A Clinical Comparative Study of Guggulu (Commiphora mukul) coated Kshara Sutra and Shala (Shorea robusta) coated Kshara Sutra in the management of Bhagandara (Fistula-in-ano) w.s.r. to U.C.T

Standard Apamarga ksharasutra is used successfully in the management of Bhagandara by researcher. But Snuhi latex having a very little amount of it is collected after the incision of stem, requires fresh latex in ever coating , rare to get in all part of india.It coagulates if not used early and become useless. Collection is more difficult in summer, so preparation is possible only in limited seasons. Sometimes it is painful, irritant and allergic to the patients. Sometime it may be harmful for skin and eyes during preparation, if not use carefully.In Guggulu resin coated Ksharasutra, Guggulu found in some special zone and in a very little quantity. Use of Guggulu having a large share in medicinal preparations. So in future the lack of Guggulu will be definitely face. Considering the above mentioned problems, we have decided to plan for modified Shala resin (Shorea robusta) coated Ksharasutra having better action, acceptability and more availability. An annual yield of 4-5 kg. resin per tree is obtained, For this above cited study three type of Kshara sutras were prepared. So at the end of this study final conclusion can be drawn that Shala resin coated ksharasutra is more competent and effective than Guggulu coated Ksharasutra & Snuhi coated Ksharasutra in the management of Bhagandara (Fistula-in-ano).