MANAGEMENT OF PARIKARTIKA WSR TO ACUTE FISSURE -IN-ANO WITH
YASHADAMRITA MALAHARA – A SINGLE CASE STUDY
Parikartika is one of the ano-rectal diseases. Its references are available in bruhatrayees not as an inde-pendent disease but as an Iatrogenic. The word Parikartika means Parikartanavath Vedana around Guda Pradesha. In modern it can be correlated to fissure-in-ano. Fissure-in-ano has features like severe pain and burning sensation during and after defaecation, constipation, stools streaked with blood is a challenge to treat due to its nature of recurrence. The condition demands innovative techniques for its management. Many techniques are tried in its management, each by no means better than the other. Ayurvedic treatment is beneficial in such cases which includes conservative management like deepana, pachana, vatanulomana and basti karma and local application of madhura-sheetha-snighdha dravyas, Taila poorana, Lepa and Pichu dharana. A case study of patient having features of Parikartika was selected from OPD of SJIIM Bengaluru and Yashadamrita Malahara pichu was done for 7 days. Assessment was done on Pain, per rec-tal bleeding, hardstools, sphincter tone and burning sensation. Significant improvement was observed at the end of treatment.