Alkaline Thread (Kshara Sutra)
Medically Reviewed by Ayuveda Clinical Team (Lead Medical Reviewer: Dr. Nitin Mohite, BAMS, MBA • Medical Logic Developer, UK • Clinical Profile • LinkedIn).
Surgical tool - cutting fistulas, etc. with an alkaline thread.
Modern description
An alkaline-coated thread used as a surgical tool for cutting fistulas and other lesions, promoting healing through controlled tissue destruction.
Purpose
Surgical tool - cutting fistulas, etc. with an alkaline thread.
Indications
- Arsha (hemorrhoids), Bhagandara (fistula-in-ano), Arbuda (cysts), other anorectal disorders, benign skin lesions
Karma
- Chedana (excising)
- Bhedana (incising)
- Lekhana (scraping)
- Shodhana (purifying)
- Ropana (healing)
Key ingredients
- Apamarga Kshara
- Snuhi Ksheera
- Haridra Churna
Adult dose
Applied topically as a seton, changed as per the advancement of treatment, as per surgeon's advice
Pediatric dose
Surgical application only, with caution
Preparation steps
- A surgical linen thread (No. 20) is coated 21 times.
- 11 coatings of Snuhi latex (Euphorbia neriifolia) are applied.
- 7 coatings of Apamarga Kshara (Achyranthes aspera) are applied.
- 3 coatings of Haridra (Curcuma longa) powder are applied.
Related formulations
Classical & Scientific References
- Classical source treatise: Sushruta Samhita.
- Ayurvedic Formulary of India (AFI), Part I & II, Ministry of AYUSH, Government of India.
- Bhaishajya Ratnavali, Sharangadhara Samhita, and Sahasrayogam clinical guidelines.
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