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Bhagandara is a disease of ano-rectal region and can be correlated with fistula-in-ano. Ksharasutra (application of medicated thread) is being practiced for ano-rectal disorders, particularly in Bhagandara . Guggulu -based Ksharasutra has shown good results in previous studies. Literatures and experiments of Shallaki showed anti-inflammatory, antifungal, analgesic, wound healing properties and Shallaki  Niryasa (resin of Boswellia serrate Roxb.) is also having binding effect. Here, Shallaki -based Ksharasutra is used in comparison of Guggulu -based Ksharasutra with Triphala  Guggulu orally for better outcome in the management of Bhagandara .

ayu (an international quarterly journal of research in ayurveda)

Efficacy of Guggulu and Shallaki based Ksharasutra with Triphala Guggulu orally in the management of Bhagandara w.s.r. to fistula-in-ano: A open labelled randomized comparative clinical study