Abstract

A COMPARITIVE CLINICAL STUDY TO EVALUATE THE EFFECT OF MADHUYASTI GHRITA GUDAVARTI AND JATYADI GHRITA GUDAVARTI IN MANAGEMENT OF PARIKARTIKA VIS-À-VIS FISSURE-IN-ANO

Dr. Liya Abraham*, Dr. Rajneesh V. Giri and Dr. Aswin Haridas

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Abstract

Parikartika (Fissure-in-ano) is a commonly encountered ano-rectal disease in clinical practice. An anal fissure is a longitudinal split in the anoderm of the distal anal canal which extends from the anal verge proximally towards, but not beyond, the dentate line.[1] The anal fissures are quite common, with around 1 in every 10 people affected at some point in their life.[2] As a treatment, surgery remains the preferred option when there is intense pain, or recurrence in spite of prior conservative treatments but complications like wound infection, hematoma and abscess formation may occur. Hence conservative management of the fissure is more preferred. In this study, 40 patients suffering from Parikartika (Fissure-in-ano) were selected randomly from SDM Ayurveda Hospital, Udupi. 20 patients were treated with Madhuyasti Ghrita Gudavarti and 20 patients were treated with Jatyadi Ghrita Gudavarti. The patients were demonstrated the method of inserting it into the anus and the intervention was given for a period of 10 days. The study reveals that both Madhuyasti Ghrita Gudavarti and Jatyadi Ghrita Gudavarti are helpful in controlling constipation, relieving pain, bleeding and pruritus thus helping in proper healing of the anal fissure.

Keywords: Parikartika, Fissure-In-Ano, Madhuyasti Ghrita, Jatyadi Ghrita, Gudavarti.