Abstract
MANAGEMENT OF PARIKARTIKA W.S.R TO ACUTE FISSURE-IN-ANO WITH UDUMBARA TAIL PICHU – A CASE STUDY

*Dr. Mayur Shrikrishna Padol, Dr. Ramesh Vanaji Ahire, Dr. Aparna Abhay Raut, Dr. Ashish Shrikant Hastak, Dr. Shubhangi Shashikant Wankhedkar

ABSTRACT

The health of an individual depends solely on his diet and life style. Diet plays very important role in Parikartika which is evident by references. The earliest reference of „Parikartika’ is available from Sushruta Samhita (1500 B.C). Parikartika is referred in Brihatrayees not as an independent disease but as a complication of Bastikarma and Virechana (vyapath). About 30-40% of the populations suffer from proctologic pathologies at least once in their life. Anal fissure comprises of 10-15% of anorectal disorders and is characterized by excruciating pain during and after defecation, bleeding per anus with spasm of anal sphincter. Parikartika is one of the most common diseases of ano-rectal diseases. Parikartika resembles with „fissure in ano‟ having cutting and burning pain in guda (anus). It is most painful condition affecting the anal region. Various factors which contribute to development of fissure are hard feces, surgical procedures, diseases like Crohn‟s disease, ulcerative colitis, and enthusiastic usage of ointments and abuse of laxatives, sphincter hypertonia, improper diet etc. Constipation results in hard stool passage which is painful and resulting in fissure. In Parikartika, the local treatment is such as ointments, Ghrita, Taila and dilatation also known. In the present clinical study the Udumbara tail Pichu is taken as external application on fissure (Parikartika).

Keywords: Parikartika; Ano-rectal diseases; Fissure in ano; kartanvat vedana, Malavashtambha, Udumbara tail Pichu.


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