Abstract

Dr. Kalpana Verma* and Dr. Ashish Pareek

ABSTRACT

In Ayurveda classics, Parikartika resembles with fissure-in-ano having cutting and burning pain at Guda (anal region) which is mentioned as a sequel of some diseases or as a complication of some Panchakarma procedures. Ancient text could not give a brief idea about this condition. Mainly it is described as complication of Virechana and atisar. Fissure in ano is a split at muco-cutaneous junction in anal canal. It causes intense pain during defecation with passage of small amount of blood. Primary fissure can be acute or chronic while secondary are due to underlying diseases. Acute fissure usually respond to conservative treatment, not then convert into chronic fissure associated with tag which is treated with surgical intervention. 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. Therefore in spite of many modifications in conservative and surgical approaches, anal fissure remains a challenge even for skilful procto surgeon. It is so named in which sharp cutting pain is felt in the anus. It is due to alleviation of vata and pitta dosh which causes severe pain with burning sensation. Almost all ancient authors focused on Basti Chikitsa while treating the disease Parikartika. This Basti is particularly prepared in Ghrita (ghee) and milk with the help of other different drugs. The drugs used in preparing Basti are mostly Vata-Pitta shamak and Vrana ropak (wound healing) properties. The present case report documents, 35 year old male patient of parikartika, managed with MatraBasti.