Abstract

THERAPEUTIC EVALUATION OF TILA TAILA POORANA AND YASHTIMADHU TAILA POORANA IN PARIKARTIKA: AN AYURVEDIC CLINICAL STUDY

Dr. Ravikumar Jadhav*, Dr. Ashok Naikar, Dr. Vinodkumar Bhorale

Abstract

Introduction: Parikartika, a complication of improper Virechana and Basti characterised by Kartanavat Shoola, Gudadaha and Anilasanga, correlates closely with Acute Fissure-in-Ano. Surgical management carries risks of hematoma and anal incontinence, besides cost and hospitalisation, so a safe outpatient alternative is needed. This study compared Tila Taila Poorana and Yashtimadhu Taila Poorana in Parikartika. Methods: 40 diagnosed cases of Parikartika were selected from the OPD and IPD of N.K. Jabshetty Ayurvedic Medical College and P.G. Centre, Bidar, and randomly allocated into two groups of 20 in an open-label randomised study. Group A received per-rectal Tila Taila Poorana and Group B Yashtimadhu Taila Poorana, 10 ml once daily for 7 days. Pain, constipation, pruritus, bleeding, tenderness, sphincter spasm and ulcer length were graded before treatment and on Days 1, 3, 5 and 7. Paired and unpaired 't' tests were applied. Results: Both groups improved significantly by Day 7. Group A achieved 74.07% relief in pain, 76.92% in bleeding, 78.84% in constipation and 64.70% in ulcer length, with 25% cured and 35% maximally improved. Group B achieved 94.33% in pain, 96.15% in bleeding, 94.23% in constipation and 93.33% in ulcer length respectively, with 60% cured and 40% maximally improved. Group B was superior from Day 3 onwards in most parameters (p

Keywords: Parikartika, Acute Fissure-in-Ano, Tila Taila, Yashtimadhu Taila, Taila Poorana.