Abstract

A COMPARATIVE CLINICAL STUDY TO EVALUATE THE EFFECT OF CHANDANADI TAILA MATRA BASTI AND YASHTIMADHU TAILA MATRA BASTI IN PARIKARTIKA (ACUTE FISSURE IN ANO)

Rashmi S.* and Elizabeth P. John

ABSTRACT

Sushruta has explained about Guda Roga i.e. Ano Rectal Disease in Shalya Tantra. Fissure-in-Ano commonly referred to as an anal fissure, is defined as a linear tear or ulceration in the anoderm, which is surrounding the anus. It is very common and painful condition. Most commonly occurs midline posteriorly. Fissure-in-ano is can be associated with Parikartika as it is characterized by cutting pain (Kartanwat Vedana) in anal region. In Ayurvedic text, Parikartika is mentioned not as a separate disease entity but as a complication of different Ayurvedic procedures such as vamana, virechana and basti and complication of some diseases like Arsha, Atisara, Grahani. Chronic Constipation leads to hard stools and it result into tear or cut in anorectal mucosa along with signs and symptoms which further become fissure in ano. The study was taken up to compare the efficacy of Chanadandi taila and Yashtimadhu taila matra basti in parikarthika. It was a clinical study; 60 patients were selected as per diagnostic andinclusion criteria. The patients were given 30ml each of Chandandi taila and Yashtimadhu taila as matra basti for 7 days. The assessment of objective and subjective criteria was done on before treatment (1tST day), 7th,14th and 28th day. The outcome of treatment after 28 days were individually showed statistically significant in subjective parameters like pain, burning sensation, bleeding, constipation and objective parameters like tenderness, sphincter spasm and length of ulcer.

Keywords: Parikartika, Fissure in ano, Chandanadi taila, Guda Roga, Yashtimadhu taila.