Fever (pyrexia) - Jara, Bukhara
Symptomsitching, pain in the waist, burning sensation and inflammation near the anus are the symptoms and signs which patient has before the appearing of Bhagandara. After forming Bhagandara intense pain, oozing of reddish frothy discharge from the channels are the main signs and symptoms.
TreatmentGenerally the disease required surgical intervention. Application of Ksara Sutra by an expert is very successful and chances of recurrence are rare, As soon as the swelling appears care should be taken that pus does not form. After the formation of pus, it should be treated as Vraa. Following oral preparations are useful if taken along with the application of Ksara Sutra or surgical treatment.
Single Drugs
1. Krsa Tila (black sesame) 12 to 24 g. to be taken with 100 to 250 ml. milk thrice a day.
Simple Preparations
1. Decoction of wood of Khadira (khair) as much as possible for quenching thirst.
2. Decoction of equal part of fruit rinds of Haritaki (chebulic myrobalan), Vibhitaka (balerie myrobalan) andAmalaki (embelic myrobalan), Suddha Guggulu, Vianga, Suddha Laksa (purified lac) 14 to 28 ml. to be taken thrice a day.
3. Take Triphala 12 g., Suddha Guggulu 60 g. and Ghrta (ghee) 10 g. and make pills of 1 g.; one pill is to be taken twice a day with warm water.
Compound Preparations
1. Paca Tikta Ghrta: 12 to 24 g. to be taken with 100 to 250 ml. milk thrice a day.
External Applications
1. Wash the ulcer with Triphala Kvatha.
2. Apply Malhara prepared from dried Sarala Niryasa in Ghrta (ghee) on the ulcer.
3. DaSaga Lepa in Ghrta (ghee) to be applied on the abscess.
4. Jatyadi Taila for Varti.
5. Lepa of Tila (sesame seed), leaf of Nimba, root of Yasimadhu (glyyrrhiza) prepared in Dugdha (milk), to be applied on the ulcer.
6. Prepare lepa of equal part of root bark of Sveta Trivrt (white turpeth), root of Danti (wild croton), Tila (sesame seed), in water and apply on the ulcer.
7. Lepoa of Kalka Of Rasajana, rhizome of Haridra (turmeric), bark of Daruharidra (barberry), root of Majisha (madder), leaf of Nimba, leaf of Teja Bala (toothache tree), root bark of Trivrt (turpeth), Cavya and root of Danti (wild croton), to be applied on the ulcer twice a day.
Pathya
Mudga (phaseolus bean); leaf of Vastuka (a variety of chenopodium) and other leafy vegetables, light foods are useful for the patient of Bhagandara.
Apathya
incompatible items of food in diet, too frequent meals, irregular gaps in meals, exercise and riding are harmful for the patient of Bhagandara (fistula-in-ano).