Namaste and Welcome to Athreya’s Practitioner’s Forum! 

Today, Pradnya brings us a case of a corporate businesswoman whose successful yet stressful career path and Pitta-provoking diet & lifestyle led to GRAHANI (Crohn’s disease), ANTRA VIDRADHI (Colon abscess) and BHAGANDARA (Fistula-in-ano). Her goal is to avoid increasing the frequency of her immunomodulator infusions. We formulate a CHIKITSA that includes a medicated VRANA CHIKITSA (Wound wash), herbal oil application, VYADHI PRATYANEEKA CHIKITSA (Disease-specific treatment), ABHYANTARA DEEPANA + VRANA ROPANA Dravyas (Internal Agni-correcting and wound-healing herbs), and SRAMSANA (Laxatives) for gentle purging. This discussion elaborates on the pathogenesis of fistula-in-ano.