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  Kshar Sutra Therapy

What is Kshar Sutra ?

Ksharasutra Therapy is an Ayurvedic Parasurgical Technique. Great Indian Surgeon Sushruta narrated in his teachings the use of Kshara for cure of fistula in ano and other anorectal diseases. The work of Sushruta was later compiled as "Sushrut Samhita" in the 5th century A.D. Acharya Chakrapani Datta (10-11 Century A.D.) and Acharya Bhav Mishra (16-18 century A.D.) have described in their classical Ayurvedic texts, the method of preparation and treatment of fistula in ano by use of Kshara Sutra (K.S.). It is being used for the successful treatment of Anorectal Diseases from many years.

In this technique, a specially prepared thread (Kshar Sutra) is used to cure diseases. Kshar Sutra acts by "Herbal Chemical Cauterisation" and removes the disease from the body.

Many studies have been published by Ayurvedic doctors recently with encouraging results for treatment of fistula in ano and other anorectal diseases by use of Kshara Sutra.

Benefit of Kshar Sutra over Surgery ?

  1. It is an Out Patient Treatment.
  2. Performed mostly under Local anesthesia.
  3. Only 30- 45 minutes is required for the procedure
  4. Hospital stay is usually minimum (5-6 hrs).
  5. Minimal bed rest is required after the procedure.
  6. Patient can resume his / her daily routine within 3 to 5 days.
  7. The recurrence rate is very less after Ksharsutra ligation procedure
  8. Most important benefit of Kshar Sutra Therapy over Modern Surgeries is that the muscles that supports the Anus and helps in controlling the bowel movements are not dissected and hence the possibility of Anal Incontinence (loss of power to hold stools) is not there.

Preparation of Kshar Sutra


  1. Thread : Surgical Linen thread of size 20.
  2. Latex of Euphorbia neriifolia
  3. Haridra (Curcuma longa)
  4. Apamarg Kshar (Achyranthus aspera)

Method of Preparation :

For the preparation of thread, surgical linen thread gauge number 20 was manually coated eleven times with the latex of Euphorbia neriifolia, followed by seven coatings of the latex and the alkaline powder of Achyranthus aspera alternatively, and dried. In the final phase, three coatings of latex and powder of Curcuma longa were given alternatively.

The thread thus prepared was sterilized by ultra violet radiation and placed in a polythene bag or glass tube.
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