Management of Parikartika w.s.r. to Acute Fissure-In-Ano with Dhanwantaram Taila Pichu - A Case Study

Abstract

A fissure-in-ano, often referred to simply as an anal fissure, is a common medical condition that can cause discomfort and pain for those affected. In Ayurveda Samhitas, Parikartika  resembles with fissure-in-ano having cutting and burning pain at Guda (Anus). Treatment for anal fissures typically focuses on relieving pain and promoting healing. Many treatment modalities have been mentioned and practiced in the management of Parikartika like Deepana, Pachana, Vaatanulomana, Avagaaha, Basti Karma and local application of Madhura, Sheetha, Snigdha Dravyas, Taila Poorana, Lepa and Pichudharana.^[1] Pichudharana is a method that is simpler to adopt and operates on the principle of cellular absorption. This study reports the effect of Dhanwantaram taila pichu in the management of acute anal fissure. A 35 year old female patient visited the OPD with the complaints of Gudapradeshi kartanvat vedana (Excruciating pain), Gudapradeshi alpashoth (swelling at anal reglon), Gudapradeshi daha (burning sensation at anal region), Malavashtambha (Constipation), Saraktamalapravrutti (Stools streaked with blood) since last 5 days. In this single case study, Dhanwantaram Taila Pichudharana along with proper pathya showed good results in treating Parikartika.