Management of Parikartika (Fissure-In-Ano) with Jatyadi Ghrit Local Application Along with Vatika Guggulu Orally

Abstract

The current generation includes younger and middle-aged people who lead a sedentary lifestyle, have high levels of stress, unhealthy diets, and lack of sufficient sleep, all of which result in increased lifestyle diseases, including disorders affecting the digestive system, which causes many diseases, including anorectal disorders. Parikartika (fissure in ano) is a common ano-rectal condition characterized by a linear tear in the anal canal mucosa, typically caused by trauma from hard stools, constipation, or prolonged straining. It presents with severe pain during defecation, rectal bleeding, and local irritation. Parikartika is derived from Sanskrit word ‘Pari’ which denotes ‘all around’ and ‘Kartanam’ it means that excessive cutting pain around the anus is seen in Parikartika. This disease develops because of injury in the mucosa of the anal canal, usually caused by constipation, diarrhoea, and passage of hard stool. In this case study, a 35-year-old male patient diagnosed with acute anal fissure was managed using Jatyadi Ghrita for local application, along with oral administration of Vatika Guggulu. Additionally, a hot sitz bath was advised twice daily for 15 consecutive days. The patient was assessed on the basis of subjective parameters- pain, burning sensation, bleeding per rectum, constipation, and itching- as well as the objective parameter, namely the size of the ulcer. After completion of the treatment, a significant improvement in both signs and symptoms was observed.