Abstract

A CLINICAL COMPARATIVE STUDY IN THE MANAGEMENT OF PARIKARTIKA BY GRITH MANDA PICHU & MADHU SARPI PICHU

Dr. Vijay Alur*

Abstract

Ayurveda, the ancient science of life, prioritizes maintaining health and curing diseases. Unfortunately, modern lifestyles have led to a surge in rectal diseases. Our classical references provide a comprehensive understanding of various ano-rectal diseases like Parikartika, Bhagandara, Gudvidhradhi, and Arsha. The term "Parikartika" is derived from two Sanskrit words: "Pari," meaning circumference of the anus, and "Kartika," denoting cutting pain (Kartanavat and Chhedanavat Shoola).[1,2] In Bruhattrayi Parikartika[3] is described as a symptom or complication of underlying conditions. Charaka, a renowned Ayurvedic scholar, attributed Parikartika to two primary causes. Firstly, it is considered a complication of Vataja Atisara, a type of diarrhea caused by vitiated Vata dosha. Secondly, Parikartika can arise from Basti or enema related complications. Specifically, trauma caused by the Basti netra, or enema tube, and the administration of Ruksha Basti, a dry enema containing sharp and pungent substances like Teekshna and lavana dravyas, can lead to Parikartika.[4,5] These complications are collectively known as Basti vyapad. and other causes including diet, lifestyle and dosha imbalance. In contemporary science, it can be corelated with fissure-in-ano. It is a condition characterized by sharp, cutting pain around the anus. This affliction affects 30-40% of the population, with anal fissures accounting for 10-15% of anorectal disorders. The symptoms of fissure-in-ano are unmistakable, including excruciating pain during and after defecation, drop-by-drop bleeding per anus, and spasm of the anal sphincter.[6,7] The sentinel tags can be compared to Shuskarsha, as mentioned in Charaka Samhita.

Keywords: .