF HEALTH BENEFITS.

AYURVEDA ! HEALING MANKIND SINCE LAST 3000 YEARS

Rx@ NATURE



PROCESS FLOW CHART : HOW DOES KSHAR SUTRA THERAPY WORK

SOURCE : DRUG DELIVERY SYSTEM-JAPAN



WHY ONE SHOULD AVOID SURGERY OF FISTULA IN ANO



MANY MORE TESTIMONIALS ARE THERE ON OUR FACEBOOK ALBUM



COME ! FEEL THE HEALING DIFFERENCE WITH US LIKE OTHERS

BETTER & NATURAL CARE FOR BETTER CURE



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Fistula in Ano Treatment

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