Effect of Panchavalkal formulation in the Management of Post-operative Fistulectomy Wound- A Case Report

  • Dikshya Paudel PG Scholar, Department of Shalyatantra, Institute of Teaching and Research in Ayurveda (INI). Jamnagar, Gujarat, India.
  • T. S. Dudhamal Associate Professor and I/C HOD, Department of Shalyatantra, Institute of Teaching and Research in Ayurveda (INI). Jamnagar, Gujarat, India. http://orcid.org/0000-0002-5855-9806
Keywords: Ayurveda, Bhagandara, Fistula-in-ano, Panchavalkal Malahara

Abstract

Fistula-in-ano is a tract lined by unhealthy granulation tissue having external opening at perianal region and internal opening at anal canal or rectum. The chances of recurrence in Fistula-in-ano range between 7% and 50%. Principles of treatment in Fistula-in-ano is to heal the Fistula in reasonable amount of time with low recurrence rate. A 58-year-old male patient visited OPD with a history of surgery of a perianal abscess three times during last 4 years. After clinical examinations and MRI, the case was diagnosed as Transphincteric Fistula-in-ano. (Grade-4). The patient underwent surgery for Fistula-in-ano and after surgery, post operative wound (9.5×3×4cm³) management was done by daily dressing with normal saline followed by irrigation of tract with Panchavalkal Kwath and application of Panchavalkal Malahara until complete healing. Triphala Guggulu 1g thrice daily and Isabgol husk 2 tablespoonsful at bedtime with lukewarm water was given for one month. The assessment was done weekly on subjective criteria like Gandha, Varna, Srava, Vedana and granulation tissue and objective criteria as Unit Healing Time (UHT) which was 0.3 days/cm³ with a significant decrease in the amount of discharge, pain etc. The wound healed completely within 7 weeks. During follow up for 3 months no recurrence was noticed. This case demonstrates the significant effect of Panchavalkal Malahara along with adjuvant Ayurveda medicines in the management of post operative Fistulectomy wound.

Published
2023-03-19
How to Cite
Paudel, D., & Dudhamal, T. (2023, March 19). Effect of Panchavalkal formulation in the Management of Post-operative Fistulectomy Wound- A Case Report. International Journal of AYUSH Case Reports, 7(1), 16-23. Retrieved from https://ijacare.in/index.php/ijacare/article/view/396
Section
Case Reports