2005 Volume 22 Issue 1 Pages 15-18
Kshara Sutra is a medicated thread which is used in anal fistura surgical operations in Ayurveda, the Indian traditional Medicine. 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 by using Japanese plants and materials. We established the protocol of Kshara Sutra preparation including the use of the latex of the fig (Ficus carica L.) fruit as a binding agent instead of Snuhi (Euphorbia antiquorum L. or Euphorbia neliifolia L.), and red pepper tincture for induction of healing by granulation. In addition, we made Kshara, an alkali agent, from the plant of Achyranthes bidentata Bl. and used commercial turmeric powder and a suture with high water absorbency. This was the first Kshara Sutra in use in Japan and we named it “Kanazawa Sutra I”. and Its clinical examination is under way.