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Ayurvedic Dhoopana with Yavadi Yog for Pain and Discharge in Fistulectomy Wound: A Case Report

Author : Dr. Akanksha Jilate and Dr. Shubhangi Badole

Abstract :

Fistula-in-ano is a chronic and distressing anorectal condition characterized by an abnormal tract lined with fibrous tissue and unhealthy granulation, often resulting from a perianal abscess due to cryptoglandular infection. In certain cases, it may also be associated with systemic conditions such as Crohn’s disease, tuberculosis, malignancy, or other chronic infections. Postoperative management following fistulectomy presents challenges, with pain, discharge, and discomfort being common complaints that affect the patient's quality of life and delay wound healing.
Ayurveda, with its emphasis on holistic and preventive healthcare, advocates various methods for wound care and disinfection. Among them, Dhoopana Karma (medicated fumigation) is a natural and effective technique employing herbal and animal-origin substances with volatile, antimicrobial, and wound-healing properties.

This case report highlights the clinical outcome of a 30-year-old female patient presenting with persistent pain and discharge at the surgical site 15 days post-fistulectomy. She was treated with Yavadi Dhoop Yog, an Ayurvedic fumigatory formulation known for its Vedanahara (analgesic) and Vranashodhaka (wound-cleansing) actions. The intervention significantly reduced symptoms such as Shoola (pain) and Strava (discharge), promoting a cleaner wound environment and enhancing the healing process.
This case demonstrates the potential of Yavadi Dhoopana Karma as an effective adjunct in postoperative anorectal wound management, aligning with the Ayurvedic principle of local disinfection through safe, non-invasive, and natural means.

Keywords :

Fistulectomy wound, dhoopana karma (or medicated fumigation), yavadi yog (or yavadi dhoop yog).