Vidradhi in Bṛhat-Trayī: A Critical Review of Literature

Authors : Shivam Sharma; KiranKhandare

Volume/Issue : Volume 7 - 2022, Issue 9 - September

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The disease Gudavidradhi is a common condition that causes a person disoriented and unable to do daily duties. The discomfort in this condition is continuous and acute due to the inflammation and pus collection. An ano-rectal abscess is caused by an infection that starts in the crypto-glandular epithelial lining of the anal canal and spreads to nearby regions, resulting in fistulas in 40% of cases.Perianal (60%), ischiorectal (20%), intersphincteric (5%), supralevator (4%), and submucosal (1%) are the traditional sites of anorectal abscesses, in order of decreasing frequency. Early, sufficient, and dependent drainage is the therapy for Gudavidradhi (Anal abscess). As a result of its antiinflammatory and anti-bacterial properties, Sushruta has recommended Bhedana Karma in combination with topical application to promote early healing and infection prevention.Both Acharya Charaka and Sushruta have made observations in this situation. According to Acharya Charaka, this is the condition in which severe suppuration occurs, resulting to Vidradhi (abscesses), and according to Acharya Sushruta, the vitiated doshas in Guda (anal region) vitiate Twak (skin), Rakta (blood), Mamsa (muscles), Meda (fat), and Asthi (bone), causing Vidradhi (abscess). Gudavidradhi (anorectal abscess) is closely linked to Perianal Abscesses in terms of clinical characteristics. In the treatment of gudavidradhi (anal abscess), techniques such as Bhedana (incision) and Visravana (draining) karma are effective. The phenomena of wound creation as a result of inflammation and abscess, as well as its healing and treatment using Shashtiupakrama or Saptokrama (60 upakrama), is Acharya Sushruta's basic important contribution

Keywords : Gudavidradhi, Anorectal abscesses, Bhedana karma, Bṛhat-Trayī


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