Abstract

EFFICACY OF JATYADI TAILA MATRABASTI IN THE MANAGEMENT OF ACUTE FISSURE-IN-ANO W.S.R. TO PARIKARTIKA- A CASE STUDY

Sujata Chavhan* and Rajendra Amilkanthwar

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Abstract

Fissure in-Ano is one of the most painful condition among the anorectal diseases. It is a longitudinal tear in the anal mucosa extending from the anal verge towards dentate line. Altered life style and daily consumption of fast food increases incidence of constipation in population which causes many anorectal diseases like fissure in-ano, fistula in ano, haemorrhoids. Anal pain, burning sensation during defaecation, constipation, stool streaked with blood are the symptoms of fissure in-ano. In ayurveda fissure in ano is correlated with Parikartika. Parikartika means 'Parikruntavat vedana' that is cutting type of pain specially in Gudapradesha. We get discription about Parikartika in Brihatrayees and later period authors of Ayurveda. Parikartika is not mentioned as an independent disease but acharya Kashyap described Parikartika as a complication of Vamana Virechana Vyapada, Bastikarma Vyapada, Garbhini Vyapada. In Parikartika due to nidanas agrivated Apanvata attains upward movements and repelled by Udanavata reaches Guda and obstruct the passage of faeces producing severe Ruja, Gudadaha, Malavashtambha and Sarakta malapravrutti. This case study is to prevent surgical intervention and to avoid it's complications. In this case study patient with acute fissure in ano is treated after all routine investigations with Jatyadi Taila Matrabasti for seven days. Patient got relief regarding anal pain, burning sensation during defaecation, anal ulcer heals and anal spasm get released.

Keywords: Parikartika, parikruntavata vedana, guda, gudapradesha, brahatrayees, vaman virechana vyapada, garbhini vyapada, nidanas, apana vata, udana vata, ruja, gudadaha, malavashtambha, sarakta malapravrutti, matrabasti.