AYURVEDIC MANAGEMENT OF FISSURE-IN-ANO (PARIKARTIKA) - A CASE STUDY

Abstract [English]

One of the most painful anorectal ailments is Parikarthika (fissure-in-ano). The prevalence of this ailment has risen dramatically in recent years, owing primarily to irregular eating habits and the effects of an unhealthy modern lifestyle. As a result, fissure-in-ano is now common in all age groups and genders. This case study demonstrates how to successfully manage an acute fissure-in-ano utilizing Ayurvedic therapeutic approaches. A 29-year-old male patient complained of discomfort and burning during and after bowel motions, which were accompanied by blood streaks in the stool. A longitudinal ulcer was found at the 6 o'clock position in the lower anal canal, validating the diagnosis of an acute fissure-in-ano. The therapy program combined internal and external Ayurvedic remedies. Triphala Guggulu and Abhayarisa were used to enhance healing, reduce inflammation, and ease bowel movements. Externally, Jatyadi Taila Pichu (medicated oil-soaked gauze) was applied to the affected area to promote wound healing, and the patient was encouraged to take sitz baths with tepid water to relieve discomfort and improve local blood circulation. Within 10 days of treatment, there was a remarkable improvement, including total symptom alleviation. A two-month follow-up confirmed no recurrence of the disease. This case demonstrates the efficacy of Ayurvedic therapy approaches in controlling acute fissure-in-ano and underlines the significance of lifestyle changes for long-term healing.