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BHAGANDHARA

This document provides information about Bhagandara (fistula-in-ano) including its definition, types, symptoms, causative factors and treatment approaches. It defines Bhagandara as a tearing of tissues in the perineum or anal canal. It describes the 8 types of Bhagandara according to Vagbhata involving different dosha predominances. The symptoms, nature of discharge and prominent dosha are described for each type. The treatment principles involve cleansing, incision, cauterization and use of medicated threads or pastes depending on the type. Specific procedures are outlined for different types of Bhagandara.

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Deepthi Viswaroopan
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3K views14 pages

BHAGANDHARA

This document provides information about Bhagandara (fistula-in-ano) including its definition, types, symptoms, causative factors and treatment approaches. It defines Bhagandara as a tearing of tissues in the perineum or anal canal. It describes the 8 types of Bhagandara according to Vagbhata involving different dosha predominances. The symptoms, nature of discharge and prominent dosha are described for each type. The treatment principles involve cleansing, incision, cauterization and use of medicated threads or pastes depending on the type. Specific procedures are outlined for different types of Bhagandara.

Uploaded by

Deepthi Viswaroopan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
  • Bhagandara - Introduction
  • Definition
  • Nidhana-Purvarupa
  • Types
  • Samprapthi
  • Chikitsa
  • Vishesha Chikitsa
  • Shamana Chikitsa

BHAGANDARA

BY,
SHALINI.C
INTERNEE
S.D.M.C.A, HASSAN
INTRODUCTION:
 GUDAGATA ROGA
 CHEDANA SADHYA VYADI
 Ref:- [Link]-4th
[Link]-8th
A.H ut-28th
[Link]-12th
DEFINITION:

“Bhaga gudha basti pradeshe dharanath


bhagandaram ityucchate” [[Link] 4th]
 dharana – tearing of tissues
 Bhaga – perinium
 Guda – anus
 Basti - anal canal/bladder
NIDHANA- PURVARUPA
 Hasti, ashwa prusta gamana
 Katina utkatasana
 Arsho nidhana
 Papa rupasya karmanam phalaprada

 “Abhinnaha pidaka binnastu bhagandara”

PURVARUPA:-

“KATI KAPALA VEDANAA KANDU SHOPHASCHA GUDASYA


BHAVATI”
TYPES:
DOSHA Acc to shusrutha-5 Acc to vagbhata-8

1. VATAJA SHATAPONAKA SHATAPONAKA


2. PITTAJA USTRAGRIVI USTRAGRIVI
3. KAPHAJA PARISRAVI PARISRAVI
[Link]-PITTA ______ PARIKSHEPI
[Link]-KAPHA ______ RHUJU
6. KAPHA-PITTA ______ ARSHOBAGANDARA
[Link] SHAMBUKAVARTHA SHAMBUKAVARTHA
8. AGANTUJA UNMARGI UNMARGI
SAMPRAPTHI:
 Apathya sevana / uktha nidana

 Sannivruttha sthireebutha gudam abhito angule dweangule

 Mamsa,shonitha pradushya

pidaka janayanti

apakriyamana paka upaiti

pidaka binnastu-vrana

srava

upekshitasha vata mutra pureesha retasaam


apatyagamascha taireva chidreva janati
bhagandara Dosha Lakshanas Nature of
SYMPTOMS: pridominant [pidaka,vrana] srava
Shataponaka vata • ati toda,vedana Accha
[ 100 vishesha Phenila
openings/multi • Suchibereva,
ple openings] chidyate
Ustragreeva Pitta along with • choshadi pitta Durgandha
vata vedana Usna
[camel’s neck] • agni, ksharavat
vedana
Parisravi Kapha along • kanduvad Ajasra
with vata vedana
•Katina,
sambrambi
kandupraya
Shambukavartha Prakupita vata • padangusta Nana varna
does prakopa of agra pramana srava
[whirl of pitta and kapha • toda, daha,
shambuka] kandu vedana
vishesha
[deep and constant]
Unmargi Arshobagandara
Ni- muda,mamsa astishalya in kapha-pitta pradhana
arshas
avagada pureesha
shopha in arsho mula
apana vayu vaigunya
kandu+daha

kshata in dhatus sheegra paka-srava from


causing khota in guda arsho mula

Mamsa+shonita dusti bhagandhara

Puya –krimi-guda bakshana


CHIKITSA:
Chiktsa

samanya vishesha
Samanya:
Apakva pidaka__pakva snehana--upanaha sweda

eshana karma

chedana karma

agni karma kshara karma


VISHESHA CHIKITSA:
BHAGANDHARA CHIKITSA
1. SHATAPONAKA • CHEDANA-ardhalangalika
langalika
“NADYANTARA VRANA KURYAT” sarvatobadra
goteertaka
• AGNI KARMA
• nadi sweda with vatahara taila
[toda]
•Madhuka taila appplication[daha]

2. USTRAGEERVA • ESHANA
•CHEDANA
•KSHARA KARMA [to remove
puti mamsa]
• tilakalka with ghritha
BHAGANDHARA CHIKITSA
[Link] KATINA
• UTKRUTYASRAVAMARGASTU
• AGNI KARMA
• ANU TAILA [appl around guda]
• upanaha/pradeha with
gomutra or kshara
• Parisheka with vamaiya
dravya
MRUDU
• ESHANA
• CHEDANA-karjura patraka
chandrardha
chandra chakra
suchi mukha
avang mukha
• AGNI/KSHARA KARMA
[kshara varti]

4. AGANTUJA/UNMARGI • agni karma with shalaka


• shalyopanayana vidhi’s
• krimihara kriyas
5. SHAMBUKAVARTHA ASADHYA

6. PARIKSHEPI AND RUJU KSHARA SUTRA PRAYOGA

7. ARSHOBAGANDARA 1ST ARSAS CHIKITSA LATER


BHAGANDARA
SHAMANA CHIKITSA:
 AGNITUNDI VATI
 ABHAYARISTA
 JEERAKARISTA
 PIPLAYASAVA
 TRIKATU CHURNA
 NARAYANA CHURNA WITH TAKRA
 MADHUKADI TAILA
 VISHYANDANA TAILA
THANK U

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