Abstract

PARIKARTIKA (FISSURE IN ANO) A REVIEW STUDY

Divya Sharma*, Sachin Kumar Gupta and Shruti Sarswat

Abstract

Ayurveda, the “science of life” helps in achieving a longer life span by preventing the occurrence of diseases as well as curing it to the possible extent. The hasty life style now-a-days has resulted in many troublesome diseases. The busy schedules, untimely meals, use of junk foods, sedentary habits, prolonged journey times have resulted in increased incidence of a very painful condition called Parikartika i.e. Fissure-in- ano. It appears to be the most painful condition among all ano rectal disorders. The earliest description of Parikartika is available in the Ayurvedic Textbook of Surgery, the Sushruta Samhita (1500 B.C). Acharyas have explained Parikartika as Vyapad of Vaman and Virechan. Constipated people are unable to pass stool or pass hard stool which breaks the smooth wall of anal verge or longitudinal tear in lower end of anal canal this conditionis called Parikartika. This Anorectal disease closely resembles Anal-fissure described in modern medical science. Acute fissure can be treated by Nidana Parivarjana, Avagahana-sweda (hot fomentation-sitz bath), Matrabasti and Pathya Sevana. Chronic Fissure can be treated by Kshara lepa and Agnikarma. This article attempts to throw light on Parikartika and its treatment in Ayurveda.

Keywords: Anal fissure, Parikartika, Basti, Vaman, Virechan, Guda, Constipation.