Ksharsutra is used in anorectal diseases like piles, fissure & fistula are very common in Indian population.
They are associated with considerable discomfort & morbidity to the patient.
Surgical technique, which is widely practiced, has some problems as-
1.Extensive surgery in and around the anal canal
2.Prolonged hospitalization
3.Hight rate of recurrence
4.Incontinence
Various modalities such as open surgery in the form of fistulectomy or fistulotomy;
Seton treatment (chemical or cutting); chemical destruction of the tract by corrosives;
application of fibrin glue or fistula plug are advocated for management of fistula-in-ano.
Contribution of surgery in this diseases is insignificant specially in India due to
miscalculation in the amount of sphincter to be divided which renders a patient in
incontinesnce & frequent recurrence. In fact operative treatment of anal fistula seems
to be a simple matter but on other occasions may present a challenging task.
The pioneer of Ayurvedic surgery Acharya Sushrut first mentioned
Ksharsutra in the treatment of nadi vrana (Sinus), bhagandar (fistula in ano) & arsha
(hemorrhoids).Ksharsutra therapy have been found effective and curative in the cases
of osteomyelitis,sinuses and such other diseases where extensive debridement has vital
role to cure the patients. Ksharsutra is also useful in warts, pendular lipoma, keloid as
it cauterize the tissue and help in treatment.

Ingredients –

1. Surgical Linen size no. 20
2. Fresh latex of Snuhi (Euphorbia nerifolia)
3. Kshar of Apamarga ( Achyranthes aspera)
4. Fine powder of Haridra ( Curcuma longa)

MECHANISM OF ACTION OF KSHAR SUTRA THERAPY –

1. Local drug delivery system:
Ksharsutra remains in direct contact with the tract, therefore it acts directly on diseased area.
2. Herbal Chemical Cauterisation
It dissolves the tough fibrous tissue & chemically curettes all the infection out of the tract and
thereby allowing the fistulous tract to heal.
3. Facilitate the drainage of infection
Ksharsutra keeps the whole tract open & facilitates the drainage of all the debris and infection
out of the body in the form of pus and thus prevents the further spread of fistula within the body.
4. Promotes Healing
Due to its antibacterial property it does not allow the bacteria to multiply in the presence &
promotes healthy healing.

Uses:

Ksharsutra is used in the ano rectal diseases like fistula in ano, external & internal piles,
all types of sinuses, osteomyelitis, pendular lipoma, keloid.

Contraindications:

No significant contraindication is mentioned. Regular ksharsutra has irritation but Inducare
pharma’s ksharsutra has no irritation due to special technique of preparation. Some patients
may suffer from redness, itching, even bleeding at the site of application due to alkaline
action of Apamarg kshar and snuhi kshir.

Precautions:

Keep in cool, dry and dark places.

Expiry:

If stored in good condition shelf life is 5 years. If pack is opened it must be used
within 72 hours.