CRITICAL ANALYSIS OF KASISADI GHRITA IN PARIKARTIKA (FISSURE-IN-ANO)

Abstract

Fissure in ano is a troubling and painful condition that affects a great majority of the population the world over. Chronic anal fissures are associated with persistent hypertonia and spasm of the internal anal sphincter and they have conven­tionally been treated surgically. However, concerns have been raised about the risk of faecal incontinence after surgical sph­icterotomy. Ancient text could not give a brief idea about this condition. Mainly it is described as complication of Basti karma and Atisar. Present management of fissure is to give some laxatives, local anaesthetic agent, antibiotics and analgesics. If this treatment fails, then patient is recommended for surgical procedure but it also leaves many problems after operation. In this study Kasisadi ghrita was selected which is having effective Vrana shodhana and Vrana ropan properties. Also, the drugs in the Ghrita medium give good lubricating action relieving muscular spasm. A total 15 patients having signs and symptoms of Parikartika (Fissure in ano) were selected and Kasisadi ghritha was given in the dose of 10 ml intra-rectally once a day for 15 days. Patients were assessed on parameters such as Pain, Bleeding per rectum, Itching and Burning Sensation. The Significant relief was observed in sign and symptoms after treatment and it was concluded that Kasisadi Ghrita as an effective and a safe alternative method to surgical treatment.