Bhagandara is described as a very painful boil near the anus, within two finger-breadths of it, that bursts there. Five kinds are named after vata, pitta, kapha, all three doshas and injury by a foreign body; all are hard to cure, the last two incurable, and if neglected it suppurates, passes semen, faeces, urine and wind and breeds worms.
Also described as
Further prognosis, wound care and regimen for bhagandara: discharge of faeces, urine, wind, semen and worms from the wound with severe complications marks it incurable; the wound is cleansed and healed as for prameha ulcers; after healing the patient keeps a two-month regimen.
Names and synonyms
- Sanskrit
- भगन्दर
- Hindi
- भगंदरनासूरगुदा का नासूर
- English
- Fistula-in-anofistula in anoanal fistula
- Romanized
- bhagandara
Types described in the text
Vata type (shatayonaka)
शतयोनक
From aggravated vata, with pricking, splitting and intense pain; a footnote explains the name as a sieve, since it has many openings like one.
Pitta type (ushtragala)
उष्ट्रगल
From aggravated pitta, with intense burning and fever; shaped like a camel's neck, hence the name.
Kapha type (parisravi)
परिस्रावी
From aggravated kapha; large and firm, itching, mild pain and continuous discharge of pus, hence the name.
All-dosha type (kambukavarta)
कम्बुकावर्त
From all three doshas, showing their separate signs together; shaped like the whorl of a conch, hence the name.
Foreign-body type (unmargi)
उन्मार्गी
A thorn swallowed with carelessly eaten food pricks the anus and causes a bhagandara with many tracts running in wrong directions; very dreadful.
What the text says
Each statement reports the source, with its chapter, page and verse. Traditional descriptions are not presented as proven medical facts.
Definition2
A footnote defines bhagandara as a very painful boil that arises outside and near the anus, within two finger-breadths of it, and bursts there.
The name is explained by its tearing open the region of the bhaga, bladder and anus; a footnote gives the derivation bhagam darayati iti bhagandarah.
Classification1
Five kinds are named: from vata, pitta, kapha, all three doshas together, and from injury by a foreign body such as a thorn; the disease is likened to poison, fire and death.
Treatment principle2
The patient with the boil is to be treated quickly with fasting, emesis, purgation, bloodletting, sweating and plasters; the verse adds bandaging.
The bhagandara wound is cleansed by the wound procedure given earlier for prameha ulcers, using cleansing and healing drugs in particular.
Regimen1
Even after the wound has healed, for two months the patient avoids sexual intercourse, long journeys on foot, much riding on horses and other mounts, fighting or wrestling and other causes of injury, and food that makes the stool hard.
Prognosis3
All kinds of bhagandara are by nature very hard to cure; the all-dosha and foreign-body kinds are incurable and should be left alone.
If neglected, it becomes involved with all three doshas and suppurates; semen, faeces, urine and wind come out through its openings, many-mouthed ulcers form and worms arise from them.
When faeces, urine, wind, semen and worms come from the bhagandara wound and severe complications have arisen, the physician should give the patient up as incurable.
Where else is this mentioned?
Named 53 times on 13 pages. These are automatic name matches, so a few may refer to something else with the same name.
- PDF page 8Front matter… ी बडी शस्त्र क्रियाओं का प्रतिपादन है। बद्धगुदोदर, अशमरी आंत्रवृद्धी, भगंदर आदि पर शस्त्र क्रियाअों का ठीक आधुनिक पद्धति से ही वर्णन उसमें मिलता …
- Book page 158Chapter 11… ले (सर्वरा) प्रमेह, कुष्ठ, उदररोग, वातव्याधि, मूढगर्भ, बवासीर, अशमरी, भगंदर, इनको महारोग कहते हैं।
- Book page 175Chapter 11… पयँत प्रमाण से उसे खाना चाहिए। जिससे सर्व कुष्ठ, प्रमेह, उदर, बवासीर, भगंदर, दुष्ट नाडीव्रण, ग्रंथि, सूजन आदि अनेक रोग दूर होते हैं। नबिांस्थिसार …
- Book page 221Chapter 13… शवर को प्रमाण कर, शर्करा, अत्यन्त वेदना को उत्पन्न करने वाली अशमरी और भगंदर इन रोगों के स्वरूप व चिकित्सा को यत्नपूर्वक कहूँगा, इस प्रकार आचार्य …
- Book page 230Chapter 13×9… तै:॥ 44॥ भावार्थ : इस प्रकार संक्षेप में अशमरी रोग को प्रतिपादन कर अब भगंदर रोग का वर्णन उसकी चिकित्सा, लक्षण साध्यासाध्य विचार, मृत्युचिह्न आदि …
- Book page 231Chapter 13×13कल्याणकारके / शर्कराधिकार: 231 सिन्नपात भगंदर में, पूर्वाेक्र तीनों दोषों से उत्पन्न भगंदरों के पृथक्-पृथक् लक्षण ए …
- Book page 232Chapter 13×11कल्याणकारके / शर्कराधिकार: 232 भगंदर का असाध्य लक्षण पुरीषमूत्राक्रिमितरेतसां। प्रवृत्तिमालोक्य भगंद …
- Book page 233Chapter 13×6कल्याणकारके / शर्कराधिकार: 233 भगंदर छेदन क्रम यदैवमन्योन्यगतागतिर्भवेत्। तदैकदा छेदनामिष्टमन्यथा॥ क्रम …
- Book page 234Chapter 13×5… येत्। तथैवममयक्रशरीर मातुरं। सुखोदकेष्वप्यगाहयेद्धिषक्॥ 61॥ भावार्थ : भगंदर से पीडित रोगी की चिकित्सा के लिए यह भी उपाय है कि एक घडे में वातघन औष …
- Book page 235Chapter 13×2… ंजी में मिलाकर किसी द्रव के साथ भगंदरी पीवें, जिससे वह सुखी होता है। भगंदर में अपथ्य व्यवायदूराधवगमातिवाहन - प्रयाणयुद्धाद्यभिघातहेतुकम्॥ त्यजेद …
- Book page 249Chapter 14… ुए, नाना प्रकार के शल्यों को पकड के बाहर खींचने व देखने के लिए, अर्श, भगंदर आदि रोगों में शस्त्र, क्षर, अग्नि कमोँ की योजना व शोष अंगों की (क्षर …
- Book page 477Chapter 21… र (जो पहले कहा गया है) को, कुष्ठ, सम्पूर्ण अर्बुद, नाडी व्रण, न्यच्छ, भगंदर, बाह्यक्रिमि व बाह्यविष, सात प्रकार के मुखरोग, अधिजिह्वा, उपजिह्वा, द …
Questions and answers
Which diseases does the Kalyanakarakam call the major diseases (mahamaya)?
Prameha, kushtha, udara, vatavyadhi, mudhagarbha, haemorrhoids, urinary stone and fistula-in-ano.
Detailed answer and sourcesWhat are the five kinds of bhagandara, and which are called incurable?
Shatayonaka (vata), ushtragala (pitta), parisravi (kapha), kambukavarta (all three doshas) and unmargi (foreign body); the all-dosha and foreign-body kinds are incurable.
Detailed answer and sourcesWhy must the surgeon avoid making a large wound in bhagandara?
Through a large wound faeces, urine and semen escape and the tract worsens; the anus can be torn, and wind escaping from it causes colic and distension.
Detailed answer and sourcesWhat should a bhagandara patient avoid after the wound heals, and for how long?
For two months: sexual intercourse, long journeys, much riding, wrestling and other causes of injury, and food that makes the stool hard.
Detailed answer and sourcesAll references
Every page and verse of the source that this entry draws on.
Quick facts
- Content type
- Condition
- Categories
- DigestiveSurgery and injuries
- Source pages with records
- 5
- Pages naming it
- 13
- Chapters
- Chapter 13
- Extraction tasks
- T11
- Record id
- condition_bhagandara