Kshara Sutra is a medicated thread which is used in anal fistula surgical operations in Ayurveda. For the purpose of introducing Kshara Sutra therapy into Japan, which offers a better cure rate than modern surgery in India and Sri Lanka, we attempted the production of alternative Kshara Sutra using Japanese plants and materials. We established the protocol of Kshara Sutra preparation including the use of the latex of the fig (Ficus carica) fruit as a binding agent instead of Snuhi (Euphorbia antiquorum or Euphorbia neliifolia [Euphorbia neriifolia]), and red pepper [Capsicum annuum] tincture for induction of healing by granulation. In addition, we made Kshara, an alkali agent, from the plant of Achyranthes bidentata and used commercial turmeric powder and a suture with high water absorbency. This is thought to be the first Kshara Sutra in use in Japan, which was named "Kanazawa Sutra I".
Publisher: Medical and Pharmaceutical Society for Wakan-Yaku
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