Case Report on Guggulu Based Ksharsutra in the Treatment of Guda Vidradhi (Perianal Abscess)

An anal abscess is a painful and common condition that can significantly disrupt daily activities. It is most often caused by an infection of the anal glands, with about 95% of cases linked to cryptoglandular disease. These abscesses are more frequently seen in individuals with diabetes or weakened immune systems. Common types include perianal (60%), ischiorectal (30%), and submucosal abscesses (5%). If left untreated, approximately 40% of cases may develop into fistulas. In Ayurveda, this condition is known as Guda Vidradhi (Perianal abscess). Acharya Sushruta explained that imbalanced Doshas affect tissues such as skin, blood, muscle, fat, and bone, leading to abscess formation. He recommended Bhedana (incision) and Vishravana (drainage) as key treatments. His contributions, including the Shashti Upakramas (60 treatment methods), offer detailed wound and abscess management strategies. This case report presents the successful Ayurvedic management of Guda Vidradhi (Perianal abscess) demonstrating an effective alternative to modern surgical approaches.