Concept of bhagandara in ayurveda -a literary review

Bhagandara is one of the common diseases occurring in anorectal region. Bhagandara (Fistula in ano) explained as one among the eight (Vātavyādhī, Pṛameha, Kusṭha, Arśa, Bhagandara, Aśamarī, Mūdha Garbha and Udara Roga). Major dreadfull disease in ayurvedic texts. In ancient Ayurvedic literature. Acharya Sushruta, the father of surgery has included this disease as one among the Ashtamahagada1.At first it present as pidika around guda and when it bursts out, it is called as Bhagandara. It can be correlated with Fistula in ano as de-scribed in Western medical science. the description of Bhagandara is found in different Samhitas but it is scattered in various Sthāna as Nidāna, Cikītsā etc so In this review an attempts has been made to highlight the concepts of Bhagandara in ancient time according to different Ācharyas of Āyurveda collectively in different heading given below, historical review, etymology and definition,aetiology (Nidan) of Bhagandara, pathogenesis (Samprapti) Purvarūpa, Rūpa, classification and management of Bhagandara.